The nurse is involved in requesting a management consultation for personnel-related issues. Which of the following is true regarding the consultation process in which the nurse is involved? 1. The problem area should be totally delegated to the consultant. 2. Consultation is often used when the exact problem remains unclear. 3. The problem area is […]
The nurse is caring for a client who is having surgery and is currently being transported to the operating room suite. The nurse should document that the client is in which operative phase? 1. Preoperative phase 2. Intraoperative phase 3. Postoperative phase 4. Perioperative phase ANSWER Correct Answer: 1 Rationale 1: The preoperative phase […]
A research article the nurse is reading discusses the prevalence of androgyny in persons 20 to 30 years old. What should the nurse keep in mind when caring for clients who are androgynous? 1. They do not limit behaviors to one gender over the other. 2. They are attracted to people of the same gender. […]
Since being treated for leukemia in her early twenties, a client has experienced bilateral mastec-tomies and has been diagnosed with osteoporosis and hypothyroidism. This health history best reflects the lifelong impact of: 1. Cancer on a client’s health and wellness 2. Cancer treatments on future health status 3. Specific cancers on the health status of […]
Which of the following assessment findings is most critical in a client who is currently being re-strained with mechanical wrist restraints? 1. Angry, loud crying 2. Urinary incontinence 3. Reddened areas on wrists 4. Hands are cool to the touch ANSWER ANS: 4 While the use of any restraint may be associated with serious […]
Following a head injury, the client has thin drainage coming from the left ear. The nurse describes this drainage as: 1. Serous 2. Purulent 3. Cerebrospinal fluid 4. Serosanguineous ANSWER ANS: 1 Serous drainage is clear, watery plasma. Purulent drainage is thick, yellow, green, tan, or brown. Drainage must be tested to determine if […]
The nurse is working with the client and trying to clarify the client’s values regarding his care. Which of the following statements reflects an example of the type of response a nurse should use in a values clarification situation? 1. “Your questions were pretty blunt.” 2. “Tell me what you’re thinking right now.” 3. “I’ve […]
A nurse is ambivalent as to the need to vigorously suction the secretions of a terminal client in a comatose state. Which of the following is an appropriate statement by the nurse in regard to pro-cessing an ethical dilemma? 1. “I just feel like I should not suction this client.” 2. “I need to know […]
The female client belongs to a religious community that requires women to dress conservatively in clothing that covers the arms and the knees. This client expresses concern that her body will be exposed during a scheduled cardiac catheterization. How should the nurse respond to this concern? 1. Tell the client that medical personnel have seen […]
The client has been prescribed zolpidem (Ambien) for the short-term management of insomnia. What information should the nurse include when teaching the client about this medication? 1. For best results, take the medication just prior to bedtime. 2. Take the medication at dinnertime to avoid gastric upset. 3. Do not take the medication with any […]
