A client who is at least 65 years of age is asking the nurse how he will afford his hospitalization, which has now been extended, involving extremely expensive drugs. The best response by the nurse is: 1. “Don’t worry. I’m sure everything will work out OK.” 2. “You need to focus on recovering, not worrying […]
While the nurse is measuring blood pressure, the client lifts his hand and fondles the nurse’s breast. What should the nurse do about this behavior? 1. Ignore the fondling. 2. Move the client’s hand away. 3. Refocus the client on appropriate behavior. 4. Tell the client to stop performing the behavior. 5. Communicate that the […]
The client is being treated with a nasal continuous positive airway pressure device (CPAP) for sleep apnea. What finding indicates that this treatment has been helpful to the client? 1. The client has lost 7 pounds since treatment began. 2. The client sleeps so soundly that he snores. 3. The client’s diabetes is now under […]
A 78-year-old inactive client diagnosed with acute renal failure is at risk for which of the fol-lowing skeletal maladies? 1. Rickets 2. Osteomyelitis 3. Pathological fractures of long bones 4. Compression fractures of the spinal column ANSWER ANS: 3 Immobility causes the release of calcium into the circulation, where normally the kidneys excrete the […]
Which of the following sites is best suited for measuring oxygen saturation (pulse oximetry)? 1. A polished ring finger of a client with pneumonia whose nail capillary refill time is 2.5 seconds 2. A pierced earlobe of a client with a closed head injury whose nail capillary refill time is 3.5 seconds 3. The ring […]
A client that was recently diagnosed with a terminal illness asks his nurse about organ donation. The nurse should: 1. Have the client first discuss the subject with the family 2. Suggest the client delay making a decision at this time 3. Assist the client to obtain the necessary information to make this decision 4. […]
Clients give various responses to teaching sessions. For the nurse, an example of an evaluation of a psychomotor skill is: 1. Client states side effects of a medication 2. Client responds appropriately to eye contact 3. Client independently plans an exercise program 4. Client demonstrates the proper use of a walking cane ANSWER ANS: […]
A 44-year-old female client shares with the nurse that she is having difficulty falling asleep at night, even though she is exhausted. The nurse knows that which of the following could be causing the sleeplessness? 1. Two cups of hot cocoa every evening 2. Vegetarian diet 3. Afternoon exercise program 4. Hot bath in the […]
The nurse knows that according to Benner, caring is defined as a: 1. New consciousness and moral idea 2. Nurturing way of relating to a valued other 3. Person, event, project, or thing that matters to a person 4. Central, unifying, and dominant domain necessary for health and survival ANSWER ANS: 3 According to […]
Healthy People 2010 has two primary goals. Which of the following is in alignment with one of the goals? 1. Providing free screening to schoolchildren 2. Opening a wellness clinic 3. Developing better insurance controls 4. Developing new pharmacological treatments ANSWER Correct Answer: 2 Rationale 1: Two primary goals of Healthy People 2010 are […]