During a health interview, the nurse decides to focus the assessment questions on the middle-aged client’s amount of stress. What information did the nurse use to make this clinical decision? 1. Caring for aging parents 2. Needing to wear glasses to read 3. Newly married 4. Choosing a career 5. Not having the same amount […]
The nurse is aware that which of the following clients is at greatest risk for developing medica-tion toxicity? 1. The 16-year-old anorexic 2. The 35-year-old with liver cancer 3. The 45-year-old chronic alcoholic 4. The 73-year-old diagnosed with hepatitis B ANSWER ANS: 4 The degree to which medications bind to serum proteins such as […]
A client is found to have a bacterial infection of Escherichia coli. The nurse, recognizing the ef-fects of this bacterium, anticipates that the client will demonstrate: 1. Diarrhea 2. Coughing 3. Cold sores around the mouth 4. Discharge from the eyes ANSWER ANS: 1 Escherichia coli causes gastroenteritis and urinary tract infections. The client […]
The school nurse suspects that a junior high student may have anorexia nervosa. This eating dis-order is characterized by: 1. A lack of control over eating patterns 2. Self-imposed starvation 3. Binge-purge cycles 4. Excessive exercise ANSWER ANS: 2 Anorexia nervosa is characterized by self-imposed starvation. Bulimia nervosa is characterized by a lack of […]
The nurse is caring for a child who is dying. What is the most important communication strategy for the nurse to use at this time? 1. Talk to the child at the appropriate level of understanding. 2. Be totally open and honest with the child. 3. Avoid discussing death with the child. 4. Encourage the […]
The nurse caring for a terminally ill client with liver cancer understands which of the following goals would be most appropriate? 1. Increasingly administer narcotics to oversedate the client and thereby decrease the pain. 2. Continue to change the analgesics until the right narcotic is found that completely alleviates the pain. 3. Adapt the analgesics […]
Needing assistance with daily living activities, an older adult with two grown children is being discharged home. Although both children live nearby, the daughter is expressing concern about handling her parent’s physical needs. The nurse’s initial response is to: 1. Work with the family on delegating responsibility 2. Suggest short-term nursing home placement to the […]
The nurse is selecting dressings for a clean abdominal incision that will be allowed to heal by secondary intention. What principles should the nurse use in choosing this dressing? 1. Materials used in dressing this wound should keep the wound bed moist. 2. The dressing should allow good air circulation through the wound. 3. Dressings […]
A 43-year-old client is scheduled to have a gastrectomy. Which of the following is a major pre-operative concern? 1. The client’s brother had a tonsillectomy at age 11. 2. The client smokes a pack of cigarettes a day. 3. The client has an intravenous (IV) infusion. 4. The client has a history of employment as […]
One of the overall goals of Healthy People 2010 is to: 1. Increase life expectancy 2. Decrease health care costs 3. Promote managed care organizations 4. Establish the credentials of service providers ANSWER ANS: 1 The overall goals of Healthy People 2010 are to increase the life expectancy and quality of life and to […]
