On the client’s admission to the hospital, the nurse notes that the client has halitosis, and when assessing the client, the nurse notes that the client has poor oral hygiene with several discolored teeth. The client shares he does not regularly brush or floss his teeth. The best reply from the nurse is: 1. “You […]
When faced with a scenario where it is believed that a client from another cultural background is using herbal remedies along with the prescribed medication to treat her arthritis. The nurse’s first action should be to: 1. Educate the client concerning the danger of taking herbs and the prescribed med-ication 2. Inquire of the client […]
The ANA recommended several changes for health care reform. How many of them have been implemented since 1991? What will be an ideal response? ANSWER Correct Answer: Few Rationale : The ANA published Nursing’s Agenda for Health Care Reform in 1991, which highlighted several recommendations for health care reform. Although the agenda called for […]
A 66-year-old female client is admitted to the hospital with diabetic ketoacidosis. The client has a running IV line through which she receives her medications and fluid maintenance. Which of the following would not be counted on the daily intake and output (I&O)? 1. IV fluids 2. Cream of mushroom soup 3. Gelatin 4. Mashed […]
A nurse must display understanding of the mental implications of a client on isolation precautions when planning care to control the risk of: 1. Denial 2. Aggression 3. Regression 4. Isolation ANSWER ANS: 4 A sense of loneliness may develop because normal social relationships become disrupted. The nurse should plan care to control the […]
While working with a male client and administering medications, the female nurse is approached sexually. The nurse should: 1. Have a male nurse assume care for this client 2. Immediately report the incident to the client’s physician 3. Tell the client that his behavior is offensive and leave the room 4. Review and define the […]
The primary problem with using English-speaking children of immigrant families as interpreters is that: 1. The adults may resent their dependence upon the child 2. The subjects discussed may be too disturbing to the child 3. Children can be easily distracted, thus making them unreliable translators 4. There are concerns about the child’s ability to […]
Which of the following situations would cause the nurse to expect an increase in cardiac output in a client who is experiencing no health issues? (Select all that apply.) 1. After playing a set of doubles’ tennis 2. Being 31 weeks’ pregnant with twins 3. Upon rising from a 45-minute afternoon nap 4. During a […]
The nurse is preparing to present a teaching session on skin protection for a group of older adults at a senior center. A principle that has been found to be most effective in teaching older adults is: 1. Moving the group along at a predetermined pace 2. Providing information in longer teaching sessions 3. Speaking […]
When caring for a client with a spouse and two adolescent children, the nurse knows that the family unit must first: 1. Be viewed as a client 2. Change traditional roles 3. Provide support for the ailing mother 4. Seek help to fulfill day-to-day needs ANSWER ANS: 1 The nurse must view the whole […]