A client has a viral infection. Which of the following is typical of the illness stage of the course of her infection? 1. There are no longer any acute symptoms. 2. An oral temperature reveals a febrile state. 3. The client was first exposed to the infection 2 days ago but has no symptoms. 4. […]
To meet the needs of assigned clients and the responsibilities associated with the position, nurses need to be aware of time management techniques. The time management skills for the nurse in-clude: 1. Meeting all of the client’s needs in the early morning hours 2. Anticipating possible interruptions by therapists and visitors 3. Leaving each day […]
Upon inspection of the client’s wound, the nurse notes that it appears infected and has a large amount of exudate. An appropriate dressing for the nurse to select based on the wound assess-ment is: 1. Foam 2. Hydrogel 3. Hydrocolloid 4. Transparent film ANSWER ANS: 1 A foam dressing absorbs exudate and debris while […]
A client has hard contact lenses. What should the nurse do to assist the client in the care of the lenses? 1. Pinch the lenses out of the client’s eyes to remove. 2. Remove both of the client’s lenses before storing in the appropriate storage cup. 3. Document when the lenses need to be removed […]
A client who recently underwent surgery and now has a colostomy is correctly instructed by the nurse that for the next few weeks the client’s diet will include foods such as: 1. Vegetables 2. Fresh fruit 3. Whole grain breads 4. Poached eggs and rice ANSWER ANS: 4 During the first weeks after surgery, […]
A client is prescribed a saline enema. Because this solution is hypertonic, the nurse would expect the enema to cause which action? 1. Exerts osmotic pressure and draws fluid from the interstitial space into the colon 2. Exerts a lower osmotic pressure than the surrounding interstitial fluid 3. Exerts the same osmotic pressure as the […]
A timed urine specimen collection is ordered. The test will need to be restarted if which of the following occurs? 1. The client voids in the toilet. 2. The urine specimen is kept cold . 3. The first voided urine is discarded. 4. The preservative is placed in the collection container. ANSWER ANS: 1 […]
A client is pregnant for the third time. In regard to her nutritional status, she should: 1. Limit her weight gain to a maximum of about 25 pounds 2. Approximately double her protein intake 3. Increase her vitamin A and milk product consumption 4. Increase her intake of folic acid ANSWER ANS: 4 Folic […]
A client is prescribed a 1600-calorie diet. Of this diet, 30% of the intake should be protein, 20% fat, and 50% carbohydrates. How many grams of carbohydrates should the client ingest every day? What will be an ideal response? ANSWER Correct Answer: 200 grams Rationale: First determine the number of calories for carbohydrates by […]
The nurse is teaching health and wellness principles to junior high students. According to Orem’s theory, which category of self-care requisite are these students experiencing? 1. Universal 2. Developmental 3. Health deviation 4. Deficit ANSWER Correct Answer: 2 Rationale 1: Universal requisites are common to all people and include nutrition, hydration, elimination, and rest. […]