The 70-year-old client tells the nurse, “I can go to sleep without a problem, but then I wake up in a couple of hours and can’t go back to sleep.” What nursing action would help promote rest and sleep in this client? 1. Have the client develop a bedtime ritual of quiet music and a […]
Date: September 23rd, 2020
The nurse is working on a pulmonary unit at the local hospital. The nurse is alert to one of the early signs of hypoxia in the clients, which is: 1. Cyanosis 2. Restlessness 3. A decreased respiratory rate 4. A decreased blood pressure ANSWER ANS: 2 Mental status changes are often the first signs […]
Date: September 23rd, 2020
The nurse is teaching sexuality to a group of senior adults. Which of the following comments by a participant reflects that he or she has an understanding of the changes in sexuality that occur with aging? 1. “So, sexual intercourse will be more painful for my wife, and we should have sex less frequently?” 2. […]
Date: September 23rd, 2020
A client is concerned that her habit of sleeping during the day and being awake at night is not “healthy or normal.” The nurse’s most therapeutic response to the client’s concern is: 1. “What makes you think that sleeping during the day and being up at night is un-healthy or abnormal?” 2. “Many people share […]
Date: September 23rd, 2020
Which of the following foods will have the greatest impact on the blood-clotting mechanism of the person consuming it? 1. A pickle 2. A banana 3. A milkshake 4. A spinach salad ANSWER ANS: 3 Calcium is necessary for bone and teeth formation, blood clotting, hormone secretion, cell mem-brane integrity, cardiac conduction, transmission of […]
Date: September 23rd, 2020
The nurse recognizes which of the following clients is at greatest risk for an accidental death? 1. A 60-year-old who is a weekend “alcoholic” 2. A 40-year-old who is a professional mountain climber 3. A 35-year-old who commutes 35 miles to work each morning 4. A 50-year-old who recently lost his job because of a […]
Date: September 23rd, 2020
What is the correct response for the licensed practical nurse that answers the phone to respond within the following scenario? The physician calls to leave orders late at night for one of his cli-ents. 1. “Let me get the Registered Nurse on the phone.” 2. “I am unable to take the order at this time. […]
Date: September 23rd, 2020
The nurse is caring for a client who was admitted with various physical traumas resulting from an assault by a stranger attempting to steal her purse. Which of the following statements made by the nurse is most therapeutic in assessing the degree of stress the event has caused the client? 1. “Would you like to […]
Date: September 23rd, 2020
The mother of an 18-month-old male client shares with the nurse that she is trying to get her child to tell her when he needs to have a bowel movement. Which of the following statements is the most appropriate response from the nurse? 1. “I’m sure that you will be glad to have your son […]
Date: September 23rd, 2020
The nurse is assessing the body alignment of an alert and mobile client. The first action that the nurse should take is to: 1. Observe gait 2. Put the client at ease 3. Determine activity tolerance 4. Determine range of joint motion ANSWER ANS: 2 The first step in assessing body alignment is to […]
Date: September 23rd, 2020
