For a client who is a Buddhist and maintains a traditional diet, the nurse will make sure that a sufficient quantity of which of the following is included in the menu? 1. Beef 2. Milk 3. Fish 4. Vegetables ANSWER ANS: 4 Many Buddhists are vegetarians. The nurse should ensure that a sufficient quantity […]
Date: September 26th, 2020
A client interview consists of three phases. The nurse recognizes that those phases are: 1. Orientation, working, termination 2. Introduction, controlling, selection 3. Introduction, assessment, conclusion 4. Orientation, documentation, database ANSWER ANS: 4 The three phases of an interview are orientation, working, and termination.
Date: September 26th, 2020
The nurse is planning to perform indirect percussion on an area of a client’s body during a physical examination. Which actions should the nurse take to use this assessment technique? 1. Place the middle finger of the nondominant hand on the client’s skin. 2. Use the tip of the flexed middle finger of the other […]
Date: September 26th, 2020
The nurse is admitting a client to the emergency department with complaints of severe abdominal pain. What is the nurse’s first action? 1. Administer IV pain medication as ordered. 2. Start an IV line of lactated Ringer’s. 3. Assess pain using a scale of 1 to 10. 4. Place a Foley catheter to bedside drainage. […]
Date: September 26th, 2020
A nurse is discussing high-nutrient-density food selections with a client recovering from exten-sive partial-thickness burns. Which of the following statements by the nurse reflects the best un-derstanding of this dietary concept? 1. “Do you enjoy fresh fruits and vegetables?” 2. “Would you consider replacing soda with milk?” 3. “Your body requires lots of energy in […]
Date: September 26th, 2020
The nurse suspects that a 59-year-old client has experienced angina pectoris. Which of the fol-lowing assessment questions will most likely produce information that will assist in the diagno-sis? 1. “How long did the pain last?” 2. “Can you describe the pain for me?” 3. “Did the pain radiate into your left arm?” 4. “What were […]
Date: September 26th, 2020
Throughout the nursing process communication is used. During the evaluation phase, communi-cation is specifically used by the nurse to: 1. Delegate activities to other staff members 2. Validate the client’s health and wellness needs 3. Acquire both verbal and nonverbal client feedback 4. Document expected outcomes and planned interventions ANSWER ANS: 3 The nurse […]
Date: September 26th, 2020
Wounds that heal by primary intention will most likely: 1. Have minimal scarring 2. Contain infected tissue 3. Present with ragged edges 4. Have portions of missing tissue ANSWER ANS: 1 Healing occurs by epithelialization; these wounds heal quickly with minimal scar formation.
Date: September 26th, 2020
An enterostomal nurse shows a client’s significant other how to assist with the supplies for the ostomy and how to manipulate the ostomy equipment. In demonstrating this technique to the client’s significant other, the nurse is using what type of nursing skill? 1. Affective 2. Cognitive 3. Interactive 4. Psychomotor ANSWER ANS: 4 Psychomotor […]
Date: September 26th, 2020
The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis Ineffective Individual Coping. What should the nurse do first? 1. Revise the nursing diagnosis. 2. Reassess the patient, looking for previously unknown stressors. 3. Rewrite the interventions used to address the problem. 4. Explore reasons why the outcome […]
Date: September 26th, 2020
