The nurse decides to interview the client using the open-ended question technique. Which of the following statements reflects this type of questioning? 1. “Is your pain worse or better than it was an hour ago?” 2. “Do you believe that your nausea is from the new antibiotic?” 3. “What do you think has been causing […]
Date: September 24th, 2020
The nurse prepares to irrigate the client’s wound. The primary reason for this procedure is to: 1. Decrease scar formation 2. Remove debris from the wound 3. Improve circulation from the wound 4. Decrease irritation from wound drainage ANSWER ANS: 2 The gentle washing action of the irrigation cleanses a wound of exudate and […]
Date: September 24th, 2020
The nurse is assisting an older adult client with morning care. The client experienced a stroke 2 years ago and has right-sided weakness. The nurse should expect the client to require assistance with which of the following tasks? (Select all that apply.) 1. Combing her hair 2. Holding her toothbrush 3. Wringing out the washcloth […]
Date: September 24th, 2020
The nurse is providing care to a dying client. Which of the following is the primary concern? The nurse should: 1. Promote optimism in the client and be a source of encouragement 2. Promote dignity and self-esteem in as many interventions as is appropriate 3. Allow the client to be alone and expect isolation on […]
Date: September 24th, 2020
A client is leaving for surgery and because of preoperative sedation needs complete assistance to transfer from the bed to the stretcher. Which of the following should the nurse do first? 1. Elevate the head of the bed. 2. Explain the procedure to the client. 3. Place the client in the prone position. 4. Assess […]
Date: September 24th, 2020
The nurse and the mother of an infant are discussing the introduction of solid foods into her child’s diet. Which of the following statements made by the mother reflects the best understanding of the most appropriate manner to introduce new foods? 1. “Both my husband and I have allergies, so I am very cautious about […]
Date: September 24th, 2020
The nurse is preparing to teach a group of adult women about the signs and symptoms of a myo-cardial infarction (heart attack). The nurse will include in the teaching plan the results of research that demonstrate women may experience specific symptoms, such as: 1. Visual difficulties 2. Epigastric pain 3. Loss of motor function unilaterally […]
Date: September 24th, 2020
After eating dinner, a client asks for help to get to the bathroom because of an extreme urge to defecate. The nurse realizes that the client has experienced which physiological function of the colon? 1. Flatus 2. Mass peristalsis 3. Haustral churning 4. Peristalsis ANSWER Correct Answer: 2 Rationale 1: Flatus is largely air […]
Date: September 24th, 2020
A terminally ill client is reporting a sense of anxiety and dyspnea. The nurse’s initial intervention is to: 1. Assess the client’s vital signs and administer the prescribed antianxiety medica-tion 2. Determine the cause of the client’s dyspnea and provide both emotional and physical support 3. Position the client in a semi-Fowler’s position and provide […]
Date: September 24th, 2020
A large community clinic provides health education, illness prevention, acute care, screening, and rehabilitation and health promotion services for the chronically ill. In assessing the type of approach this represents, the community health nurse would identify this as which of the following? 1. Community-based setting 2. Integrated health care system 3. Wellness center 4. Community […]
Date: September 24th, 2020
