The nurse is caring for a client who is confused and wanders. Which alternative to a restraint can the nurse use for this client? 1. Assign this client to the farthest room from the nurses’ station. 2. Place a rocking chair in the client’s room. 3. Pull up all of the side rails on the […]
Date: September 25th, 2020
The nurse is concerned that a client diagnosed with a chronic illness is experiencing depression. What did the nurse assess in this client? 1. Weight gain 2. Irritability 3. No appetite 4. Constipation 5. Complaints of headache and dizziness ANSWER Correct Answer: 2, 3, 4, 5 Rationale 1: Physical signs of depression include weight […]
Date: September 25th, 2020
A client is prescribed seizure precautions. The nurse places functioning oral suction equipment in the client’s room for what reason? 1. Suctioning might be needed to prevent the aspiration of oral secretions. 2. The client has difficulty swallowing liquids. 3. There was a spare oral suction set up, and the nurse did not want to […]
Date: September 25th, 2020
The primary purpose of a nursing diagnosis, according to the nurses, is to: 1. Support the medical plan of care 2. Provide a standardized approach for all clients 3. Recognize the client’s response to an illness or situation 4. Offer the nurse’s subjective view of the client’s behaviors ANSWER ANS: 3 The primary purpose […]
Date: September 25th, 2020
In evaluating a research question regarding the safety of pharmacological interventions used to stop preterm labor, the nurse looks specifically at the various medications used and what effect, if any, they had on the baby. The nurse is critiquing the research based on which dimension? 1. Methodologic 2. Interpretive 3. Substantive and theoretical 4. Presentation […]
Date: September 25th, 2020
Which one of the following clients from a vulnerable population currently appears to be at the greatest risk? 1. A physically abused client in a shelter 2. A schizophrenic client in outpatient therapy 3. An older adult taking medication for hypertension 4. A substance abuser who shares drug paraphernalia ANSWER ANS: 4 A client […]
Date: September 25th, 2020
The parent of a preschool child asks the nurse how chickenpox (varicella zoster) is transmitted. The nurse identifies that the virus is: 1. Carried by a vector organism 2. Carried though the air in droplets after sneezing or coughing 3. Transmitted through person-to-person contact 4. Acquired through contact with contaminated objects ANSWER ANS: 2 […]
Date: September 25th, 2020
The 85-year-old female client has moved to an assisted living apartment so that she can remain independent yet have some limited assistance with her ADLs. Which of the following suggestions should the nurse make that would be most appropriate to reduce sensory deprivation? 1. Provide pictures of the client’s family. 2. Purchase all-new furnishings. 3. […]
Date: September 25th, 2020
Several nurse educators are working together to promote articulation agreements between prospective nursing programs in their state. Funding for this type of program was made possible by which of the following? 1. Pew Health Professions Commission 2. Goldmark report 3. Brown report 4. Colleagues in Caring ANSWER Correct Answer: 4 Rationale: The Robert Wood […]
Date: September 25th, 2020
The newly admitted client has contractures of both lower extremities. What nursing intervention should be included in this client’s plan of care? 1. Frequent position changes to reverse the contractures 2. Exercises to strengthen flexor muscles 3. Range-of-motion exercises to prevent worsening of contractures 4. Weight-bearing activities to stimulate joint relaxation ANSWER Correct Answer: […]
Date: September 25th, 2020
