The family of a client with a terminal illness will be able to help provide some psychological sup-port to their family member. To assist the family to meet this outcome, the nurse plans to include in the teaching plan: 1. Demonstration of bathing techniques 2. Application of oxygen delivery devices 3. Recognition of the client’s […]
A client is scheduled for lung resection surgery. What should the nurse keep in mind when determining this client’s degree of risk for this major surgical procedure? 1. Age 2. Medications 3. General health 4. Blood pressure 5. Nutritional status ANSWER Correct Answer: 1, 2, 3, 5 Rationale 1: The degree of risk involved […]
Some nursing students have been given an assignment to develop a research question from a quantitative approach. Which of the following would be an example of a quantitative research question in the clinical area? 1. How do siblings react to a new baby of a second marriage after divorce of their parents? 2. What dressing […]
The client has a red, raised skin rash. During the bath, the priority action of the nurse is to: 1. Assess for further inflammatory reactions 2. Discuss the body image problems created by the presence of the rash 3. Wash the skin thoroughly with hot water and soap 4. Moisturize the skin to prevent drying […]
The adolescent male client who weighs 100 is considering taking “some herbal stuff” to increase muscle mass and strength. The nurse should interpret this statement as an indication that this client has 1. a strong need for admiration. 2. serious problems with logical thinking. 3. incongruence between reality and ideal self. 4. the need for […]
A client is seen in the outpatient clinic for follow-up of a nutritional deficiency. In planning for the client’s dietary intake, the nurse includes a complete protein, such as: 1. Eggs 2. Oats 3. Lentils 4. Peanuts ANSWER ANS: 1 A complete protein contains all essential amino acids in sufficient quantity to support growth […]
In the assessment of older-adult clients, it is often difficult to discriminate between delirium and dementia. Delirium is characterized by: 1. A slow progression 2. Lasting months to years 3. A normal state of alertness 4. Occurrences at twilight or darkness ANSWER ANS: 4 Delirium is characterized by short, diurnal fluctuations in symptoms and […]
During a prenatal visit, the nurse is instructing a newly pregnant client in regard to exercise. What advice is best for the nurse to give this client? 1. Pregnant clients can exercise if exercise was a part of their life prior to pregnancy. 2. Due to the stress of a growing fetus, exercise should be […]
Which of the following statements made by a new nursing graduate requires immediate fol-low-up by the nurse’s mentor? 1. “Older clients with arthritis require additional time to complete to complete their own AM care.” 2. “My client’s wife says he loves chocolate milk so I will order his dietary supple-ment in chocolate.” 3. “My client […]
A client has a bowel movement of hard, dry, but formed stool. The nurse associates these characteristics with 1. bowel incontinence. 2. constipation. 3. diarrhea. 4. fecal impaction. ANSWER Correct Answer: 2 Rationale 1: Bowel incontinence is the loss of voluntary ability to control feces. Rationale 2: Hard, dry, formed stool is characteristic of […]
