The nurse realizes that effective nursing documentation encourages: (Select all that apply.) 1. Safe nursing practice 2. Continuity of client care 3. Positive client outcomes 4. Efficient time management 5. Cost-conscious nursing care 6. Effective nurse-client relationships ANSWER ANS: 1, 2, 4 Effective documentation ensures continuity of care, saves time, and minimizes the risk […]
A client is having a timed urine collection done. The unlicensed assistive personnel does not save one specimen. What should the nurse do? 1. Continue with the test, and document that one specimen is missing. 2. End the test immediately, and send what is collected to the laboratory. 3. Document that the test cannot be […]
A tool that may be used effectively with clients who have terminal diseases is hope. Hope pro-vides a: 1. Relationship with a divinity 2. System of organized beliefs 3. Cultural connectedness 4. Meaning and purpose ANSWER ANS: 4 Hope provides a sense of meaning and purpose. When a person has hope, he or she […]
A client is diagnosed with pneumonia and has been hospitalized for several days. A priority nursing diagnosis for this client is which of the following? 1. Altered oral mucous membranes, related to dry mouth 2. Activity intolerance, related to oxygen supply imbalance 3. Knowledge deficit, related to medication regimen 4. Ineffective airway clearance, related to […]
The nurse wants to assign back rubs to unlicensed assistive personnel (UAP). Before doing so, the nurse should first determine whether 1. unlicensed assistive personnel know how to perform a back rub. 2. there any clients who have intravenous fluids infusing. 3. there any clients who should not have a back rub performed. 4. there […]
The nursing diagnosis of acute pain falls under which of the following comfort domain classifi-cations? 1. Social comfort 2. Physical comfort 3. Interpersonal comfort 4. Environmental comfort ANSWER ANS: 2 There are only three classifications for the comfort domain. Acute pain is a physiological response and so is classified as a physical comfort problem. […]
A client states that a cramping pain started 2 hours ago and is not accompanied by any nausea or vomiting. Which type of pain is this client most likely experiencing? 1. Chronic pain 2. Phantom pain 3. Visceral pain 4. Acute pain ANSWER Correct Answer: 4 Rationale 1: Chronic pain, also known as persistent […]
The nurse’s initial responsibility in the management of a client’s collaborative problem is to: 1. Monitor for changes 2. Advocate for the client 3. Implement interventions 4. Evaluate client outcomes ANSWER ANS: 1 Nurses initially monitor to detect the onset of changes in a client’s status. Although advocating for the client is a nursing […]
Which of the following nursing situations best reflects accountability? 1. The nurse takes the oncology nursing certification examination. 2. The nurse files an incident report regarding a medication error. 3. The nurse assesses the client for the possible cause of his pain. 4. The nurse tells the client, “I don’t know but I will find […]
A nurse researcher is considering the use of various nonpharmacological distraction techniques that have shown success for behavior control in troubled adolescents. The criteria this researcher is considering is which of the following? 1. Significance 2. Researchability 3. Feasibility 4. Interest ANSWER Correct Answer: 1 Rationale 1: The research problem has significance if it […]
