The nurse is providing a health promotion session regarding the factors that contribute to heat-stroke for members of a college cross-country running team. Which of the following statements should the nurse include in the discussion? (Select all that apply.) 1. “Take frequent breaks to rest out of the sun.” 2. “The greater the humidity, the […]
Which of the following statements made by the nurse reflects the best understanding of the ef-fect of dry skin on a client’s general health and well-being? 1. “When her skin is cracked, she is so much more uncomfortable.” 2. “Keeping the skin moist is so much easier than making the skin moist.” 3. “She is […]
A 41-year-old female client has been dieting to lose weight. Which of the following statements indicates that the client needs additional teaching regarding a healthy weight-loss plan? 1. “I have based my diet on the food pyramid.” 2. “I am planning to lose between 1 and 2 pounds per week.” 3. “I need to eliminate […]
An older client who appears confused after discussing his new diagnosis of Parkinson’s disease shares with the nurse that, “I didn’t understand much of what you said.” The nurse determines that the most likely cause of the client’s failure to understand is that: 1. The conversation included unfamiliar medical terminology 2. The client is in […]
The most appropriate method to use to assess for a carotid artery for the presence of a bruit is to: 1. Palpate each artery lightly; first the right side and then the left 2. Have the client turn the head toward the side being auscultated 3. Place the bell of the stethoscope over artery near […]
The nurse formulates a diagnosis of knowledge deficit related to complications of pregnancy. One outcome criterion is that the client can state five symptoms that indicate a possible problem that should be reported. The client is able to tell the nurse three symptoms. The evaluation statement would be: 1. Goal met; client able to state […]
A client tells the nurse that an ice pack works well to reduce the intensity of back pain. The nurse realizes that the client is implementing 1. a placebo. 2. distraction. 3. guided imagery. 4. the gate control theory of pain. ANSWER Correct Answer: 4 Rationale 1: The application of ice is not a […]
A nurse has been working with a difficult client and at one point, elects to put aside the nurse’s own beliefs and is able to experience a sense of true empathy for the client’s situation. This is an example of which assumption, according to Parse’s human becoming theory? 1. Meaning 2. Rhythmicity 3. Intersubjectivity 4. […]
The nurse is caring for an 80-year-old client preparing for surgery. The nurse realizes this client is at increased risk for which reason? 1. The physiological deficits of aging increase the surgical risk for older adults. 2. The older adult has increased kidney function. 3. The older adult has an increase in sensory function. 4. […]
The nurse is instructing a female client on how to cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity. What should the nurse instruct this client to do? 1. Clean the perineal area using a circular motion. 2. Use all towelettes provided. 3. Use each towelette once, and discard. 4. […]
