A nurse is being questioned by the parents of a client whose physician ordered a battery of invasive tests. They are wondering why their child should have to go through all the pain and discomfort of these studies. The nurse is not familiar with the situation and has just come on duty for the evening […]
Date: September 26th, 2020
Which of the following physical assessments are essential when attempting to determine the presence of sensory deficits in an older adult client? (Select all that apply.) 1. Vision 2. Hearing 3. Smell 4. Taste 5. Touch 6. Gait ANSWER ANS: 1, 2, 3, 4, 5 To identify sensory deficits and their severity, assess vision, […]
Date: September 26th, 2020
To promote respiratory function in the immobilized client, the nurse should: 1. Change the client’s position every 4 to 8 hours 2. Encourage deep breathing and coughing every hour 3. Use oxygen and nebulizer treatments regularly 4. Suction the client’s secretions every hour ANSWER ANS: 2 The nurse should actively work with the immobilized […]
Date: September 26th, 2020
Which of the following clients is likely to experience altered medication excretion with resulting possible toxicity? (Select all that apply.) 1. A 16-year-old with asthma 2. A 34-year-old with hepatitis B 3. A 72-year-old with lung cancer 4. A 20-year-old with Crohn’s disease 5. A 54-year-old in end-stage renal failure 6. A 50-year-old with early […]
Date: September 26th, 2020
The physician orders a grain and a half of Seconal to help a client sleep. The label on the medica-tion bottle reads Seconal 100 mg. How many capsules should the nurse give the client? 1. 2. 1 3. 4. 2 ANSWER ANS: 2 To calculate this problem, the nurse should first convert the measurements […]
Date: September 26th, 2020
Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client’s adjustment to the aging process? 1. “I use to enjoy dancing and jogging so much, but now I have arthritis in my knees so that it’s hard to even walk.” 2. “I’ve […]
Date: September 26th, 2020
A client with cardiopulmonary disease receives a physical examination performed by a nurse. Knowing the client history, the nurse is attentive when checking the nails for the presence of: 1. Clubbing 2. Paronychia 3. Beau’s lines 4. Splinter hemorrhages ANSWER ANS: 1 Clubbing of the nails is caused by a chronic lack of oxygen, […]
Date: September 26th, 2020
One easy way that parents of teenagers can ensure that they are getting enough iodine in their diets to support the increased thyroid activity during adolescence is to: 1. Give the child a multivitamin daily 2. Use iodized table salt 3. Keep fresh fruit and vegetables on hand for snacks 4. Serve red meat at […]
Date: September 26th, 2020
During an assessment, the nurse learns a client has soft contact lenses that have not been removed or cleaned for weeks. What should the nurse do? 1. Nothing, because these types of lenses can be worn for months. 2. Remove the client’s lenses, wrap in tissue, and place in the bedside table. 3. Assist the […]
Date: September 26th, 2020
A client is prescribed bed rest with bathroom privileges. Which types of bath would be appropriate for this client? 1. Shower 2. Tub bath 3. Self-help bed bath 4. Therapeutic bath 5. Partial bath ANSWER Correct Answer: 3, 5 Rationale 1: Getting into and out of a shower might be too strenuous for a […]
Date: September 26th, 2020
