The primary source of information when completing an assessment of a client that is alert and oriented as he is admitted to the medical center for diagnostic testing is the: 1. Client 2. Physician 3. Family member 4. Experienced unit nurse ANSWER ANS: 1 A client is usually the best source of information. The […]
Date: September 27th, 2020
Caring enables a nurse to know the client and thereby focus on identifying the client’s specific needs. This ability is most typically impacted by a nurse’s: 1. Assessment skills 2. Sense of compassion 3. Clinical experience 4. Communication proficiency ANSWER ANS: 3 As nurses acquire more experience, they typically learn that caring helps them […]
Date: September 27th, 2020
During a home visit, the nurse determines that a toddler is at risk for injury. What did the nurse assess to identify this client’s risk? 1. Unscreened windows 2. Electrical outlets uncovered 3. Yard with a built-in pool unfenced 4. Cleaning solution in the bottom cabinet 5. Pots on stove with handles turned inward […]
Date: September 27th, 2020
The nurse is completing a bed bath for a dependent adult male client. During the perineal care, the client has an erection. The nurse should: 1. Continue with the perineal care 2. Tell the client it’s okay and just to relax 3. Ask the client to try and do the care as well as he […]
Date: September 27th, 2020
The nurse completes a safety assessment during a home visit to an older adult client. Of the fol-lowing observations made by the nurse, the one that is of greatest concern for this client who has evidence of sensory impairment is: 1. Low-pile carpeting throughout the home 2. A handrail on the stairs that extends the […]
Date: September 27th, 2020
When a client who is in need of a lung transplant is placed on the organ donor registry according to his current health needs, this is an example of ethical: 1. Justice 2. Fidelity 3. Beneficence 4. Nonmaleficence ANSWER ANS: 1 Health care providers agree to strive for fairness in health care. Criteria set […]
Date: September 27th, 2020
The nurse is determining tasks to delegate to unlicensed assistive personnel (UAP). Which task should the nurse question before delegating to this level of health care provider? 1. Measuring intake and output 2. Assessing vital signs for clients who are clinically stable 3. Performing complete morning care for a client recovering from a stroke 4. […]
Date: September 27th, 2020
The scope of a client’s health problem is a result of which of the following factors? (Select all that apply.) 1. Religious beliefs 2. Life experiences 3. Lifestyle choices 4. Work environment 5. Family relationships 6. Educational background ANSWER ANS: 2, 3, 4, 5 Each client’s problems are unique and a product of many […]
Date: September 27th, 2020
The nurse is discussing urinary elimination alterations with a group of middle-age adults. The nurse appropriately shares with the group that whereas men experience urinary frequency as a re-sult of prostate enlargement, the female: 1. Is more affected if she has experienced multiple pregnancies 2. Does not usually experience urinary problems until much later in […]
Date: September 27th, 2020
The nurse suspects that the client has a hearing disorder; however, the client denies not being able to hear. What initial assessment technique should the nurse employ? 1. Schedule a Weber and Rinne test. 2. Observe the client’s interaction with significant others. 3. Use an otoscope to visualize the inner ear. 4. Confront the client […]
Date: September 27th, 2020
