The nurse is applying an external urinary device to a client. Before attaching the device to the drainage bag, what should the nurse do? 1. Wash his or her hands. 2. Document the client’s tolerance of the procedure. 3. Instruct the client about the drainage system. 4. Ensure that the condom is not twisted. […]
Date: September 27th, 2020
A hospitalized client is being woken up every hour during the night for care and procedures. The nurse realizes that the lack of NREM sleep can have which physiological effect? 1. Decrease urine output 2. Increase thirst 3. Increase susceptibility to infection 4. Decrease heart rate ANSWER Correct Answer: 3 Rationale 1: The loss […]
Date: September 27th, 2020
When the nurse offers to “just sit here with you” after a particularly painful procedure, a home-less client asks, “Why would you want to do that?” The nurse recognizes that the client most likely: 1. Prefers to be alone at this time 2. Does not have a need for companionship 3. Perceived the offer as […]
Date: September 27th, 2020
The nurse is aware that the compensating mechanism that is most likely to occur in the presence of respiratory acidosis is: 1. Hyperventilation to decrease the CO2 levels 2. Hypoventilation to increase the CO2 levels 3. Retention of HCO3 by the kidneys to increase the pH level 4. Excretion of HCO3 by the kidneys to […]
Date: September 27th, 2020
The daughter of a client recently admitted to a skilled nursing facility shares with the nurse that she is concerned about how disinterested her mother seems in everyone and everything around her. The most therapeutic response by the nurse is: 1. “Bring something from home for her to display in her room” 2. “It is […]
Date: September 27th, 2020
A 79-year-old resident in a long-term care facility is known to “wander at night” and has fallen in the past. Which of the following is the most appropriate nursing intervention? 1. An abdominal restraint should be placed on the client during sleeping hours. 2. The client should be checked frequently during the night. 3. A […]
Date: September 27th, 2020
To provide for the psychosocial needs of an immobilized client, an appropriate statement by the nurse is which of the following? 1. “The staff will limit your visitors so that you will not be bothered.” 2. “A roommate can be a real bother. You’d probably rather have a private room.” 3. “Let’s discuss the routine […]
Date: September 27th, 2020
A client comes into the emergency department with a non-life-threatening wound to the hand that will require stitches. The department is quite busy with other clients, their families, and other people in the waiting room. The best way for the nurse to conduct an interview with this client is to: 1. Have the client wait […]
Date: September 27th, 2020
Of the following trends, which one represents the greatest current health care challenge to nurs-es? 1. Homelessness 2. Single parent families 3. Alternative relationship patterns 4. “Sandwiched” or middle generation ANSWER ANS: 1 Homelessness is identified as one of the greatest health care challenges to nurses. The trend of single parent families is not […]
Date: September 27th, 2020
After receiving medication for mild pain, the client states that the pain is getting worse. What should the nurse plan to do for this client? 1. Administer another dose of a nonopioid medication. 2. Administer an opioid for severe pain. 3. Administer an opioid for moderate pain. 4. Administer two doses of an opioid for […]
Date: September 27th, 2020
