1. A nurse is assessing an older client. Which of the following findings should the nurse expect?
Decreased sense of balanced
Increased
... [Show More] nighttime sleeping
Heightened sense of pain
Nighttime urinary incontinence
2. A nurse is completing discharge teaching about ostomy care with a client who has a new
stoma. Which of the following instructions should the nurse include in the teaching? (select all
that apply)
“Cut the opening of the pouch ⅛ of an inch larger than the stoma “
“Place a piece a gauze over the stoma while changing the pouch”
“Use povidone-iodine to clean around the stoma”
“Empty the ostomy pouch when it becomes one-third full of contents”
“Expect the stoma to turn a purple-blue color as its heals”
3. A nurse is preparing to obtain informed consent from a client who speaks a different
language than the nurse. Which of the following actions should the nurse take?
“Request that an assistive personnel interpret the information for the client”
“Use proper medical terms when giving information to the client”
“Offer written information in the client’s language”
“Avoid using gestures when speaking to the client”
4. A nurse is teaching a client about home care equipment. Which of the following information
should the nurse include in the teaching? (select all that apply)
“Avoid using wool blankets when receiving oxygen”
“Keep the oxygen delivery system 0.6 m (2 feet) from any heat source”
“Check the oxygen delivery rate at least once a day”
“Align the middle of the ball in the flow meter with the line of the prescribed flow rate”
“Lay the oxygen tank flat when storing”
5. A nurse is planning care for a client who reports insomnia. Which of the following actions
should the nurse perform shortly before bedtime?
Provide a late supper.
Offer a wet washcloth for the client to wash her face
Perform range-of-motion exercises
Prepare hot cocoa or tea for the client
6. A nurse is caring for a client who has been treated multiple times for STIs. Which of the
following responses should the nurse take?
“You must have too many sexual partners”
“Why do you keep letting this happen?”
“Let's explore why this might be reoccuring”
“Don’t you have access to condoms?”
7. A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair
and begins to experience a seizure. Which of the following actions should the nurse take first?
Move items in the room away from the client
Turn the client onto their side
Help the client lie on the floor
Loosen the client’s clothing [Show Less]