When obtaining a sterile urine specimen from an indwelling urinary catheter the nurse should: 1. Disconnect the catheter from the drainage tubing 2. Withdraw urine from a urinometer 3. Open the drainage bag and removing urine 4. Use a needle to withdraw urine from the catheter port ANSWER ANS: 4 A sterile specimen can […]
Post discharge, the client is returning to their home environment. In assisting the client with that, specifically in implementing family-centered care, the nurse: 1. Provides personal beliefs regarding problem-solving 2. Assists the family members to assume dependent roles 3. Works with the client to accept responsibility for role in discourse 4. Offers both client and […]
Nursing students have been assigned to develop their own theory of nursing. Which of the following would they include in their theory, often referred to as the metaparadigm for nursing? 1. Society, medicine, nursing, and biology 2. Patient, facility, health, and nursing 3. Organization, discipline, nursing, and client 4. Client, environment, health, and nursing […]
The nurse measures the blood pressure in the leg due to the fact that the client has bilateral casts on the upper extremities. The nurse palpates the pulse before the measurement at the: 1. Popliteal fossa behind the knee 2. Inner side of the ankle below the medial malleolus 3. Top of the foot between […]
The nurse knows that a key element in Leininger’s theory of caring is that it includes: 1. Five categories of caring 2. Connectedness with others 3. Transcultural perspectives 4. Spiritual dimensions and healing ANSWER ANS: 3 A key element of Leininger’s theory is transcultural perspectives. Leininger stresses that even though human caring is a […]
A client is being seen in the clinic for the final follow-up appointment after an extensive course of rehabilitation. According to Neuman’s model, which level of intervention does this describe? 1. Primary prevention 2. Secondary prevention 3. Resistant prevention 4. Tertiary prevention ANSWER Correct Answer: 4 Rationale 1: Primary prevention focuses on protecting the […]
The client is being discharged from an acute care facility following a total hip replacement. She will need follow-up for her rehabilitation and exercise plan. In addition to a home health care nurse, what referral should be discussed? 1. Dietitian 2. Social worker 3. Physical therapist 4. Respiratory therapist ANSWER ANS: 3 Directing clients […]
The client has been placed on a 1200-mL oral fluid restriction. How should the nurse plan for this restriction? 1. Allow 600 mL from 7–3, 400 mL from 3–11, and 200 mL from 11–7. 2. Instruct the client that the 1200 mL of fluid placed in the bedside pitcher must last until tomorrow. 3. Offer […]
A female client has been undergoing diagnostic testing since admission to the medical unit in the hospital. The results of blood testing are sent back to the unit. Upon reviewing the results, the nurse will report which of the following findings to the physi-cian, which is abnormal? 1. Erythrocyte sedimentation rate (ESR) 35 mm/hr 2. […]
When assisting with PM care for an 82-year-old client recuperating from pneumonia, the nurse observes that the client appears to be uncharacteristically confused, asking “Where am I?” Which of the following interventions is the most therapeutic for this particular client? 1. Listen for lung sounds. 2. Reorient the client to place. 3. Ask some simple […]
