A client recovering from hip surgery is reluctant to ambulate because of the amount of pain that occurred with walking prior to the surgery. What can the nurse do to help this client with pain control? 1. Provide pain medication before every ambulation session. 2. Address the client’s fear of pain with walking. 3. Tell […]
The nurse is preparing to discharge a client home with a prescription for ibuprofen (Motrin). What should the nurse instruct as a common side effect of this medication? 1. Gastrointestinal (GI) distress 2. Shakiness 3. Tremors 4. Rash ANSWER Correct Answer: 1 Rationale 1: The most common side effect of NSAIDs, including ibuprofen, is […]
The nurse is instructing a client on ways to manage stress urinary incontinence. What should be included in this client’s teaching? 1. Limit intake of caffeine. 2. Limit intake of alcohol. 3. Increase intake of citrus juices. 4. Limit evening fluid intake. 5. Increase intake of beverages with artificial sweeteners. ANSWER Correct Answer: 1, […]
The newly graduated nurse is working with a mentor who has been a nurse for 25 years. The mentor tells the new graduate, “I learn something new about nursing every day.” What does this indicate about the mentor’s self-awareness? 1. This nurse is not very self-aware. 2. The mentor’s self-awareness is behind normal development. 3. […]
The nurse is aware that the majority of older adults: 1. Live alone 2. Live in institutional settings 3. Are unable to care for themselves 4. Are actively involved in their community ANSWER ANS: 4 The majority of adults are indeed active within their community. The majority of older adults live with a spouse […]
Supporting a client by holding onto her elbow while accompanying her as she ambulates around the nursing unit is considered social touching and so would typically: 1. Be considered nonthreatening by the client 2. Not require the client’s permission 3. Be viewed as therapeutic by the nurse 4. Not be needed unless the client was […]
Which of the following nursing interventions is the best example of a primary care prevention strategy regarding the flu? 1. Staffing a flu immunization clinic at a senior citizen’s center 2. Providing flu prevention literature for distribution to visitors 3. Reminding client care personnel of the importance of the flu shot 4. Getting a drug […]
A client is scheduled to have surgery, has signed the consent form, but refuses to have a Foley catheter placed, saying “That’s not part of the surgery.” The nurse should: 1. Explain that this is part of the surgical prep and continue with the procedure. 2. Explain that the client has already signed the consent, […]
A client diagnosed with a myocardial infarction is overheard telling family about having food poisoning. What defense mechanism is this client exhibiting? 1. Compensation 2. Denial 3. Displacement 4. Identification ANSWER Correct Answer: 2 Rationale 1: Compensation is covering up weaknesses by emphasizing strength or by overachievement. Rationale 2: Denial is an attempt to […]
The nurse is demonstrating to the client how to put on anti-embolitic stockings. In the middle of the lesson the client asks, “Why have my feet been swelling?” The nurse stops and responds to the client. Which of the following is the teaching principle that the nurse should follow? 1. Timing 2. Setting priorities 3. […]
