The nurse most effectively addresses the protection of a terminally ill, incontinent client’s skin from irritation and breakdown by: 1. Using adult diapers and changing them as soon as they become wet or otherwise soiled 2. Assessing the client’s bed frequently for wetness and assuring clean, dry linens and clothing 3. Securing an order for […]
The nurse is preparing to apply a moist aquathermia pack to a client’s left upper leg. In which order should the nurse prepare and apply this treatment? 1. Use tape or gauze ties to hold the pad in place. 2. Set the desired temperature according to the manufacturer’s instructions. 3. Apply the pad to the […]
A client, who recently completed treatment for cancer, shares with the nurse that she is, “a little depressed, but I guess I will be OK.” The foremost reason the nurse encourages the client to discuss this situation with her primary health care provider is that the nurse realizes that: 1. The depression will not improve […]
The most serious risk for death for a young adult living in rural poverty is: 1. Suicide 2. Homicide 3. Poor health maintenance practices 4. Family history of chronic illnesses ANSWER ANS: 1 A young adult is more likely to die of self-inflicted injury when living at or below the poverty level when no […]
The client diagnosed with diabetes mellitus develops diabetic ketoacidosis after a religious fast. The client tells the nurse, “I have fasted during this season every year since I became an adult. I am not going to stop now.” The nurse is not knowledgeable about this particular religion. What is the best action for this nurse? […]
Before inserting a small-bore nasogastric tube for enteral nutrition, the nurse correctly tells the client: 1. “The tube will feel uncomfortable and may make you gag at times when I am in-serting it” 2. “We will mark this tube from the end of your nose to your umbilicus to obtain the right length for insertion” […]
Which of the following nursing assessment questions will best determine the nature of an exer-cise-related injury? 1. “Do you experience the pain during or after your workout?” 2. “Tell me what is included in your typical workout routine.” 3. “How long does it hurt after you have stopped exercising?” 4. “On a scale of 1 […]
A client is diagnosed with anemia. What will the nurse most likely assess in this client as evidence of an alteration in cardiovascular functioning? 1. Chronic fatigue 2. Lower-extremity edema 3. Pallor 4. Shortness of breath 5. Hypotension ANSWER Correct Answer: 1, 3, 4, 5 Rationale 1: A lack of red blood cells to […]
The nurse is concerned that an older client will have difficulty self-administering medications. What did the nurse assess that caused this concern? 1. Eats several servings of fruits and vegetables each day 2. Altered memory 3. Decreased visual acuity 4. Decreased manual dexterity 5. Limits red meat in the diet ANSWER Correct Answer: 2, […]
A nurse manager has a staff nurse who observes certain religious holidays. The manager tries to make sure that these observances can be met if possible. The manager is practicing which of the following values? 1. Human dignity 2. Social justice 3. Autonomy 4. Altruism ANSWER Correct Answer: 4 Rationale 1: Human dignity is […]
