A client’s hearing aid needs to be removed. What action should the nurse perform? 1. Assist the client with removal when necessary. 2. Instruct the client to remove the aid in the sunroom. 3. Leave the aid in place when bathing. 4. Send the aid home with the family. ANSWER Correct Answer: 1 Rationale […]
Date: September 24th, 2020
The nurse shows an understanding of the factors that have contributed to the redefining of home health care as a primary health service–delivery system when stating: 1. “It’s unfortunate that the client can be screened for illnesses in the privacy of their own home.” 2. “With people living well into their 70s and 80s, the […]
Date: September 24th, 2020
An example of a nurse imposing his/her own cultural beliefs on a client is evident in which of the following examples? 1. Adaptation of the client’s room to accommodate family members 2. Seeking information on gender-congruent care for an Egyptian client 3. Administering less potent pain medication to an outpatient surgery client 4. Encouraging family […]
Date: September 24th, 2020
Following abdominal surgery, the nurse suspects that the client may be having internal bleeding. Which of the following findings is indicative of this complication? 1. Increased blood pressure 2. Incisional pain 3. Abdominal distention 4. Increased urinary output ANSWER ANS: 3 Signs of internal bleeding following abdominal surgery may include abdominal distention; swell-ing or […]
Date: September 24th, 2020
Which of the following teaching topics is an example of health maintenance and promotion and illness prevention? 1. Glucose monitoring at home 2. Living with rheumatoid arthritis 3. Stress management’s impact on depression 4. What to expect after hip replacement surgery ANSWER ANS: 1 Promoting healthy behavior through education allows clients to assume more […]
Date: September 24th, 2020
The nurse knows that the client is most likely going to arrive for the surgical procedure having adhered to the required bowel preparation if: 1. The client understands the need for the laxative 2. The laxative ordered is pleasant tasting 3. The bowel preparation is an uncomplicated process 4. The client has the appropriate support […]
Date: September 24th, 2020
The nurse has formulated a nursing diagnosis of Impaired skin integrity related to poor hygienic practice, secondary to current living conditions. Which of the following data would support this diagnosis? (Select all that apply.) ______ Skin is dry, cracked ______ One large with several smaller open, ulcerated areas on right leg ______ Client does not […]
Date: September 24th, 2020
The nurse is preparing a comatose client for oral hygiene. Unless contraindicated, the best posi-tion to place the client in is: 1. Sims’ 2. Dorsal recumbent 3. Prone 4. Fowlers ANSWER ANS: 1 Turning the client’s head to the side allows secretions to drain from mouth instead of collecting in back of pharynx, preventing […]
Date: September 24th, 2020
A client has just been enrolled (through her employer) in an HMO. The client’s previous experience with health care coverage through her employer was with a PPO. The client asks the occupational health nurse to explain the difference. The best response by the nurse is which of the following? 1. “You’ll have good health care […]
Date: September 24th, 2020
Regarding the nurse’s use of the specific ethical principle of autonomy in a client situation, an example would be: 1. Learning to do a procedure safely and effectively 2. Returning to speak to a client at an agreed upon time 3. Preparing the client’s room for comfort and privacy 4. Supporting a client’s right to […]
Date: September 24th, 2020
