A 5-year-old client has recurrent night terrors. What nursing intervention should the nurse use to help alleviate this problem? 1. Have the child walk around in the room when night terrors occur. 2. The next morning, ask the child to describe the event. 3. Have the child empty the bladder prior to going to bed. […]
Date: September 27th, 2020
Parents of a terminally ill child have decided to remove their child from life support, a decision that has met with little positive support. The nurse practices the value of autonomy through which of the following? 1. Showing respect for the family 2. Respecting the parents’ decision 3. Referring the parents to social services 4. […]
Date: September 27th, 2020
A client in the postanesthesia care unit is to have suction applied through a nasogastric tube. When documenting, the nurse should include which information? 1. The time suction was started 2. Characteristics of wound drainage 3. Pressure on the suction 4. Integrity of the surgical dressing 5. Color and consistency of drainage ANSWER Correct […]
Date: September 27th, 2020
A 22-year-old male client shares with the nurse that he is always tired. In assessing the client’s sleep pattern to determine the quantity of sleep the client is getting, the nurse should ask: 1. “On a scale from 0 to 10, how much sleep to you think you get each night?” 2. “What time do […]
Date: September 27th, 2020
The concept of nursing responsibility is best reflected in which of the following nursing actions? 1. Providing accurate and timely documentation regarding an incident resulting in a client fall 2. Suggesting that a client might prefer taking a particular medication at bedtime instead of in the morning 3. Posting a note on the unit Kardex […]
Date: September 27th, 2020
A client asks the nurse for help in selecting foods, as some are “good” and others are “bad.” How should the nurse respond to the client? 1. “Eat a wide variety of foods to furnish adequate nutrients.” 2. “Avoid starchy foods.” 3. “Limit foods with high-fructose corn syrup.” 4. “Eat three meals a day to […]
Date: September 27th, 2020
The family members of a client who has just died want to spend time with the client. What should the nurse do to prepare the client for the family? 1. Check the client’s religion to make sure care is in compliance with religious expectations. 2. Remove equipment from the room. 3. Permit the family to […]
Date: September 27th, 2020
A client with end-stage renal disease knows that he is dying but refuses to talk about it with his spouse. At times the spouse talks with the nursing staff about the client’s condition but adamantly refuses to discuss death with the client. What will be the outcomes of this situation? 1. Client has dignity 2. […]
Date: September 27th, 2020
Which of the following statements made by a woman recently diagnosed with osteoporosis indi-cates the greatest degree of readiness to begin a daily walking routine? 1. “The tests showed that I have osteoporosis and need to walk.” 2. “I’ve walked around the local park three times, and that measures 1.75 miles.” 3. “My sister has […]
Date: September 27th, 2020
The client comes to the emergency department after having been in the sun for an extended pe-riod of time. The nurse also determines that the client is taking a diuretic. Heatstroke is suspected and the nurse observes for: 1. Diaphoresis 2. Confusion 3. Temperature of 36 C 4. Decreased heart rate ANSWER ANS: 2 […]
Date: September 27th, 2020
