Which of the following nursing actions best reflects the consequence stage of the deci-sion-making process? 1. Being physically present when a client is given the results of a tissue biopsy 2. Witnessing the client sign consent for surgery forms before cardiac surgery 3. The client is informed of the various treatments available for his condition. […]
The nurse asks a client to explain the meaning of the phrase, “Every cloud has a silver lining.” This part of the examination is designed to measure: 1. Knowledge 2. Judgment 3. Association 4. Abstract thinking ANSWER ANS: 4 Interpreting abstract ideas or concepts, such as in explaining the meaning of this phrase, reflects […]
Assuming that all of the following are realistic, a long-term goal for a client that is a tailor by trade and has been admitted for eye surgery should include: 1. Returning to sewing 2. Preventing ocular infection 3. Administering eye drops on time in the hospital 4. Performing independent hygienic care in the hospital […]
A client has been in the intensive care unit for 4 days and has begun to show signs of restlessness and anxiety, and the nurse believes the client is experiencing sensory overload. Which of the following interventions will be most therapeutic in assisting the client? 1. Limiting interaction with the client to the safe minimum […]
Which of the following nursing actions is the best example of problem solving? 1. Requesting the IV team to start an antibiotic drip on a client with a history of be-ing a difficult stick 2. Offering to call the kitchen to provide an alternate breakfast for a client who does not like cooked cereal 3. […]
A client with chronic back pain has an order for a transcutaneous electrical nerve stimulation (TENS) unit for pain control. The nurse should instruct the client to: 1. Keep the unit on high 2. Use the unit when pain is perceived 3. Remove the electrodes at bedtime 4. Use the therapy without medications ANSWER […]
In preventing and controlling the transmission of infections, the single most important technique is: 1. Hand hygiene 2. The use of disposable gloves 3. The use of isolation precautions 4. Sterilization of equipment ANSWER ANS: 1 The most important and most basic technique in preventing and controlling transmission of infec-tions is hand hygiene. Use […]
New research indicates that to increase safety the nurse should instruct parents to do which of the following? 1. Provide a stuffed toy for comfort. 2. Cover the infant loosely with a blanket. 3. Place the infant on his or her back. 4. Use small pillows in the crib. ANSWER ANS: 3 Infants are […]
The nurse is preparing to discuss myocardial infarctions (MIs) with a women’s group. Which of the following assessment findings should be included when discussing the typically observed signs and symptoms in females experiencing an MI? 1. Originates both at rest and upon exertion 2. Pain lasting longer than 30 minutes 3. Pain radiating up into […]
When discussing complementary medical therapies with a client, a nurse should include: (Select all that apply.) 1. Herbalism 2. Hypnotherapy 3. Guided imagery 4. Therapeutic touch 5. Respiratory therapy 6. Chiropractic therapy ANSWER ANS: 1, 2, 3, 4, 6 Complementary therapies include therapeutic touch, guided imagery and breath work, relaxation; exercise; massage; reflexology; prayer; […]
