The nurse instructs the client that before the fecal occult blood test (FOBT) she may eat: 1. Whole wheat bread 2. A lean, T-bone steak 3. Veal 4. Salmon ANSWER ANS: 1 Whole wheat bread may be eaten before a fecal occult blood test. A lean, T-bone steak may cause false-positive results if eaten […]
The nurse is discussing the effects of pain with an older adult client diagnosed with osteoarthri-tis. The most therapeutic response to the client’s comment of, “I wonder whether it would hurt if I took a nap in the afternoon?” would be: 1. “As long as it did not interfere with your getting a good night’s […]
A nurse shows an understanding of the central concepts of nursing when: 1. Including a client’s family in discussions regarding the client’s discharge health needs. 2. Assessing a physically dependent client’s spouse for indications of caregiver stress. 3. Asking the clients to define what ‘healthy and well’ means to them. 4. Suggesting wound care supplies […]
The nurse finds a client who has been diagnosed with terminal lung cancer quietly crying. Which of the following nursing responses most reflects a need for additional guidance regarding thera-peutic communication with a dying client? 1. “If there is anything I can do to help, just ask.” 2. “Would you like some medication to help […]
The nurse is working within a health care system that employs Neuman’s theory. A client is hav-ing difficulty breathing and requires oxygen and medication. Within Neuman’s theory, the nurse approaches the client to: 1. Achieve the 14 basic needs 2. Promote attainment of biological self-care requisites 3. Assist in physiological adaptation to internal changes 4. […]
Droplet precautions will be instituted for the client admitted to the infectious disease unit with: 1. Streptococcal pharyngitis 2. Herpes simplex 3. Pertussis 4. Measles ANSWER ANS: 1 Droplet precautions are instituted when droplets are larger than 5 micrometers, such as in the case of streptococcal pharyngitis. Contact precautions are instituted for herpes simplex. […]
The nurse is assigning support personnel to assist the families of clients who have died in dealing with the stress related to the loss of their family members. Which family would the nurse screen as at highest risk for complicated grief? The family of a client who 1. died after a long battle against cancer. […]
The client has complained of stiffness and muscle tension in his back. The nurse suggests a back rub, but the client declines the offer. What action should the nurse take? 1. Encourage the client to accept the back rub, saying how much it will relax the back muscles. 2. Document that the client is noncompliant […]
Which of the following statements made by a nurse caring for a client who experienced a myo-cardial infarction 8 hours ago shows the greatest insight as to the purpose for keeping the client on bed rest? 1. “This has been exhausting; she needs a period of uninterrupted rest.” 2. “The pain she experienced is exhausting; […]
The nurse is best able to provide quality care that benefits both client and family by: 1. Incorporating caring into the practice 2. Making the client the center of the practice 3. Integrating the science and art of nursing into the practice 4. Being knowledgeable of the institution’s standards of practice ANSWER ANS: 3 […]