A client has confided to the nurse that she would prefer hospice care to receiving further radical treatment for terminal pancreatic cancer. The nurse observes that the client fails to share her wishes with her family during a discussion regarding future treatment plans. Ethically, the nurse should first: 1. Tell the family of the client’s […]
The nurse is assessing a client admitted with complaints related to chronic kidney dysfunction. The nurse recognizes that this client is most likely to present with which of the resulting symp-toms? 1. Anemia 2. Hypotension 3. Diabetes mellitus 4. Clinical depression ANSWER ANS: 1 Clients with chronic alterations in kidney function cannot produce sufficient […]
The nurse’s most informed response to the client’s question “What is a complementary therapy?” would be: 1. “Relaxation is an example of a complementary therapy.” 2. “It is any intervention that increases your ability to cope with illness.” 3. “Massage therapy is complementary to muscle relaxant medications.” 4. “They are therapies that are used in […]
The student nurse is doing a literature review on evidence-based practice (EBP). Which of the following demonstrates the student’s understanding of EBP? 1. Presenting a paper about EBP 2. Repositioning a client at risk for skin breakdown every 2 hours 3. Explaining EBP to fellow students 4. Trying to find other problems to implement EBP […]
The initial client education–related nursing action by the preadmission nurse is to: 1. Respond to questions presented by the family regarding the client’s surgery 2. Call the client before the surgery to restate presurgery routine 3. Provide the client with a list of preoperative requirements 4. Arrange a time for presurgical blood work to be […]
An example of a nursing activity directed towards providing input to the nursing process is: 1. Assessing a client who has just reported being nauseated 2. Discussing various ways to increase calcium intake with a client 3. Asking the client to identify when she would like to be ambulated 4. Documenting a client’s pain level […]
The nurse is preparing to perform a health assessment of the abdomen. In which order should the nurse perform the assessment? 1. Auscultate, percuss, palpate, inspect 2. Inspect, auscultate, palpate, percuss 3. Inspect, auscultate, percuss, palpate 4. Palpate, percuss, auscultate, inspect ANSWER Correct Answer: 3 Rationale: Inspection should occur first. Palpation should always be […]
A client has occasional bouts of constipation, and asks the nurse what can be done to prevent these episodes in the future. What should the nurse instruct the client to do? 1. Establish a regular exercise regimen. 2. Include high-fiber foods, such as vegetables, fruits, and whole grains, in the diet. 3. Maintain fluid intake […]
Which of the following statements best reflects the client’s perception of the female role? 1. “My wife bakes the best bread.” 2. “All of my daughters are stay-at-home moms.” 3. “I don’t understand why a woman would want to be a coal miner.” 4. “We are so proud; our granddaughter got accepted into law school.” […]
During the assessment interview, the client is quiet and answers questions only minimally. What action should the nurse take about the client’s reluctance to share information? 1. Document that the client is not cooperative. 2. Consider any cultural implications of these actions. 3. Assume that the client has something to hide. 4. Ask another nurse […]