Unlicensed assistive personnel (UAP) will be conducting a test on a client’s urine. What should the nurse instruct the UAP about the test? 1. Nothing, because the UAP can perform urine testing. 2. Remind the UAP to tell the client the results of the test. 3. Notify the physician with the results of the test. […]
Date: September 29th, 2020
Which of the following statements made by an older adult regarding sexuality would be of greatest concern for the nurse? 1. “Will this new medication affect my libido?” 2. “What can I do to help with vaginal dryness?” 3. “I really miss the intimacy my husband and I shared.” 4. “It’s so nice not to […]
Date: September 29th, 2020
The client has bilateral casts on the upper extremities, so the nurse will be measuring the blood pressure in the leg. The nurse expects the diastolic pressure to be: 1. 10 to 40 mm Hg higher than in the brachial artery 2. 20 to 30 mm Hg lower than in the brachial artery 3. 40 […]
Date: September 29th, 2020
A client, who is a 7-year breast cancer survivor, tells the nurse, “My husband will help me bathe when he gets here.” The nurse interprets this statement to mean that the client: 1. Is reluctant to have the staff see her chest scar 2. Prefers to protect her modesty and privacy 3. Has a healthy […]
Date: September 29th, 2020
A 74-year-old is accompanied by his daughter to the ambulatory surgery department for the sur-gical removal of a suspicious skin lesion. The client has experienced dysphasia since a cerebral vascular accident 3 years ago. The most effective way for the nurse to secure the necessary preoperative interview information is to: 1. Question the client’s daughter […]
Date: September 29th, 2020
An 11-year-old boy in middle school is currently experiencing sleep-related fatigue during clas-ses. Which of the following is the most appropriate response by the school nurse when counseling the child’s parents regarding this assessment? 1. “What are the child’s usual sleep patterns?” 2. “Establish bedtimes for the child, and withhold his allowance whenever those times […]
Date: September 29th, 2020
The client is seen in the emergency center for heat exhaustion as a result of exposure. The nurse anticipates that treatment will include: 1. Replacement of fluid and electrolytes 2. Initiation of oral antibiotic therapy 3. Application of hypothermia wraps 4. Alcohol sponge baths ANSWER ANS: 1 The treatment of heat exhaustion includes transporting […]
Date: September 29th, 2020
A client is caring for her daughter, who recently suffered multiple fractures in an automobile ac-cident. The client tells the home care nurse that she has been “really down since all this hap-pened.” She adds that she has been constipated and not really interested in eating. Which of the follow-ing statements by the nurse focuses […]
Date: September 29th, 2020
A client has reported all of the following; which should be given priority by the nurse? 1. Pain 2. Hunger 3. Anxiety 4. Constipation ANSWER ANS: 1 When a client has diverse priority needs, it helps to focus on the client’s basic needs; pain will exacerbate the client’s anxiety and interfere with eating and […]
Date: September 29th, 2020
The nurse understands that the client with which of the following conditions is at risk for ob-structive sleep apnea? 1. Heart disease 2. Respiratory tract infections 3. Nasal polyps 4. Obesity ANSWER ANS: 3 Structural abnormalities, such as a deviated septum, nasal polyps, certain jaw configurations, or enlarged tonsils predispose a client to obstructive […]
Date: September 29th, 2020
