A nurse caring for an elderly client who has had surgery and is in the hospital knows that the cli-ent is at high risk for developing a nosocomial infection. One of the most important things that the nurse can do to prevent this client from obtaining a nosocomial infection is to: 1. Practice appropriate hand […]
Date: September 25th, 2020
During the end-of-shift report the nurse notes that a client had been very nervous and preoccu-pied during the evening and that no family visited. To determine the amount of anxiety that the client is experiencing, the nurse should respond: 1. “Would you like for me to call a family member to come support you?” 2. […]
Date: September 25th, 2020
A client who is experiencing a generalized clonic-tonic seizure is at greatest risk for injury caused by: 1. The physical collapse that occurs at the onset of the seizure 2. Muscle strains that result from the severe muscle jerking during the seizure 3. The tongue laceration that occurs from jaw clenching during the seizure 4. […]
Date: September 25th, 2020
The nurse is completing an assessment of an Asian-American client. Recognizing that there are commonly seen problems in individuals from this background, the nurse observes for particular signs and symptoms of: 1. Hypertension 2. Tuberculosis 3. Diabetes mellitus 4. Lactose intolerance ANSWER ANS: 4 Lactose intolerance is frequently observed among Asians, Africans, and Hispanics. […]
Date: September 25th, 2020
The primary goal of family-centered nursing is to: 1. Promote the wellness of the family and its members 2. Implement appropriate care for the family and its members 3. Provide support and care for the family and its individual members 4. Identify physical and emotional problems affecting the family as a unit ANSWER ANS: […]
Date: September 25th, 2020
When an excess of body fluid exists in the intravascular compartment, all of the following signs can be expected except: 1. Rales 2. A bounding pulse 3. Engorged peripheral veins 4. An elevated hematocrit level ANSWER ANS: 4 An elevated hematocrit level would be expected with a deficit of body fluid in the intravascular […]
Date: September 25th, 2020
Which of the following statements made by a 27-year-old client shows the greatest need for fur-ther nursing assessment regarding the potential use of illegal drugs? 1. “Whether you wear a helmet or not should be the choice of the motorcyclist.” 2. “I fractured my hand 3 years ago when I got so mad I hit […]
Date: September 25th, 2020
The nurse is taking a health history from a client who has complications from chronic asthma. Which of the following is an example of an open-ended question? 1. “How would you describe your sleep pattern?” 2. “Can you describe your coughing pattern?” 3. “Is there anything that makes your breathing worse?” 4. “What medications are […]
Date: September 25th, 2020
Which of the following is the best example of a nurse’s use of reflection? 1. The nurse places a client experiencing respiratory difficulties in a high-Fowler’s position. 2. The nurse calls the provider when a client reports feeling “chilled and achy” while having an oral temperature of 100.2° F. 3. While caring for a client […]
Date: September 25th, 2020
A client with chronic pain states, “I just want to be pain-free. Do something to make that hap-pen.” The most therapeutic response is: 1. “Together we will all work at making your pain tolerable.” 2. “I will do everything I can to manage your pain; I promise.” 3. “Are you feeling depressed or anxious because […]
Date: September 25th, 2020
