The client has a stage IV pressure ulcer. In accordance with the Agency for Healthcare 1. Foam mattress 2. Air-fluidized bed 3. Rotokinetic bed 4. Static support surface ANSWER ANS: 2 Air-fluidized beds are recommended for clients with burns or multiple stage III or stage IV pressure ulcers. A foam mattress is recommended for […]
Which of the following statements made by a nursing student regarding assessment technique requires immediate follow-up by the clinical instructor? 1. “I always rub my hands together before touching the client.” 2. “I found that both of the client’s carotid arteries beat simultaneously.” 3. “It will take a lot of practice for me to be […]
It is necessary for the nurse manager to delegate tasks to the staff. Which of the following is a requirement of the delegation process? 1. Working alongside the staff to evaluate their care 2. Functioning from a laissez-faire style of leadership 3. Obtaining the employee’s voluntary acceptance of the task 4. Communicating the work assignment […]
A client with darkly pigmented skin reports that the intravenous site is “uncomfortable.” To thoroughly assess the complaint of this particular client, the nurse should: 1. Determine when the angiocatheter was inserted 2. Ask the client if the area appears reddened 3. Take an axillary temperature on the same side as the IV site 4. […]
The expected outcome that best evaluates the presurgical goal of, “Client will understand pur-pose of coughing and deep breathing within 4 hours of returning to room” is: 1. Client will demonstrate proper technique for coughing and deep breathing 2. Client will cough and deep breathe every 1 hour while awake without staff prompting 3. Client […]
A client with diabetes is being cared for in the home, with the assistance of a home health nurse and a family member. The client asks you if eating a vegetarian diet will conflict with the disease. The nurse anticipates that the client will follow a vegetarian diet because he is a member of which […]
A client recently experienced the loss of their significant other and has symptoms of distress. In selecting a complementary therapy, the nurse knows that the client may benefit the most from: 1. Relaxation therapy 2. Acupuncture 3. Feldenkrais method 4. Chiropractic medicine ANSWER ANS: 1 Relaxation techniques effectively reduces symptoms of distress in persons […]
The nurse has completed the initial assessment of a client and has analyzed and clustered the data. The nurse’s next step in the diagnostic process is to: 1. Formulate a diagnosis. 2. Verify the data. 3. Research collaborative and nursing-related interventions. 4. Identify the client’s problem, health risks, and strengths. ANSWER Correct Answer: 4 […]
Before beginning a particularly stressful shift in a critical care nursery, a nurse is in the practice of reviewing his attitudes and feelings about death and dying, dignity of people, and the parental role in understanding and questioning cares and treatments. This nurse is cultivating which of the following? 1. Critical-thinking attitudes 2. Dissonance 3. […]
A nursing student is meeting an assigned client for the first time. In order to begin the establishment of rapport, the best statement by the student is: 1. “Hello, I’m your nursing student and I’ll be helping to take care of you today.” 2. “You’re lucky, you have students and nurses taking care of you […]
