When working with families, the nurse may view the family as context or client. Which one of the following examples demonstrates the view of the family as context? 1. The family’s ability to support the client’s dietary and recreational needs 2. The client’s ability to understand and manage his own personal dietary needs 3. The […]
A client asks the nurse why expelled flatus is foul-smelling. What should the nurse respond? 1. The actions of microorganisms within the gastrointestinal tract are responsible for the odor. 2. The client’s emotions are causing the gas formation. 3. The sensory nerves in the rectum are being stimulated. 4. The client has swallowed too much […]
The perioperative nurse realizes that the most effective means of evaluating the client’s under-standing of previous teaching is to: 1. Provide written material on the subject to be reviewed after discharge 2. Reinforce the material with family as the procedure is being performed 3. Discuss it with the client and family in the immediate preoperative […]
The nurse is planning care for a client who was admitted after having a myocardial infarction. Based upon this history, the nurse’s greatest concern is that this client might develop which health problem? 1. Chronic renal failure 2. A gastric ulcer 3. Hypoxemia 4. A cerebral vascular accident ANSWER Correct Answer: 3 Rationale 1: […]
The nurse is appointed to be a member of committee whose focus is to identify and address workplace safety issues. Which issues should the nurse recommend for analysis by this committee? 1. Lifting clients 2. Inadequate lighting 3. Bending and walking 4. Exposure to infectious agents 5. Exposure to hazardous medications ANSWER Correct Answer: […]
Which of the following statements made by an older adult with a history of urinary tract infec-tions shows the best understanding of interventions that minimize the risk for developing such infections? 1. “I drink 8 ounces of cranberry juice a day to discourage bacterial growth in my bladder.” 2. “Whenever I feel an infection coming […]
A 50-year-old male client is having a screening colonoscopy. The nurse instructs the client that: 1. No special preparation is required 2. Light sedation is normally used 3. No metallic objects are allowed 4. Swallowing of an opaque liquid is required ANSWER ANS: 2 Light sedation is required for a colonoscopy. Special preparation is […]
A client has been receiving tube feedings and is tolerating them very well. The health care pro-vider determines that the rate of the intermittent tube feedings may be advanced. The nurse pre-pares to: 1. Increase the feedings by 50 mL/day 2. Start an isotonic formula at half strength 3. Infuse a bolus feeding over 5 […]
While working with clients in the postoperative period, the nurse is very alert to the results of la-boratory tests. Which one of the following results is indicative of an infectious process? 1. Iron 80 g/100 mL 2. Neutrophils 65% 3. White blood cells (WBC) 18,000/mm3 4. Erythrocyte sedimentation rate (ESR) 15 mm/hr ANSWER ANS: […]
At a community health fair the nurse informs the residents that the influenza vaccine is recom-mended for clients: 1. Only older than age 65 2. 40 to 60 years of age 3. In any age-group who have a chronic disease 4. Who have an acute febrile illness ANSWER ANS: 3 Annual influenza vaccine is […]
