The nurse is caring for a client who is being mechanically ventilated. Arterial blood gas analysis reveals respiratory acidosis. Which change in ventilator settings should the nurse anticipate? 1. Decrease in oxygen delivery 2. Decreased tidal volume of each breath 3. Increased respiratory rate 4. Increase in humidification of inspired air ANSWER Correct Answer: […]
Which of the following assessment data provided by a client’s family will have the greatest im-pact on the client’s care while hospitalized? 1. “Mom falls asleep fastest with the television on.” 2. “Dad starts off the day with hot coffee; it regulates his bowels.” 3. “My wife’s sister died 4 months ago, and she is […]
A client is legally blind in both eyes. Which of the following is the most appropriate statement for the nurse to make to the client regarding providing the client with assistance? statement for the nurse to make to the client regarding providing the client with assistance? 1. “I will walk in front of you, and […]
A client who has been the recipient of home health care has made the decision to discontinue hemodialysis. The client understands all the consequences of this decision and is not supported by his family. The nurse is meeting with the family to help them understand the significance of the client’s decision and to help them […]
The nurse realizes that sharing one’s computer password is a violation of which of the profes-sional nursing principles? 1. Advocacy 2. Responsibility 3. Accountability 4. Confidentiality ANSWER ANS: 4 When medical records are computerized, computer security measures include special access codes for all authorized users; sharing private passwords is a breech of client confidentiality […]
A client develops acute renal failure and a resulting metabolic acidosis. The nurse recognizes that the respiratory system compensates through: 1. Hypoventilation and increase of bicarbonate levels in the bloodstream 2. Alternating periods of deep versus shallow breaths to maintain homeostasis of the serum pH 3. Hyperventilation to decrease the serum CO2 level and thereby […]
In planning to teach an older adult client, the nurse should incorporate which teaching method or principle into the plan? 1. Keep teaching sessions short. 2. Teach in the early morning or late evening. 3. Put as much as possible into each teaching session. 4. Focus on teaching a family member or caregiver instead. […]
The nurse recognizes the discharge needs of a client following a hip replacement. This is an ex-ample of which type of nursing skill? 1. Cognitive 2. Interactive 3. Psychomotor 4. Communication ANSWER ANS: 1 Cognitive skills involve the application of nursing knowledge. Being able to identify a client’s discharge needs is a cognitive skill. […]
The nurse is determining a client’s level of psychosocial development according to Erikson’s stages. Place the developmental tasks in order according to Erikson’s stages of psychosocial development. 1. Expressing one’s own opinion 2. Guiding others 3. Asserting independence 4. Working well with others ANSWER Correct Answer: 1, 4, 3, 2 Rationale 1: Expressing one’s […]
A client who recently required advanced cardiac life support after experiencing a myocardial in-farction shares with the nurse that, “I could hear voices talking about me dying and then there was this brightly lighted tunnel.” Which of the following statements made by the nurse shows the best understanding of therapeu-tic communication regarding a client’s near-death […]
