The client is experiencing breakthrough pain while receiving opioids. An order is written for the client to receive a transmucosal fentanyl “unit.” In teaching about this medication, the nurse should instruct the client to: 1. Swab the unit over the cheeks 2. Do not chew the unit after administration 3. Take no more than two […]
The nurse using Erikson’s theory to assess a 20-year-old client’s developmental status expects to find which of the following behaviors? 1. Coping with physical and social losses 2. Enjoys participating in the community 3. Applying self to learning skills 4. Overcoming a sense of guilt or frustration ANSWER ANS: 2 According to Erikson, the […]
An client with terminal cancer is dying. For the past several days, the client has refused food and fluids, and pushes the caregiver’s hands away when attempts are made to feed the client or offer any kind of fluid. The family is considering placing a gastrostomy tube because they feel the client is “starving to […]
Which of the following statements reflects the best understanding of the benefits of breast-feeding related to the infant’s health and wellness? 1. “My husband and I both have food allergies, but she won’t be allergic to my breast milk.” 2. “The antibodies she gets will help keep her immunized from many illnesses for up to […]
The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds. Which operative wound would be excluded from this study? 1. Gastric resection 2. Uncomplicated abdominal hysterectomy 3. Breast biopsy 4. Lung resection ANSWER Correct Answer: 3 Rationale 1: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary […]
The nurse should offer a client who has had throat surgery which of the following? 1. Chicken noodle soup 2. Ginger ale 3. Oatmeal 4. Hot tea with lemon ANSWER ANS: 2 The client who has had throat surgery should first be offered clear liquids. If the client tolerates clear liquids, then he or […]
A client tells the nurse that the pharmacy will not fill a prescription that was written by the physician. Upon closer examination, what should the nurse determine is missing from the prescription? 1. Rx symbol 2. Client’s diagnosis 3. Client’s Social Security number 4. Dispensing instructions for the pharmacist 5. Number of refills ANSWER […]
Although there are similarities in the different nursing theories, there are key elements that dis-tinguish one from another. The emphasis of Jean Watson’s conceptual model is that: 1. Self-care maintains wholeness 2. Stimuli disrupt an adaptive system 3. Subsystems exist in dynamic stability 4. Caring is central to the essence of nursing ANSWER ANS: […]
A client questions why a medication that is used to treat Parkinson’s disease has been prescribed for the diagnosis of periodic limb movement disorder (PLMD). What should the nurse do? 1. Contact the physician. 2. Assure the client that medications used to treat Parkinson’s disease are also used to treat PLMD. 3. Tell the client […]
The nurse has asked the assistive personnel to take the blood pressure of a client who experienced a left mastectomy 3 days ago. Which of the following statements by the assistive personnel shows the best understanding re-garding the appropriate assessment technique for this particular client? 1. “Is there anything affecting her right arm?” 2. “Has […]
