A client is discussing his use of biofeedback. Which of the following client statements shows the best understanding of success? 1. “I have set aside one hour a day for practice.” 2. “My appointments are very important; I keep them all.” 3. “I find it empowering that I can do something to help myself.” 4. […]
Date: September 29th, 2020
The nurse is assisting a newly delivered mother in ambulating to the nursery to see the baby. The client complains of light-headedness and begins to faint. What is the nurse’s most important action? 1. Ensure the client’s modesty as she falls. 2. Be certain the client does not hit the head on anything. 3. Call […]
Date: September 29th, 2020
The nurse obtains a new, dry nebulizer when preparing to give an elderly asthmatic client a nebu-lizer treatment because the risk of infection is increased because: 1. The client’s age increases the risk factor for potential infection 2. The client’s immune system is compromised as a result of asthma 3. There is a potential presence […]
Date: September 29th, 2020
The emergency department nurse contacts the admissions office to request a bed for a bed-bound client who is a practicing Muslim. In acting as an advocate for the client, what request should the nurse make of the admission clerk? 1. Please try to find a private room. 2. A bed that faces east will be […]
Date: September 29th, 2020
A client exhibits confusion, decreased capillary refill time, low oxygen saturation readings, and decreased renal output. What NANDA nursing diagnosis problem statement should the nurse choose for this client? 1. Ineffective Tissue Perfusion 2. Decreased Cardiac Output 3. Activity Intolerance 4. Risk for Injury ANSWER Correct Answer: 1 Rationale 1: Ineffective Tissue Perfusion is […]
Date: September 29th, 2020
A client is suspected of having a fat-soluble vitamin deficiency. To assist the client with this de-ficiency, the nurse informs the client that: 1. “More exposure to sunlight and drinking milk could solve your nutritional prob-lem” 2. “Eating more pork, fish, eggs, and poultry will increase your vitamin B complex intake” 3. “Increasing your protein […]
Date: September 29th, 2020
The nurse is considering the use of restraints for a client. In which situation can the nurse apply restraints to a client? 1. Client wanders around the care area. 2. Client is picking at the access site for intravenous infusion of chemotherapy. 3. Client needed to use the bathroom and waited for help but didn’t […]
Date: September 29th, 2020
The nurse is teaching parents about probable warning signs that a teenager is considering suicide and tells parents to be alert to: 1. An increase in appetite 2. A sudden interest in school activities 3. An unexplained increase in sleepiness 4. Talking about death and personal harm ANSWER ANS: 4 A warning sign that […]
Date: September 29th, 2020
A nurse is being asked to move from the eye unit to a general surgery floor where she in inexpe-rienced in this specialty due to an influenza epidemic among the nursing staff. She is aware of her inexperience. The nurse’s initial recourse is to: 1. Fill out a report noting her dissatisfaction 2. Ask to […]
Date: September 29th, 2020
The nurse recognizes that the leading cause of death for the otherwise healthy 1-year-old is: 1. Physical abuse 2. Accidental injury 3. Contagious diseases 4. Stranger abduction ANSWER ANS: 2 Injuries are the leading cause of death in children older than 1 year of age and cause more deaths and disabilities than do all […]
Date: September 29th, 2020
