The client recently became febrile and stated he “felt hot.” The nurse takes the client’s tempera-ture and finds it to be 38.2° C. In addition, the pulse rate is 88 beats per minute, and his blood pressure is 168/80 mm Hg. Which of the following is an example of subjective data? 1. Pulse rate of […]
Date: September 23rd, 2020
The primary factor that distinguishes a professional nurse’s care from care provided by ancillary nursing staff is: 1. Critical thinking 2. Years of education 3. Professional licensure 4. Complexity of the task ANSWER ANS: 1 Clinical decision making separates professional nurses from technical personnel. While advanced education is a distinction, the primary factor regarding […]
Date: September 23rd, 2020
The nurse makes this entry in a client’s medical record: “The client is a drug addict and is always asking for more medication than what is necessary.” In this situation, the nurse may be charged with which of the following? 1. Defamation 2. Slander 3. Libel 4. Incompetence ANSWER Correct Answer: 3 Rationale 1: […]
Date: September 23rd, 2020
Which of the following statements made by the nurse should be included in the orientation phase of a nursing interview? (Select all that apply.) 1. “You’re answers will be kept confidential.” 2. “My name is Susan Smith and I’m a registered nurse.” 3. “We are here to make your hospitalization as pleasant as possible.” 4. […]
Date: September 23rd, 2020
The nurse and client have spent several minutes praying together that the client’s upcoming surgery will be successful. What action should the nurse take at this point? 1. Gently tell the client that the nurse must take care of other duties. 2. Smile and pat the client and silently leave the room. 3. Stay with […]
Date: September 23rd, 2020
A client was admitted just prior to the shift change. The admitting nurse reported most of the information to oncoming staff, but did not have all of the client’s past records. The second nurse is completing the assessment and database and continues to question the client about much of the same information as the previous […]
Date: September 23rd, 2020
A client has a healing abdominal wound. The wound has minimal exudate and collagen for-mation. The wound is identified by the nurse as being in which phase of healing? 1. Primary intention 2. Inflammatory phase 3. Proliferative phase 4. Secondary intention ANSWER ANS: 3 During the proliferative phase, the wound fills with granulation tissue […]
Date: September 23rd, 2020
The nurse is documenting administration of a medication that is given at 10:00 AM, 2:00 PM, and 6:00 PM. The medication that the nurse is documenting is: 1. Morphine sulfate 10 mg q4h prn 2. Inderal 10 mg PO bid 3. Diazepam 5 mg PO tid 4. Keflex 500 mg PO q8h ANSWER ANS: […]
Date: September 23rd, 2020
A 70-year-old client is discussing his recent difficulty in initiating his flow of urine while on a cross-country bus tour with a senior citizens’ group. Which of the following assessment questions is directed toward the most likely cause of the problem? 1. “Did the bus stop frequently so you could get up and walk around?” […]
Date: September 23rd, 2020
The nurse is caring for an older client with end-stage renal disease. What actions should the nurse take to support this client’s spiritual development? 1. Support the client to have hope for a cure. 2. Suggest the client view losses as liberations. 3. Encourage the client to reminisce about life events. 4. Ask open-ended questions […]
Date: September 23rd, 2020
