The nurse notes that the 43-year-old male blind client who has had a stroke is not having diffi-culty recognizing an object by touch. This sense is known as: 1. Stereognosis 2. Auditory 3. Gustatory 4. Olfactory ANSWER ANS: 1 Stereognosis is a sense that allows a person to recognize an object’s size, shape, and […]
Date: September 21st, 2020
The client has chest tubes in place following thoracic surgery. In working with a client who has a chest tube, the nurse should: 1. Clamp the tubes except during client assessments 2. Remove the tubing from the connection to check for adequate suction power 3. Milk or strip the tubes every 15 to 30 minutes […]
Date: September 21st, 2020
Which of the following elements are essential among a group working towards the successful resolution of a conflict of opinion? (Select all that apply.) 1. Similar value systems 2. Presumption of good will 3. Similar cultural background 4. Client-centered decision making 5. Strict adherence to confidentiality 6. Participation of all involved parties ANSWER ANS: […]
Date: September 21st, 2020
Which of the following nursing actions will have the most therapeutic impact on the self-esteem of a client with HIV? 1. Dealing with the client’s needs in a nonjudgmental manner 2. Being aware of how the client will react based on the client’s culture 3. Providing care that will meet the client’s emotional and physical […]
Date: September 21st, 2020
Based on the following outcome criterion determined by the nurse: “Client will independently complete necessary assessments prior to administration of digoxin (cardiotonic)” the nurse will evaluate the client’s ability to: 1. Assess the respiratory rate 2. Palpate the radial pulse 3. Review dietary habits 4. Inspect color of the skin ANSWER ANS: 2 The […]
Date: September 21st, 2020
To reduce pressure points that may lead to pressure ulcers, the nurse should: 1. Position the client directly on the trochanter when side-lying 2. Use a donut device for the client when sitting up 3. Elevate the head of the bed as little as possible 4. Massage over the bony prominences ANSWER ANS: 3 […]
Date: September 21st, 2020
The nurse is assisting the physician who is preparing to test a sexually active female client for cervical cancer. What should the nurse expect the health care provider to perform? 1. Pap test 2. Breast exam 3. Rectal exam 4. Abdominal exam ANSWER Correct Answer: 1 Rationale 1: For sexually active adolescent and adult […]
Date: September 21st, 2020
The nurse notes a client’s skin is reddened with a small abrasion and serous fluid present. The nurse should classify this stage of ulcer formation as: 1. Stage I 2. Stage II 3. Stage III 4. Stage IV ANSWER ANS: 2 This description is consistent with a stage II pressure ulcer. A stage II […]
Date: September 21st, 2020
Assessment of the client’s skin reveals a fluid-filled circumscribed elevation of 0.4 cm. The nurse identifies this as a: 1. Nodule 2. Macule 3. Vesicle 4. Wheal ANSWER ANS: 3 This finding is consistent with the definition of a vesicle. A nodule is an elevated solid mass, deeper and firmer than a papule, 0.5-2.0 […]
Date: September 21st, 2020
The nurse uses the Norton scale in the extended care facility to determine the client’s risk for pressure ulcer development. Which one of the following scores, based on this scale, places the client at the highest level of risk? 1. 6 2. 8 3. 15 4. 19 ANSWER ANS: 1 According to the Norton […]
Date: September 21st, 2020
