Which of the following interventions best reflects the nurse’s attempt to honor the terminally ill client’s cultural values? 1. Interviewing both the client and the family to identify preferred end-of-life care 2. Talking openly and without biases about the client’s end-of-life care preferences 3. Providing the family with the opportunity to realize the client’s end-of-life […]
A client’s status is deteriorating, and the physician prescribes a medication to be administered immediately one time. The nurse would contact the pharmacy and identify this medication order as being of which type? 1. Standing 2. PRN 3. STAT 4. Single order ANSWER Correct Answer: 3 Rationale 1: A standing order might not have […]
The nurse who is teaching a client breast self-examination describes inspection of the breasts before a mirror. Which findings should the nurse tell the client should be evaluated by a health care provider? 1. Puckering of the skin 2. Flattening of the breast from the side view 3. Free movement of the breast over the […]
The nurse and a client are discussing the client’s tendency to develop numerous “colds” during the winter months. The client’s health history reveals that he is a 1 pack a day smoker. Which of the following nursing statements is most appropriate regarding the possible relationship between the client’s cigarette smoking and the frequency of winter […]
The nurse knows that the greatest internal factor to consider when educating an adult client con-cerning health promotion activities is the client’s: 1. Emotional wellness 2. Developmental stage 3. Professed spirituality 4. Intellectual background ANSWER ANS: 4 A person’s beliefs about health are shaped in part by the person’s knowledge, lack of knowledge, or […]
The nurse is assessing a 16-year-old who has been diagnosed with a sexually transmitted disease (STD). The nurse realizes that such risk-taking behavior is often a predictor of even more serious self-destructive behaviors, and so this client should be: 1. Screened for illegal drug use 2. Assessed for suicidal ideations 3. Interviewed regarding alcohol consumption […]
The nurse is counseling a 64-year-old client that it is important to eat plenty of fruits and vegeta-bles, but the client should avoid which of the following because it can inhibit the absorption of some drugs? 1. Oranges 2. Grapefruit 3. Pineapple 4. Asparagus ANSWER ANS: 2 Caution older adults to avoid grapefruit and […]
A nurse reads about a case study involving the potential positive effects of the early stimulation of post–head-injury clients. Which of the following questions should be a priority consideration before use of the research results? 1. “What was the cost of the study?” 2. “Were ethical principles maintained?” 3. “Were the results of this study […]
To locate the recording of a nurse’s description of the teaching provided to the client on perfor-mance of self-medication administration, one would look in a(n): 1. Kardex 2. Incident report 3. Nursing history form 4. Discharge summary form ANSWER ANS: 4 A nurse’s description of the teaching provided to the client on performance of […]
Which of the following nursing actions should be initiated first when dealing with the following unmet client goal: “Client will lose 10 pounds in 3 months?” 1. Interview the client to identify reasons why the goal was not met. 2. Assess the client for possible physical reasons for failure to lose the weight. 3. Discuss […]
