Which of the following interventions made by a new graduate nurse reflects the best under-standing of knowing her client? 1. Asking the client, “What do you need to be more comfortable?” 2. Offering the client’s family a sleeper chair for use in the client’s room 3. Providing an extra blanket for a client who often […]
A rare malignancy will require the amputation of an adolescent client’s leg. The client refuses the surgery, stating: “I would rather die than have my leg amputated.” What information should the nurse use to plan future interventions for this cl 1. The knowledge that adolescents are very concerned about body image 2. Concern about need […]
A client with cancer expresses interest in increasing his activity level. The nurse begins by as-sessing baseline data regarding the client’s current activity patterns. The nurse uses professional standards to develop a plan of care for this client. Professional standards are important because they: 1. Are developed by government agencies 2. Establish scientifically proven guidelines […]
The nurse is caring for a client in the immediate postoperative period (PACU). Which intervention should the nurse implement to reduce the risk of thrombophlebitis? 1. Leg exercises 2. Coughing every 2 hours 3. Ambulating every 2 hours 4. Oxygen by mask ANSWER Correct Answer: 1 Rationale 1: Leg exercises may be implemented in […]
The nurse is preparing an educational program for members of the local senior center. Which of the following topics would present the greatest learning challenge for this developmental group? 1. Exercising arthritic joints 2. Tips for living with GERD 3. Importance of the human touch 4. Principles of heart-healthy eating ANSWER ANS: 3 Of […]
A client asks why sequential compression devices have been prescribed. How should the nurse respond to the client? 1. “They stimulate the blood return that would occur with walking.” 2. “They prevent lymph drainage buildup in the tissues.” 3. “They exercise the muscles of the leg.” 4. “They are used instead of walking out of […]
A new graduate has starting working in a state other than the one in which the nursing education program was located. Which of the following should this nurse consult in order to understand the implications of this change of venue? 1. American Nurses Association (ANA) 2. National League for Nursing (NLN) 3. National Council of […]
A 3-year-old child is to receive an iron preparation orally. The nurse should: 1. Use a straw 2. Administer the medication by injection 3. Mix the medication in water 4. Ask the pharmacy to send up a pill for the child to swallow ANSWER ANS: 1 Straws may help children swallow pills. If it […]
The nurse and a client are discussing possible behaviors that might be interfering with the client’s ability to fall asleep. Which of the following assessment questions is most likely to identify possible problems with the client’s sleep routine that possibly are contributing to the difficulty? 1. “When do you usually retire for the night?” 2. […]
In the event that a nursing license is revoked, which of the following is correct? 1. The hearings are usually held in court. 2. Due process rights are waived by the nurse. 3. Appeals may be made regarding the decisions. 4. The federal government becomes involved in the procedures. ANSWER ANS: 3 Because a […]
