An older client is experiencing the greatest problem with the concept of autonomy when he has difficulty: 1. Expressing his need for pain medication 2. Disagreeing with his health care provider 3. Participating in discussions regarding his treatment 4. Discussing his need for assistive living arrangements ANSWER ANS: 2 Older people are usually not […]
When cleaning a wound, the nurse should: 1. Wash over the wound twice and discard that swab 2. Move from the outer region of the wound toward the center 3. Start at the drainage site and move outward with circular motions 4. Use an antiseptic solution followed by a normal saline rinse ANSWER ANS: […]
The purpose and distinction of a concept map, which a nurse may use when implementing a plan of care, are for: 1. Multidisciplinary communication 2. Quality assurance in the health care facility 3. Provision of a standardized format for client problems 4. Identification of the relationship of client problems and interventions ANSWER ANS: 4 […]
The nurse recognizes that which one of the following statements is correct concerning comple-mentary and alternative medicine? 1. One third to one half of the U.S. population uses one or more forms of alternative therapy. 2. Insurance coverage is available at the same amount as for traditional medicine. 3. Use of alternative therapies is still […]
A close, effective nurse-client relationship impacts interpersonal communication most by facili-tating: 1. Client education regarding health-related issues 2. The accurate interpretation of shared information 3. A free exchange of information between client and nurse 4. The client’s expression of physical and emotional needs ANSWER ANS: 2 The more the sender and receiver have in […]
A client woke in the middle of the night, confused and unaware of the surroundings. Although the call light was within reach, the client got out of bed unassisted, tripped on the bedside chair, and fell. Which of the following elements of malpractice is missing in this case? 1. Foreseeability 2. Damages 3. Injury 4. […]
The nurse is collecting a specimen from an infected wound. From which portion of the wound should the specimen be collected? 1. Clean areas of granulation tissue 2. Exudate in the bottom of the wound 3. A pus-coated area on the side of the wound 4. Intact skin at the edge of the wound […]
A client is having issues with urinary elimination. What should the nurse instruct this client to promote urinary elimination? 1. Don’t interrupt your day by going to the bathroom; wait until you’re at a good stopping place. 2. Drink 8 to 10 glasses of water daily. 3. Urine color changes are not important. 4. Wash […]
The client is to receive a Mantoux test for tuberculosis. This test is administered via an intrader-mal injection. The nurse recognizes that the angle of injection that is used for an intradermal in-jection is: 1. 15 degrees 2. 30 degrees 3. 45 degrees 4. 90 degrees ANSWER ANS: 1 The angle of injection for […]
Which of the following outcomes best reflects a nurse-sensitive client outcome? 1. Client will consume 75% of all meals. 2. Client will perform personal hygiene daily. 3. Client will experience no falls during hospitalization. 4. Client will report lessened anxiety regarding surgical procedure. ANSWER ANS: 3 A nurse-sensitive client outcome is a measurable client […]
