Which one of the following is an appropriate etiology for a nursing diagnosis? 1. Myocardial infarction 2. Cardiac catheterization 3. Abnormal blood gas levels 4. Increased airway secretions ANSWER ANS: 4 Increased airway secretions is a condition that responds to nursing interventions and therefore would be an appropriate etiology for a nursing diagnosis. Myocardial […]
Which of the following statements made by a nurse most reflects the best understanding of the effect assertiveness has on interpersonal communication? 1. “Can anyone help; I’m feeling overwhelmed today?” 2. “I think we need to tell the doctors to write more legibly.” 3. “I will need some help with that complicated dressing change.” 4. […]
A client repeatedly asks the nurse “How much longer until I can get more pain medication?” Once the medication is provided, the client stops asking for it. The nurse identifies the client’s behavior as being 1. addiction. 2. tolerance. 3. pseudoaddiction. 4. physical dependence. ANSWER Correct Answer: 3 Rationale 1: Addiction is characterized by […]
A client undergoing chemotherapy treatment for lung cancer drinks ginger tea to help manage the resulting nausea. Which of the following medications should the nurse review for interactions? 1. Loop diuretics 2. Anticoagulants 3. Antidepressants 4. Antihypertensives ANSWER ANS: 2 Ginger interacts with warfarin and other blood thinners, aspirin, and NSAIDs. The remaining op-tions […]
Which of the following themes are common in the definitions of nursing? 1. Adaptive. 2. Client-centered. 3. Goal-directed according to the needs of the client. 4. Diagnosis and treatment of disease. 5. An art. 6. A science ANSWER Correct Answer: 1,2,5,6 Rationale: Adaptive; client-centered; art; science; holistic; caring; concerned with health promotion, health maintenance, […]
A nurse in the emergency department (ED) of a community hospital notes that an unusually high number of clients have presented in the ED with flulike symptoms, abdominal pain, nausea, vomiting, bloody diarrhea, hematemesis and itching of the hands, fore-arms, and head. The nurse is concerned with bioterrorism, reports this to the supervisor, and sus-pects […]
Which of the following statements made by a nurse puts the nurse at risk for assault of the client? 1. “You will be sorry if you don’t agree to take this medication.” 2. “You can’t refuse this medication if you really want to feel better.” 3. “I’ll be so disappointed in you if you don’t […]
Which of the following nursing actions best reflects a nurse’s commitment to the ethical principle of fostering autonomy regarding an older client living in an extended care facility? 1. Providing options regarding the furniture arrangement of the client’s room 2. Supporting a client’s decision to adopt a DNR (do not resuscitate) status 3. Allowing sufficient […]
The nurse is to administer acetaminophen (Tylenol) prn to a client for a headache; however, the client has been vomiting all day. Which route should the nurse use to administer the medication? 1. Oral 2. Vaginal 3. Rectal 4. Intravenous ANSWER Correct Answer: 3 Rationale 1: The rectal route is often used if the […]
The nurse knows that Staphylococcus aureus found normally on the skin of a client who has had surgery poses a particular risk for that client developing: 1. A cold sore 2. Gastroenteritis 3. A wound infection 4. A urinary tract infection ANSWER ANS: 3 Staphylococcus aureus found normally on/in skin, hair, anterior nares, and […]
