Teaching for a client who is currently taking a diuretic should include information that he or she may experience: 1. Nocturia 2. Nightmares 3. Increased daytime sleepiness 4. Reduced REM sleep ANSWER ANS: 1 For the client who is currently taking a diuretic, the nurse should inform the client that he or she might […]
The nurse asks a client what strategies he uses to cope with stress. The client does not respond. What should the nurse do? 1. Document that the client has no stress. 2. Move on with the assessment. 3. Ask the client whether crying occurs. 4. Suggest that the client use humor or exercise. 5. Question […]
The nurse suspects that the client has a bladder infection based on the client’s exhibiting an early sign or symptom such as: 1. Chills 2. Hematuria 3. Flank pain 4. Incontinence ANSWER ANS: 2 Irritation to the bladder and urethral mucosa results in blood-tinged urine (hematuria). Hematuria is a sign of a bladder infection. […]
The nurse is discussing joint mobility exercises with a client who experienced a stroke and now has left-sided weakness. Which of the following statements made by the client reflects the greatest insight regarding the best method for him to maintain mobility of the joints on his left side? 1. “My wife knows how to do […]
The nurse wants to ensure that a client recovering from surgery does not develop thrombophlebitis. Which action should the nurse take to reduce the client’s risk of this postoperative complication? 1. Administer an anticoagulant. 2. Assist the client to cough every 2 hours. 3. Monitor intake and output every 2 hours. 4. Provide for early […]
A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)? 1. To evaluate the glomerular filtration rate 2. To determine the extent of renal failure 3. To determine the amount of retained urine after voiding 4. To determine the need for medications […]
A client has undergone intestinal surgery and now has an incontinent ostomy. The use of which of the following products by the client indicates that the discharge learning goals have been achieved? 1. A powder for a yeast infection 2. Peroxide to toughen the peristomal skin 3. A commercial deodorant around the stoma 4. Alcohol […]
Which of the following factors have an effect on health care delivery? By the year 2020, it is estimated that the number of U.S. adults over the age of 65 will be more than 53 million. Computers, bedside charting, and the ability to store and retrieve large volumes of information in databases are common in […]
A community nurse has identified a need for educational programming among the residents of an assistive living facility dealing with osteoarthritis. The best example of such programming is: 1. “Planning the best exercise program for you.” 2. “Recognizing how arthritis has affected your life.” 3. “Proper self administration of antiinflammatory medication” 4. “Be an informed […]
A client is experiencing acute confusion. What nursing actions would be appropriate for this client? 1. Eliminate unnecessary noise. 2. Keep eyeglasses within reach. 3. Place a calendar in the room, and identify each day. 4. Keep the room well lit during waking hours. 5. Provide dark glasses. ANSWER Correct Answer: 1, 2, 3, […]