A client is prescribed a new medication. The pharmacy notifies the nurse that the dosage is outside of route prescribing limits. The nurse is unable to reach the prescribing physician about the order. What should the nurse do? 1. Give the medication to the client as prescribed. 2. Withhold the medication. 3. Give one-half of […]
When completing a community assessment, the community health nurse will take several aspects into account. What is the first stage of this assessment? 1. Learn about the people in the community. 2. Understand the major illnesses present in the community. 3. Identify the boundaries of the community. 4. Make sure resources are available in the […]
A terminally ill client shares with the nurse that he, “needs to tell someone what I want when the end comes.” The nurse’s most therapeutic response is: 1. “We can talk about that now if you want to. Let me close the door and pull up a chair.” 2. “I imagine you would like to […]
Surgical aseptic techniques are employed by a nurse when: 1. Inserting an intravenous catheter 2. Placing soiled linen in moisture-resistant bags 3. Disposing of syringes in puncture-proof containers 4. Washing hands before changing a dressing ANSWER ANS: 1 Surgical asepsis should be used during procedures that require intentional perforation of the cli-ent’s skin, such […]
The nurse begins the assessment of a client that has come to the emergency department experi-encing chest pain by asking the client about: 1. A family history of heart problems 2. Medications currently being taken at home 3. Questions or concerns about hospitalization 4. The onset, severity, and duration of the chest pain ANSWER […]
In order to comply with the U.S. Department of Health and Human Services’ most current healthcare goals as stated in Healthy People 2020, the nurse will: 1. Plan a depression screening for senior citizens who regularly have lunch at the senior center. 2. Attend an educational in-service on the use of a new automated blood […]
Which of the following would be considered positive health behaviors for a 40-year-old client? (Select all that apply.) 1. Eating a low-fat, low-salt diet 2. Getting 6 to 8 hours of sleep nightly 3. Spending quality time with his children 4. Limiting his smoking to 3 cigarettes daily 5. Having his blood pressure checked regularly […]
Principles recommended by the Institute of Medicine to address the problem of insurance coverage include which of the following? (Select all that apply.) 1. Health coverage should be for everyone. 2. Families and individuals should have coverage they can afford. 3. Coverage should be provided by private companies. 4. Health coverage should be ongoing and […]
The nurse is heard stating to another staff member that, “the client in Room 54 is such a whiner; you would think she was dying.” This nurse is liable of: 1. Libel 2. Slander 3. Malpractice 4. Invasion of privacy ANSWER ANS: 2 Defamation of character is the publication of false statements either verbally […]
Before inserting a Foley catheter, the nurse explains that the client may feel some discomfort. This is an example of: 1. Distraction 2. Reducing pain perception 3. Anticipatory response 4. Self-care maintenance ANSWER ANS: 3 Pain can be prevented by anticipating painful events. Before performing procedures, the nurse considers the client’s condition, aspects of […]