In discussion with adolescents, the nurse chooses to use the term sexually transmitted
infection rather than sexually transmitted disease. What is the rationale for this choice?
1. Infection is a much more precise term for the transmission that occurs.
2. The word disease may elicit guilt, shame, and fear in the client.
3. Sexually transmitted disease does not receive as much third-party reimbursement
as does sexually transmitted infection.
4. These terms can be used interchangeably and there is no good rationale for using
one over the other.
Give this one a try later!
, The word disease may elicit guilt, shame, and fear in the client.
Explanation: The term sexually transmitted disease can elicit guilt, shame,
and fear in the client.
During the admission interview, a culturally diverse client averts the eyes and refrains
from answering questions for long periods of time. Which action should the nurse take
to demonstrate cultural sensitivity?
1. Come back at a different time, when the client is feeling more communicative.
2. Have another nurse finish the interview, as there is something uncomfortable the
client senses.
3. Understand that this may be completely appropriate and take cues accordingly.
4. Leave the room and come back after having learned more about this particular
culture.
Give this one a try later!
Understand that this may be completely appropriate and take cues
accordingly.
Explanation: Nonverbal communication includes silence, touch, eye
movement, facial expressions, and body posture. Some cultures are quite
comfortable with long periods of silence. Many people value silence and
view it as essential to understanding a person's needs or use silence to
preserve privacy. Before assigning meaning to nonverbal behavior, the
nurse must consider the possibility that the behavior may have a different
meaning for the client and family.
,The nurse is preparing to apply a moist aquathermia pack to a client's left upper leg.
In which order should the nurse prepare and apply this treatment?
1. Use tape or gauze ties to hold the pad in place.
2. Set the desired temperature according to the manufacturer's instructions.
3. Apply the pad to the body part. The treatment is usually continued for 30 minutes.
4. Fill the reservoir of the unit two-thirds full of water as specified by the manufacturer.
5. Cover the pad and plug in the unit. Check for any leaks or malfunctions of the pad
before use.
Give this one a try later!
Answer: 4, 2, 5, 3, 1
Fill the reservoir of the unit two-thirds full of water as specified by the
manufacturer.
Set the desired temperature according to the manufacturer's instructions.
Cover the pad and plug in the unit. Check for any leaks or malfunctions of
the pad before use.
Apply the pad to the body part. The treatment is usually continued for 30
minutes.
Use tape or gauze ties to hold the pad in place.
The nurse provides a client with a back massage. Which information should the nurse
omit when documenting the care provided to this client?
1. Client fell asleep
, 2. Client reports feeling relaxed
3. Client reports pain level 3 on a scale from 1 to 10
4. Client talked with family on the telephone during the massage
Give this one a try later!
Client talked with family on the telephone during the massage
Explanation: Although the client should not have been talking on the phone
during the massage, this information does not need to be documented.
Falling sleep, feeling relaxed, and reporting a lower pain level should all be
documented after a back massage.
While changing a client's dressing, the nurse notes thick yellow-green drainage on the
gauze. How should the nurse document this wound's drainage?
1. Purulent
2. Serous
3. Sanguineous
4. Serosanguinous
Give this one a try later!
Purulent
Explanation: Purulent exudate is thick and can vary in color, including green
and yellow.
The parent of a 20-month-old is concerned because the baby touches the genital
area during diaper changes. How should the nurse respond to this concern?
1. At 20 months this touching is not a sexual experience.
infection rather than sexually transmitted disease. What is the rationale for this choice?
1. Infection is a much more precise term for the transmission that occurs.
2. The word disease may elicit guilt, shame, and fear in the client.
3. Sexually transmitted disease does not receive as much third-party reimbursement
as does sexually transmitted infection.
4. These terms can be used interchangeably and there is no good rationale for using
one over the other.
Give this one a try later!
, The word disease may elicit guilt, shame, and fear in the client.
Explanation: The term sexually transmitted disease can elicit guilt, shame,
and fear in the client.
During the admission interview, a culturally diverse client averts the eyes and refrains
from answering questions for long periods of time. Which action should the nurse take
to demonstrate cultural sensitivity?
1. Come back at a different time, when the client is feeling more communicative.
2. Have another nurse finish the interview, as there is something uncomfortable the
client senses.
3. Understand that this may be completely appropriate and take cues accordingly.
4. Leave the room and come back after having learned more about this particular
culture.
Give this one a try later!
Understand that this may be completely appropriate and take cues
accordingly.
Explanation: Nonverbal communication includes silence, touch, eye
movement, facial expressions, and body posture. Some cultures are quite
comfortable with long periods of silence. Many people value silence and
view it as essential to understanding a person's needs or use silence to
preserve privacy. Before assigning meaning to nonverbal behavior, the
nurse must consider the possibility that the behavior may have a different
meaning for the client and family.
,The nurse is preparing to apply a moist aquathermia pack to a client's left upper leg.
In which order should the nurse prepare and apply this treatment?
1. Use tape or gauze ties to hold the pad in place.
2. Set the desired temperature according to the manufacturer's instructions.
3. Apply the pad to the body part. The treatment is usually continued for 30 minutes.
4. Fill the reservoir of the unit two-thirds full of water as specified by the manufacturer.
5. Cover the pad and plug in the unit. Check for any leaks or malfunctions of the pad
before use.
Give this one a try later!
Answer: 4, 2, 5, 3, 1
Fill the reservoir of the unit two-thirds full of water as specified by the
manufacturer.
Set the desired temperature according to the manufacturer's instructions.
Cover the pad and plug in the unit. Check for any leaks or malfunctions of
the pad before use.
Apply the pad to the body part. The treatment is usually continued for 30
minutes.
Use tape or gauze ties to hold the pad in place.
The nurse provides a client with a back massage. Which information should the nurse
omit when documenting the care provided to this client?
1. Client fell asleep
, 2. Client reports feeling relaxed
3. Client reports pain level 3 on a scale from 1 to 10
4. Client talked with family on the telephone during the massage
Give this one a try later!
Client talked with family on the telephone during the massage
Explanation: Although the client should not have been talking on the phone
during the massage, this information does not need to be documented.
Falling sleep, feeling relaxed, and reporting a lower pain level should all be
documented after a back massage.
While changing a client's dressing, the nurse notes thick yellow-green drainage on the
gauze. How should the nurse document this wound's drainage?
1. Purulent
2. Serous
3. Sanguineous
4. Serosanguinous
Give this one a try later!
Purulent
Explanation: Purulent exudate is thick and can vary in color, including green
and yellow.
The parent of a 20-month-old is concerned because the baby touches the genital
area during diaper changes. How should the nurse respond to this concern?
1. At 20 months this touching is not a sexual experience.
