A client who is scheduled for the second in a series of painful dressing changes asks for “my pain medication now so it’s working when the dressing is changed” is most likely expressing: 1. A great fear of the expected pain 2. A need to be in control of his pain 3. An understanding that […]
Date: September 28th, 2020
The family of an older client asks the nurse how the stairways and hallways in the home may be enhanced to promote safety. In addition to extra lighting, the nurse recommends the use of paint and decorations that are: 1. Red and yellow 2. Black and white 3. Brown and green 4. Blue and purple […]
Date: September 28th, 2020
Which of the following clients experiencing disrupted sleep patterns is most at risk for obstruc-tive sleep apnea (OSA)? 1. A 15-year-old boy with type 1 diabetes 2. A 22-year-old diagnosed with Crohn’s disease 3. A 49-year-old man who is an avid cross-county runner 4. A 58-year-old woman diagnosed with chronic depression ANSWER ANS: 4 […]
Date: September 28th, 2020
The nurse has taken a verbal order for a narcotic medication to be given to a client experiencing severe pain related to metastatic cancer of the bone. The nurse’s initial action regarding the order is to: 1. Prepare the medication for administration to the client 2. Properly sign for the narcotic analgesic in the narcotic […]
Date: September 28th, 2020
A client recovering from abdominal surgery is demonstrating abdominal distention from trapped flatus. What can the nurse do to help this client? 1. Assist the client to move in bed. 2. Restrict fluids. 3. Obtain an order for a rectal tube. 4. Provide a diet rich in foods that create flatulence. ANSWER Correct Answer: […]
Date: September 28th, 2020
Which of the following client outcomes is most therapeutic for a preoperative client with a nurs-ing diagnosis of deficient knowledge regarding preoperative requirements related to lack of expo-sure to information? 1. Client will share the preoperative routines of surgical care with family to facilitate compliance. 2. Client will understand the preoperative routines of surgical care […]
Date: September 28th, 2020
A diagnostic error can influence the application of the nursing care plan. A likely source for a nursing diagnosis error is if the nurse: 1. Validates the assessment information in the data base 2. Uses the NANDA International list of diagnoses as a primary source 3. Formulates a diagnosis too closely resembling a medical diagnosis […]
Date: September 28th, 2020
The nurse knows that when a society or culture supports sexual abstinence outside of marriage, it avoids providing sex education to its children because it is believed that to do so would: 1. Erode traditional family values 2. Promote premarital sexual activity 3. Be too emotionally traumatic for both parent and child 4. Put the […]
Date: September 28th, 2020
For infectious organisms to grow and multiply enough to cause illness, they need an environment that has appropriate amounts of: (Select all that apply.) 1. Food 2. Space 3. Water 4. Oxygen 5. Warmth 6. Darkness ANSWER ANS: 1, 3, 4, 5, 6 To thrive, organisms require a proper environment, including appropriate food, oxygen, […]
Date: September 28th, 2020
The client is scheduled for abdominal surgery and has just received the preoperative medications. The nurse should: 1. Keep the client quiet 2. Obtain the consent 3. Prepare the skin at the surgical site 4. Place the side rails up on the bed or stretcher ANSWER ANS: 4 After administering preoperative medications, the nurse […]
Date: September 28th, 2020
