In the event of a medication error, the nurse’s first responsibility is to: 1. Contact the physician 2. Fill out an incident report 3. Notify their supervisor 4. Ensure the client’s safety ANSWER ANS: 4 The client’s safety and well-being are the top priority. The nurse is responsible for contacting the physician, notifying the […]
As described by Freud, the nurse recognizes that a young adult best shows a well-developed su-perego when he: 1. Tells a friend that he’ll help him stop smoking 2. Returns a lost wallet to a stranger who dropped it 3. Arranges for a cab ride home after consuming alcohol 4. Has 10% of his salary […]
An incident report is to be completed because the client climbed over the side rails and fell to the floor. The correct reporting of an incident involves which of the following? 1. The witnessing nurse completes the report. 2. Details of the incident are subjectively described. 3. An explanation of the possible cause for the […]
A client with a large abdominal wound requires a dressing change every 4 hours. The client will be discharged to the home setting, where the dressing care will be continued. Which of the fol-lowing is true concerning this client’s wound healing process? 1. An antiseptic agent is best followed with a rinse of sterile saline […]
When caring for a terminally ill client, the nurse must also assess the family, because the primary benefit will be: 1. Effective use of time and resources in the end-of-life care of the client 2. Appropriate attention to the cultural beliefs and expectations of the family 3. Added information regarding the care needs and preferences […]
A client who has a history of a major myocardial infarction is taking digoxin. The nurse explains this medication helps increase cardiac output by: 1. Increasing the heart rate 2. Reducing the resistance of pulmonary circulation 3. Increasing the force of the myocardial contraction 4. Increasing cardiac conduction ANSWER ANS: 3 Myocardial contractility affects […]
The nurse can primarily affect the effectiveness of a family’s ability to cope with stress by en-couraging: 1. Flexible roles 2. Distinct task assignment 3. Individual independence 4. Variable parenting models ANSWER ANS: 1 A rigid structure specifically dictates who is able to accomplish a task, and may limit the number of persons inside […]
The nurse is reviewing the client’s care plan and checking the quality of the nursing diagnosis statements. Criteria to use for guidelines in formulating nursing diagnoses include which of the following? (Select all that apply.) ______ Nonjudgmental statements ______ Stated in terms of a need ______ Must be legally advisable ______ Cause/effect are correctly stated […]
Which recent change, reported by a client’s family, would indicate that the client’s hearing ability is decreasing? 1. Inability to follow directions 2. Mood swings 3. Decreased appetite 4. Complaints of dizziness 5. Answering questions incorrectly ANSWER Correct Answer: 1, 2, 4, 5 Rationale 1: The client who has difficulty hearing might have an […]
The nurse is preparing to assist the adult female client with perineal care. The position of choice for this client is: 1. Dorsal recumbent 2. Side-lying 3. Supine 4. Prone ANSWER ANS: 1 To perform female perineal care, the client should be assisted to the dorsal recumbent position. Side-lying is not the position of […]
