A client is prescribed propranolol (Inderal). What should the nurse instruct the client about this medication? 1. The medication should be discontinued abruptly. 2. Notify the physician if you experience urinary retention. 3. Take a laxative every day. 4. Take the medication on an empty stomach. ANSWER Correct Answer: 2 Rationale 1: Clients should […]
The daughter of a terminally ill client is grieving the inevitable death of her parent. The expres-sion and depth of her grieve is most likely impacted by her: (Select all that apply.) 1. Spiritual beliefs 2. Chronological age 3. Developmental stage 4. Culturally influences 5. Past experiences with loss 6. Level of formal education […]
Clinical nursing decisions are best made using: 1. Clinical pathways 2. Accurate assessment data 3. Previous nursing knowledge 4. Interdisciplinary collaboration ANSWER ANS: 2 When beginning an assignment with a client, the first nursing activity involves a focused but complete assessment of the client’s condition. This information enables the nurse to make an ac-curate […]
The nurse is preparing to assess a client’s stress and coping patterns. What will be included in this assessment? 1. Client’s perception of stressors 2. Manifestations of stress 3. Employment status 4. Coping strategies 5. Weight changes ANSWER Correct Answer: 1, 2, 4, 5 Rationale 1: When obtaining the nursing history, the nurse should […]
The nurse is concerned that a client is at risk for a nosocomial infection. What did the nurse assess to make this clinical decision? 1. Client is receiving intravenous fluids. 2. Client has an indwelling urinary catheter. 3. Client is recovering from surgery. 4. Client is receiving pain medication. 5. Client is ambulating twice a […]
The parent of a preschool-age child asks the nurse what can be done to reduce the number of nightmares the child experiences. What should the nurse suggest to this parent? 1. Provide hot chocolate prior to bedtime. 2. Limit or eliminate television. 3. Engage in a physical activity before bedtime. 4. Play a computer game […]
he nurse observes that a client’s pulse rate is 58 beats per minute and regular in rhythm. Which of the following statements made by the nurse shows the appropriate understanding of the client’s further need for assessment? 1. “I’ll wait 15 minutes and reevaluate the client’s pulse rate.” 2. “Her pulse rate is usually in […]
The nurse is planning care for an older client. Which safety hazard should the nurse take into consideration when planning this care? 1. Burns 2. Drowning 3. Poisoning 4. Suffocation ANSWER Correct Answer: 1 Rationale 1: Falls, burns, and pedestrian and motor vehicle crashes are safety hazards in older adults. Rationale 2: Drowning and […]
Which nursing entry is most complete in describing a client’s wound? 1. Wound appears to be healing well. Dressing dry and intact. 2. Wound well approximated with minimal drainage. 3. Drainage size of quarter; wound pink, 4 × 4s applied. 4. Incisional edges approximated without redness or drainage; two 4 × 4s applied. ANSWER […]
The nurse is preparing to replace a bag of IV fluids for a client receiving fluid therapy. When as-sessing the client, the nurse notes that the IV solution is not dripping. Which of the following should the nurse do to assess the patency of the site? 1. Lower IV container below level of IV site […]