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The nurse is caring for a 17-year-old client with Guillain-Barré syndrome who is
beginning to have return of sensation and motor function. The client states, "I'm
going to miss my senior dance. It's not fair." Which of the following responses
would be appropriate for the nurse to make?
1."You will be able to have your friends visit and tell you about the dance."
2."You should be happy that you are getting some movement back."
3."You will graduate from high school soon and there will be dances at the college
you plan to attend."
4."You are sad because you will miss something you have looked forward to for a
long time." ---------CORRECT ANSWER-----------------4."You are sad because you will
miss something you have looked forward to for a long time."
The nurse has received the following information about assigned clients. The
nurse should first check the client who
1.has gastroenteritis, is reporting nausea and vomited 100 mL of green liquid
2.has a long leg cast and is sitting in a chair with the casted leg elevated on a stool
3.had an appendectomy 1 day ago and has a 0.8 in (2 cm) area of
serosanguineous drainage on the incision dressing
,4.had a thyroidectomy 2 days ago and has muscle spasms in the wrist when the
blood pressure is taken ---------CORRECT ANSWER-----------------4.had a
thyroidectomy 2 days ago and has muscle spasms in the wrist when the blood
pressure is taken
The nurse is contributing to a staff development conference about client
confidentiality. Which of the following information should the nurse suggest
including? Select all that apply.
1."The client's medical record is the client's property and the client may have
access to the record at any time."
2."Unneeded computer-generated worksheets must be shredded at the end of
the shift to ensure client confidentiality."
3."Personal computer passwords may not be shared with anyone, including other
members of the client's health care team."
4."Medical information about the client may be shared with a police officer who
brought the client into the emergency department (ED)."
5."Keep your voice low when speaking with the client because direct interactions
with clients must be kept as private as possible." ---------CORRECT ANSWER----------
-------2,3,5
The nurse is collecting data from a client with a preliminary diagnosis of
abdominal aortic aneurysm. Which of the following findings would be consistent
with an abdominal aortic aneurysm?
1.urinary retention
2.back pain
3.neck vein distention
,4.dysphagia ---------CORRECT ANSWER-----------------2.back pain
The nurse has participated in a staff development conference about caring for
clients with various religious beliefs who are terminally ill. Which of the following
statements by the nurse would indicate a correct understanding of the teaching?
1."A family member will turn a client who practices Buddhism east to face Mecca
prior to death."
2."After death, a member of a burial society will wash the body of a client who
practices Orthodox Judaism."
3."After death, a family member will cover the mirrors in the room of a client who
practices the Greek Orthodox religion."
4."A priest will tie a thread around the wrist of a client who practices Roman
Catholicism to signify a blessing prior to death." ---------CORRECT ANSWER-----------
------2."After death, a member of a burial society will wash the body of a client
who practices Orthodox Judaism."
The charge nurse in a long-term care facility has made client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the
charge nurse would provide the best information to a UAP about the assignment?
1."The client needs assistance to get out of bed."
2."The client needs to have food cut into bite-sized pieces."
3."The client needs range-of-motion (ROM) exercises every 4 hours."
4."The client needs frequent perineal care." ---------CORRECT ANSWER----------------
-2."The client needs to have food cut into bite-sized pieces."
, The nurse is collecting data from a client with right-sided heart failure. Which of
the following findings would be consistent with right-sided heart failure? Select all
that apply.
1.edema
2.dyspnea
3.dry cough
4.weight gain
5.jugular vein distention (JVD) ---------CORRECT ANSWER-----------------1.edema
2.dyspnea
The nurse is contributing to the plan of care for a client with chronic obstructive
pulmonary disease (COPD). Which of the following interventions should the nurse
suggest including in the client's plan of care?
1.Place the client in low-Fowler's position for meals.
2.Provide the client with a high-carbohydrate diet and high-carbohydrate snacks.
3.Restrict the client's fluid intake to 500 mL daily.
4.Provide the client with small, frequent meals, and schedule a rest period before
and after meals. ---------CORRECT ANSWER-----------------2.Provide the client with a
high-carbohydrate diet and high-carbohydrate snacks.
The nurse has reinforced teaching with a client who is scheduled for
electroconvulsive therapy (ECT). Which of the following statements by the client
would indicate a correct understanding of the teaching?
