The best indication that a client will regain a good sense of self esteem after experiencing a sec-ond below the knee (BTK) amputation is: 1. The client stating, “I’ll get over this setback” 2. A solid, caring relationship with family and friends 3. A healthy sense of self esteem after the first amputation 4. The […]
The nurse is preparing to shave a client. Which action step should the nurse consider when providing this care? 1. Assist the client to a prone position. 2. Pull the skin taut with the dominant hand. 3. Rinse the razor after each stroke. 4. Use long strokes. ANSWER Correct Answer: 3 Rationale 1: Assist […]
A client’s hearing aid needs to be cleaned. What action should the nurse take to complete this task? 1. Clean with a dry, soft cloth. 2. Leave the battery in place when not in use. 3. Store the aid in the bathroom cabinet. 4. Use alcohol to remove any earwax. ANSWER Correct Answer: 1 […]
When obtaining subjective assessment data, the nurse recognizes which of the following client scenarios as being the most likely to produce accurate, credible information? 1. A 50-year-old in the ED reporting chest pain 2. A 70-year-old admitted with fever of unknown origin 3. A 81-year-old receiving follow-up treatment for a hip replacement 4. A 22-year-old […]
A parish nurse is helping a group of new parents within the congregation find appropriate health care providers within the community who specialize in infant/child and family health care needs. This nurse is functioning in which of the following roles? 1. Health educator 2. Referral source 3. Facilitator 4. Integrator ANSWER Correct Answer: 2 […]
A 68-year-old female client tells the home care nurse that she is worried about her 70-year-old husband because he does not eat as much as he used to when he was younger. Which of the fol-lowing is the best response from the nurse? 1. “Perhaps your husband needs to have his thyroid level checked.” 2. […]
Which of the following is an example of a nurse’s statement that reflects using the scientific method in the nursing process? 1. “I believe that this client is getting depressed.” 2. “The client doesn’t look right to me; I think something is wrong.” 3. “The client’s husband told me that she is feeling very uncomfortable.” […]
A client who is facing a final surgery to save his life asks the nurse to stay and pray with him until the surgery begins. In which ways should the nurse demonstrate presencing with this client? 1. Adjusting the intravenous infusion 2. Talking with the client about the surgery 3. Sitting next to the client […]
The nurse is discussing food allergies with a group of mothers whose children are allergy prone. Which of the following statements made by the nurse best describes lactose intolerance? 1. “If milk causes diarrhea, cramps, or gas, it might be an intolerance of lactose.” 2. “You don’t have to be allergic to dairy for it […]
A client has been recently diagnosed with Alzheimer’s disease. When teaching the family about the prognosis, the nurse must explain that: 1. Diet and exercise can slow the process considerably 2. Few clients live more than 3 years after the diagnosis 3. Many individuals can be cured if the diagnosis is made early 4. It […]