The nurse is planning care to help a client work through the grieving process. What would be appropriate to include in this plan of care? 1. Listen to the client. 2. Clarify and reflect the client’s feelings. 3. Reassure the client that all will be well. 4. Be silent. 5. Provide advice to the client. […]
Date: September 14th, 2020
An older adult client is visiting the physician’s office for a check-up. The client asks the nurse how often the influenza and pneumonia vaccines should be obtained. The nurse responds to the client that these vaccinations should be done: 1. Every 6 months 2. Annually 3. Every 5 years 4. Every 7 years ANSWER […]
Date: September 14th, 2020
A client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy. In preparing to suction this client, the nurse should take which action? 1. Hyperventilate the client using the settings on the mechanical ventilator. 2. Hyperventilate the client using a manual resuscitator. 3. Avoid hyperventilation, but instill […]
Date: September 14th, 2020
The nurse is preparing materials to instruct the parents of a newborn. What should the nurse identify as a safety hazard in an infant? 1. Exposure to alcohol consumption 2. Drowning 3. Pedestrian accidents 4. Suffocation in the crib ANSWER Correct Answer: 4 Rationale 1: Exposure to alcohol consumption is a safety hazard to […]
Date: September 14th, 2020
A physician asks a family nurse practitioner to prescribe a medication that the nurse practitioner knows is incompatible with the current medication regimen. If the nurse practitioner follows the physician’s desire, which of the following is the most corr 1. Good Samaritan laws will protect the nurse. 2. The nurse practitioner will be liable for […]
Date: September 14th, 2020
The nurse should expect that which of the following clients is most likely to have difficulty per-forming personal hygiene tasks? 1. The 54-year-old with osteoarthritis in his upper extremity joints 2. The 26-year-old new mother experiencing postpartum depression 3. The 15-year-old client who fractured his left clavicle while skateboarding 4. The 36-year-old client who just […]
Date: September 14th, 2020
The nurse is concerned that a client is experiencing sensory deprivation. What did the nurse assess to make this clinical decision? 1. Excessive sleeping 2. Confusion at night 3. Anger over minor issues 4. Easily distracted 5. Sitting quietly reading a book ANSWER Correct Answer: 1, 2, 3, 4 Rationale 1: A clinical manifestation […]
Date: September 14th, 2020
A community health nurse is working with a variety of clients and decides to use a systems the-ory approach to assist them to meet their health care needs. In using this approach, the nurse fo-cuses on the: 1. Hierarchy of the client’s human needs 2. Client’s interaction with the environment 3. Client’s attitudes toward health […]
Date: September 14th, 2020
The nurse is caring for a client diagnosed with early osteoporosis. Which intervention is most applicable for this client? 1. Institute an exercise plan that includes weight-bearing activities. 2. Increase the amount of calcium in the client’s diet. 3. Protect the client’s bones with strict bed rest. 4. Provide the client with assisted range-of-motion exercising […]
Date: September 14th, 2020
The initial nursing intervention for the assessment of external hemorrhaging is: 1. Close monitoring of the wound dressing for bloody drainage 2. Frequent assessment of the client’s blood pressure 3. Monitoring of the client’s heart rate 4. Redressing of the wound ANSWER ANS: 1 The nurse observes dressings covering the wound for bloody drainage.
Date: September 14th, 2020