Questions and Correct Answers |
Graded A+ | Verified Answers | Just
Released
The nurse is caring for a 17-year-old client with Guillain-Barré syndrome who is
beginning to have return of sensation and motor function. The client states, "I'm
going to miss my senior dance. It's not fair." Which of the following responses
would be appropriate for the nurse to make?
1."You will be able to have your friends visit and tell you about the dance."
2."You should be happy that you are getting some movement back."
3."You will graduate from high school soon and there will be dances at the college
you plan to attend."
4."You are sad because you will miss something you have looked forward to for a
long time." ---------CORRECT ANSWER-----------------4."You are sad because you will
miss something you have looked forward to for a long time."
The nurse has received the following information about assigned clients. The
nurse should first check the client who
1.has gastroenteritis, is reporting nausea and vomited 100 mL of green liquid
2.has a long leg cast and is sitting in a chair with the casted leg elevated on a stool
3.had an appendectomy 1 day ago and has a 0.8 in (2 cm) area of
serosanguineous drainage on the incision dressing
,4.had a thyroidectomy 2 days ago and has muscle spasms in the wrist when the
blood pressure is taken ---------CORRECT ANSWER-----------------4.had a
thyroidectomy 2 days ago and has muscle spasms in the wrist when the blood
pressure is taken
The nurse is contributing to a staff development conference about client
confidentiality. Which of the following information should the nurse suggest
including? Select all that apply.
1."The client's medical record is the client's property and the client may have
access to the record at any time."
2."Unneeded computer-generated worksheets must be shredded at the end of
the shift to ensure client confidentiality."
3."Personal computer passwords may not be shared with anyone, including other
members of the client's health care team."
4."Medical information about the client may be shared with a police officer who
brought the client into the emergency department (ED)."
5."Keep your voice low when speaking with the client because direct interactions
with clients must be kept as private as possible." ---------CORRECT ANSWER----------
-------2,3,5
The nurse is collecting data from a client with a preliminary diagnosis of
abdominal aortic aneurysm. Which of the following findings would be consistent
with an abdominal aortic aneurysm?
1.urinary retention
2.back pain
3.neck vein distention
,4.dysphagia ---------CORRECT ANSWER-----------------2.back pain
The nurse has participated in a staff development conference about caring for
clients with various religious beliefs who are terminally ill. Which of the following
statements by the nurse would indicate a correct understanding of the teaching?
1."A family member will turn a client who practices Buddhism east to face Mecca
prior to death."
2."After death, a member of a burial society will wash the body of a client who
practices Orthodox Judaism."
3."After death, a family member will cover the mirrors in the room of a client who
practices the Greek Orthodox religion."
4."A priest will tie a thread around the wrist of a client who practices Roman
Catholicism to signify a blessing prior to death." ---------CORRECT ANSWER-----------
------2."After death, a member of a burial society will wash the body of a client
who practices Orthodox Judaism."
The charge nurse in a long-term care facility has made client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the
charge nurse would provide the best information to a UAP about the assignment?
1."The client needs assistance to get out of bed."
2."The client needs to have food cut into bite-sized pieces."
3."The client needs range-of-motion (ROM) exercises every 4 hours."
4."The client needs frequent perineal care." ---------CORRECT ANSWER----------------
-2."The client needs to have food cut into bite-sized pieces."
, The nurse is collecting data from a client with right-sided heart failure. Which of
the following findings would be consistent with right-sided heart failure? Select all
that apply.
1.edema
2.dyspnea
3.dry cough
4.weight gain
5.jugular vein distention (JVD) ---------CORRECT ANSWER-----------------1.edema
2.dyspnea
The nurse is contributing to the plan of care for a client with chronic obstructive
pulmonary disease (COPD). Which of the following interventions should the nurse
suggest including in the client's plan of care?
1.Place the client in low-Fowler's position for meals.
2.Provide the client with a high-carbohydrate diet and high-carbohydrate snacks.
3.Restrict the client's fluid intake to 500 mL daily.
4.Provide the client with small, frequent meals, and schedule a rest period before
and after meals. ---------CORRECT ANSWER-----------------2.Provide the client with a
high-carbohydrate diet and high-carbohydrate snacks.
The nurse has reinforced teaching with a client who is scheduled for
electroconvulsive therapy (ECT). Which of the following statements by the client
would indicate a correct understanding of the teaching?
