The client has complaints of being tired, listless, and unable to tolerate activity at usual levels. Which laboratory value should the nurse review first while assessing this complaint? 1. Blood urea nitrogen 2. Hemoglobin and hematocrit 3. Blood sugar 4. Serum potassium ANSWER Correct Answer: 2 Rationale 1: The client’s symptoms may or may […]
A client diagnosed with osteoarthritis has been practicing tai chi regularly. Which of the follow-ing statements best shows the client’s understanding of the value of this complementary therapy? 1. “It is a great way to socialize and exercise at the same time.” 2. “I don’t like to exercise, but Tai Chi doesn’t seem like exercise.” […]
The nurse understands the primary focus of education for a client who has just received a diag-nosis of cancer is to: 1. Introduce self-care measures to support health 2. Discuss the management of treatment-related side effects 3. Reinforce the explanation of the risks of proposed treatments 4. Formulate long-term lifestyle changes to minimize risk factors […]
When explaining the present economic challenges to students in the community health course, the nurse educator emphasizes the importance of nurses being familiar with: 1. the current shift from inpatient to outpatient care 2. consumer presence on the boards of nursing associations and regulatory agencies 3. diagnostic-related groups (DRGs) 4. advances in science and technology […]
A client who experienced a myocardial infarction has been placed on bed rest. The nurse caring for the client recognizes that the inactivity will result in certain assessment findings that include: (Select all that apply.) 1. Lethargy 2. Confusion 3. Depression 4. Poor appetite 5. Hypoactive bowel sounds 6. Decrease in baseline respiratory rate […]
The nurse is concerned that a hospitalized client is experiencing sensory overload. What did the nurse assess to come to this conclusion? 1. Sleeplessness 2. Anxiety 3. Apathy 4. Racing thoughts 5. Somatic complaints ANSWER Correct Answer: 1, 2, 4 Rationale 1: Sleeplessness is an indication of sensory overload. Rationale 2: Anxiety is an […]
Which of the following statements best educates the client regarding the transmission of sexually transmitted diseases (STDs)? 1. “Always have protected sex, and you will be safe.” 2. “Be careful to avoid coming into contact with a partner’s semen or vaginal secre-tions.” 3. “STDs are spread from person to person by coming into contact with […]
The nurse observes signs of depression in a client who has been hospitalized for several weeks because of injuries sustained in an automobile accident. The client confirms his fears of never, 1. Offer to arrange for him to speak with the facility’s chaplain 2. Assure the client that physical therapy will help him tremendously 3. […]
The nurse is reviewing safety hazards with a pregnant client. What should the nurse include when instructing this client about safety and the developing fetus? 1. Banging into objects 2. Bicycle rides 3. Recreational activities 4. X-rays ANSWER Correct Answer: 4 Rationale 1: Banging into objects is what a toddler would be likely to […]
A nurse understands that illness behavior means: 1. Each distinct illness will cause the client to behave in a specific manner 2. Nursing care provides interventions that are behavior oriented 3. The client’s behaviors will have a direct impact on his illness 4. When ill, a client’s perception of illness will result in unique behaviors […]
