A recently divorced client, who is a lawyer, comes to the clinic. She has gotten custody of her two teenagers and states, “It is going to impossible for me to raise my children the way I’d like and keep working as hard as I do.” This is an example of: 1. Role strain 2. Role […]
Food safety is a concern of a group of adults attending the community health clinic. The partici-pants identify to the nurse that they have seen a lot of reports on television about Escherichia coli and how dangerous it can be. When asked where the bacteria comes from, the nurse responds that a potential source of […]
A client is diagnosed with chronic low back pain syndrome. The nurse realizes that which analgesic delivery route might be beneficial for this client? 1. Topical 2. Rectal 3. Transmucosal 4. Transdermal ANSWER Correct Answer: 1 Rationale 1: Topical medications work directly at the point of application on the body. They are useful for […]
A client needs to have soft contact lenses removed. What should the nurse do when removing the lenses? 1. Gently pinch the lens and lift it out. 2. Have the client look up. 3. Pull the lower eyelid upward. 4. Use the pad of the ring finger. ANSWER Correct Answer: 1 Rationale 1: Gently […]
An older adult client diagnosed as being in the early stage of Alzheimer’s disease shares with the nurse that her sleep is interrupted by “the noises I hear all through the night.” The nurse explains that the most likely reason for this problem is: 1. The client’s age 2. A lack of presleep relaxation 3. […]
Which of the following statements made by a client diagnosed with diabetes shows the most in-formed understanding of the effect of the disease on optic health? 1. “The scariest part about having diabetes is the increased possibility of losing my eyesight.” 2. “I have my eyes checked yearly to be aware of any retinopathy that […]
The nurse is planning care for a client. Which intervention would be appropriate to reduce the risk of infection? 1. Assess vital signs only once daily. 2. Raise the temperature in the client’s room. 3. Wash hands. 4. Wear a mask for all client care. ANSWER Correct Answer: 3 Rationale 1: Assessing vital signs […]
Which of the following is an appropriate referral for an older client who requires some assistance with daily activities within a partially protective environment? 1. Respite care 2. Extended care 3. Assisted living 4. Rehabilitative care ANSWER ANS: 3 The appropriate response is assisted living. A group of residents live together, each resident hav-ing […]
A client is informed of the need for surgery to correct a potentially life-threatening health problem. Afterward, the nurse determines that the client is experiencing physiological indicators of stress. What did the nurse assess to make this determination? Standard Text: Select all that apply. 1. Dilated pupils 2. Diaphoretic 3. Tachycardia 4. Flaccid muscle tone […]
The RN assesses a client who is recovering from femoral popliteal bypass surgery and discovers that it is difficult to assess the dorsalis pedis pulses. Which nursing intervention would be most appropriate for the nurse to use? 1. Ask another nurse to assess the pulses. 2. Document the findings. 3. Obtain a Doppler ultrasound stethoscope. […]