A 74-year-old client has been having sleeping difficulties. To have a better idea of the client’s problem, the nurse should respond: 1. “What do you do just before going to bed?” 2. “Let’s make sure that your bedroom is completely darkened at night.” 3. “Why don’t you try napping more during the daytime?” 4. “Do […]
Date: September 26th, 2020
A nurse working with clients at or below the poverty level recognizes that the life expectancy of these clients is lower than the general population because of: (select all that apply.) 1. Inadequate nutritional diets 2. High-risk work environments 3. Hazardous living environments 4. Addictive and abusive lifestyles 5. Predisposition to chronic diseases 6. Ineffective […]
Date: September 26th, 2020
A group of nurses is researching how care providers of Stage I/II Alzheimer’s clients use prior coping skills in dealing with their current situation. Which qualitative research tradition does this exemplify? 1. Grounded theory 2. Ethnography 3. Phenomenology 4. Substantive dimension ANSWER Correct Answer: 3 Rationale 1: Grounded theory is research to understand social […]
Date: September 26th, 2020
A client is prescribed seizure precautions. What can the nurse safely delegate to UAP to complete when implementing the precautions? 1. Placing a tongue blade at the head of the bed 2. Padding the client’s bed 3. Installing oxygen 4. Checking the oral suction apparatus ANSWER Correct Answer: 2 Rationale 1: Tongue blades are […]
Date: September 26th, 2020
Which of the following outcomes are directly related to functional impairment of the older client experiencing pain? (Select all that apply.) 1. Inability to prepare food to meet nutritional requirements 2. Inability to exit home quickly in the case of a fire 3. Development of skin breakdown on buttocks 4. Development of an irregular heart […]
Date: September 26th, 2020
A client who recently experienced an amputation of the left thumb has a perceived loss of physi-cal attractiveness. The nurse recognizes that such a loss is: 1. More easily assessed than actual losses 2. Much less personal than an actual loss 3. Universally experienced by all amputees 4. Capable of producing grief similar to an […]
Date: September 26th, 2020
The client recovered to a greater level that what was previously expected. The staff nurse responsible for the client’s care is following which of the ANA standards of practice? 1. Diagnosis 2. Planning 3. Implementation 4. Evaluation ANSWER Correct Answer: 4 Rationale: Evaluation, Standard 6, evaluates the progress toward attainment of outcomes. Since the […]
Date: September 26th, 2020
The nurse recognizes that skin integrity can be compromised by being exposed to body fluids. The greatest risk exists for the client who has exposure to: 1. Urine 2. Purulent exudates 3. Pancreatic fluids 4. Serosanguineous drainage ANSWER ANS: 3 Exposure to gastric and pancreatic drainage has the highest risk for skin breakdown. Exposure […]
Date: September 26th, 2020
The nurse determines that a client has adequate physiological barriers to defend the body against infection. What did the nurse assess in this client? 1. Intact and dry skin 2. Intact oral mucous membranes 3. Bowel sounds present in all four quadrants 4. Nasal congestion 5. Urinary retention ANSWER Correct Answer: 1, 2, 3 […]
Date: September 26th, 2020
A pregnant client is seen by the nurse in the antenatal clinic. On inspection, the nurse expects that this client’s breasts will have: 1. Softer tissue 2. Flatter nipples 3. Darkened areola 4. Diminished superficial veins ANSWER ANS: 3 Normal changes of the breasts during pregnancy include the areola becoming darker and the di-ameter […]
Date: September 26th, 2020
