The term patient usually implies that the person is: 1. Seeking assistance because of illness. 2. Proactive in his or her health care needs. 3. A collaborator in his or her care. 4. Using a service or commodity. ANSWER Correct Answer: 1 Rationale: The word patient comes from a Latin word meaning “to suffer” […]
While ambulating in the hallway of a hospital, the client complains of extreme dizziness. The nurse, alert to a syncopal episode, should first: 1. Support the client and walk quickly back to the room 2. Lean the client against the wall until the episode passes 3. Lower the client gently to the floor 4. Go […]
Services that are representative of today’s concept of home care include: 1. A case manager arranging services to meet the client’s need for physical therapy after a fall. 2. A nurse educating the pregnant teenager on the signs of premature labor. 3. A durable supply company delivering a wheelchair to a client with spina bifida. […]
The nurse is applying restraints to a client. After securing a health care provider’s order, what should the nurse do? 1. Assess the restraints every 10 minutes. 2. Pad bony prominences. 3. Secure the restraint to the side rail. 4. Tie the restraint with a square knot. ANSWER Correct Answer: 2 Rationale 1: The […]
Which of the following outcomes, made by a nurse planning care for a client recently fitted with a hearing aid, best reflects an understanding of short-term client education goals? 1. Client will properly clean the hearing aid ear piece daily with soap and water. 2. Client will state 3 positive effects of wearing his hearing […]
A client is diagnosed with a peptic ulcer and has come to the primary health care provider for a follow-up visit. The client asks the nurse what foods are safe to add to his diet. An appropriate response by the nurse is to inform the client that which of the following may be added to […]
The nurse is planning care for a client who is prone to falling. Which nursing diagnoses should the nurse use for this client? 1. Deficient Knowledge 2. Risk for Injury 3. Risk for Disuse Syndrome 4. Risk for Suffocation ANSWER Correct Answer: 2 Rationale 1: Deficient Knowledge deals with injury prevention. A client who […]
The nurse anticipates that the client with a fluid volume excess will manifest a(n): 1. Increased urine specific gravity 2. Decreased body weight 3. Increased blood pressure 4. Decreased pulse strength ANSWER ANS: 3 Hypertension is manifested with fluid volume excess. The urine specific gravity would be de-creased with fluid volume excess. The nurse […]
Which one of the following client assessment findings indicates a lifestyle risk factor to the nurse? 1. Obesity 2. Sunbathing 3. Overcrowded housing 4. Industrial-based occupation ANSWER ANS: 2 Excessive sunbathing is a lifestyle risk factor for skin cancer. Obesity is a physiological risk factor. Overcrowded housing is an environmental risk factor. An industrial-based […]
Which of the following critical thinking attitudes contributes to an effective nurse-client rela-tionship? (Select all that apply.) 1. Fairness 2. Guarded 3. Curiosity 4. Creativity 5. Perseverance 6. Self-confidence ANSWER ANS: 1, 3, 4, 5, 6 Curiosity motivates the nurse to communicate and know more about a person. Perseverance and creativity are also attitudes […]