A client is told that he is a carrier of the hepatitis B virus. When asked to explain this situation in more detail, the nurse’s best response is: 1. “You need to be careful not to pass the virus to other people.” 2. “You aren’t sick, but you do have the virus within your body.” […]
Date: September 20th, 2020
A client expresses concern over a scheduled intravenous pyelogram by stating, “I don’t know what to expect.” Which of the following nursing diagnoses is most appropriate for this client need? 1. Anxiety related to scheduled diagnostic testing 2. Knowledge deficit regarding need for diagnostic testing 3. Knowledge deficit related to need for intravenous pyelogram 4. […]
Date: September 20th, 2020
The nurse recognizes which of the following as the largest contributing factor for the rise in the need and use of home care? 1. Government funding of the home care setting has increased greatly. 2. Clients are more acutely ill when discharged from the acute care facility. 3. There are 7 days/week services for the […]
Date: September 20th, 2020
The nurse determines that the nursing diagnosis stress urinary incontinence related to decreased pelvic muscle tone is the most appropriate for an oriented adult female client. A therapeutic nurs-ing intervention based on this diagnosis is to: 1. Apply adult diapers 2. Catheterize the client 3. Administer Urecholine 4. Teach Kegel exercises ANSWER ANS: 4 […]
Date: September 20th, 2020
A client wishes to discontinue treatment for his cancer. Acting as the client advocate, the nurse makes this statement to the client’s physician: 1. “The client is making his own decision.” 2. “The client would benefit from additional information about treatment options.” 3. “The family must be involved in this decision.” 4. “Let’s educate the […]
Date: September 20th, 2020
The nurse recognizes that which of the following clients is at greatest risk for complicated (dys-functional) grief? 1. A 26-year-old who is diagnosed with rheumatoid arthritis 2. The 58-year-old only child whose mother recently died of cancer 3. A teenage parent whose child died of sudden infant death syndrome (SIDS) 4. A 50-year-old diabetic client […]
Date: September 20th, 2020
Client assessment provides the nurse with necessary information for the development of an ef-fective plan of care. When determining the influence of an internal variable on the client’s health status, the nurse will specifically look for: 1. Anxiety level present 2. Family remedies used 3. Location and type of occupation 4. Available health insurance coverage […]
Date: September 20th, 2020
A client has been treated for diabetes mellitus since childhood. Currently, the client’s blood glucose reading is 180 mg/dl. For which sensory disturbance should the nurse assess in this client? 1. Loss of ability to taste 2. Hearing loss 3. Vision loss 4. Loss of ability to smell ANSWER Correct Answer: 3 Rationale: Uncontrolled […]
Date: September 20th, 2020
Which of the following statements most accurately reflects nursing accountability in the in-traoperative phase? 1. “I would like to see the client have a regional anesthetic rather than a general an-esthetic.” 2. “There seems to be a missing sponge, so a recount should be done of all the sponges that have been removed.” 3. “Did […]
Date: September 20th, 2020
The nurse notes an exaggeration of the posterior curvature of the thoracic spine, during the as-sessment of a 90-year-old client, as: 1. Lordosis 2. Osteoporosis 3. Scoliosis 4. Kyphosis ANSWER ANS: 4 Kyphosis is an exaggeration of the posterior curvature of the thoracic spine (hunchback). Lordosis is an increased lumbar curvature (swayback). Osteoporosis is […]
Date: September 20th, 2020
