The adult client is incontinent and wears incontinence briefs when using the wheelchair. An irritated rash has developed in the perianal area. What care should the nurse provide? 1. Wash the area with soap and hot water at every brief change. 2. Apply a petroleum-based cream to the area after cleaning. 3. Wipe the skin […]
Eleven months after being treated for breast cancer, a client reports difficulty sleeping and the associated fatigue while denying any other signs/symptoms. The nurse recognizes that the client may be experiencing: 1. Situational depression 2. Normal remission symptoms 3. Post-traumatic stress disorder 4. Delayed effects of chemotherapy drugs ANSWER ANS: 1 Survivors’ feelings of […]
Nurses are protected by laws such as Good Samaritan acts. Which of the following situations would apply as part of these acts? 1. A nurse gives CPR to a client brought to the emergency department; later the client is found to have a “Do Not Resuscitate” order. 2. A nurse gives first aid to a […]
The parents of a school-age client who was sexually abused by a minister want to know why someone who is sexually attracted to children would choose to go into the ministry. The nurse explains that the displacement of sexual drives into socially acceptable activities is which type of defense mechanism? 1. Repression 2. Sublimation 3. […]
A client is scheduled for a nuclear imaging test. What should the nurse instruct the client about this test? 1. It is the use of a magnetic field to produce an image of a body part or organ. 2. A radioisotope will be injected to determine organ functioning as being either hot or cold. 3. […]
A 63-year-old client is discussing the recent problem the client is experiencing with falling asleep. The nurse is discussing strategies to minimize this problem. Which of the following bedtime snacks would be the most likely to induce sleep? 1. One slice of cheese on four wheat crackers and a glass of skim milk 2. Two […]
Following the administration of ear drops to the left ear, the client should be positioned: 1. Prone 2. Upright 3. Right lateral 4. Dorsal recumbent with hyperextension of the neck. ANSWER ANS: 3 The client should remain in the side-lying position, in this case the right lateral position, for 2 to 3 minutes after […]
The nurse is aware of the client’s zones of personal space when planning interactions. The zone of personal space and touch that extends the greatest amount from an individual is the: 1. Social zone 2. Personal zone 3. Consent zone 4. Vulnerable zone ANSWER ANS: 1 The social zone extends the greatest amount from […]
The nurse is preparing a 70-year-old visually impaired male client for home discharge. Which of the following nursing actions will have the greatest impact on the client’s safety related to medi-cation administration? 1. Evaluate the client’s ability to read the frequency and dosage information on his medication bottles. 2. Watch the client demonstrate the appropriate […]
The nurse is providing education for the parents of a 7-month-old child who has just been diagnosed with a hearing loss. What guidance should the nurse provide? 1. Expect that the child will be enrolled in a special hearing intervention program immediately. 2. Keep your child in a quiet environment until additional testing is done. […]
