A client is recovering from an infected abdominal wound. Which
foods should the nurse encourage the client to eat to support wound
healing and recovery
... [Show More] from the infection?
You Selected:
• chicken and orange slices
Correct response:
• chicken and orange slices
Question 16
A nurse suspects that the laboring client may have been physically
abused by her partner. What is the most appropriate intervention by
the nurse?
You Selected:
• Collaborate with the interprofessional team to make a referral
to social services.
Correct response:
• Collaborate with the interprofessional team to make a referral
to social services.
Question 17
A client is newly diagnosed with asthma. While learning to use a
metered dose inhaler (MDI) for delivery of a short-term beta
agonist, the client asks if a spacer is appropriate to use with this
device. What is the nurse’s best response?
You Selected:
• “No, a spacer is not recommended because it can increase the
risk of developing oropharyngeal candidiasis.”
Correct response:
• “Yes, a spacer is recommended because it increases the
amount of medication that is delivered to the lungs.”
Question 18
The nurse is planning care for a client who had surgery for
abdominal aortic aneurysm repair 2 days ago. The pain medication
and the use of relaxation and imagery techniques are not relieving
the client’s pain, and the client refuses to get out of bed to ambulate
as prescribed. The nurse contacts the health care provider (HCP),
explains the situation, and provides information about drug dose,
frequency of administration, the client’s vital signs, and the client’s
score on the pain scale. The nurse requests a prescription for a
different, or stronger, pain medication. The HCP tells the nurse that
the current prescription for pain medication is sufficient for this
client and that the client will feel better in several days. What should
the nurse do next?
You Selected:
• Explain to the HCP that the current pain medication and other
strategies are not helping the client and it is making it difficult
for the client to ambulate as prescribed.
Correct response:
• Explain to the HCP that the current pain medication and other
strategies are not helping the client and it is making it difficult
for the client to ambulate as prescribed.
Question 19
The nurse is making a room assignment for a client whose
laboratory test result indicate pancytopenia. Which client should the
nurse put into the same room with the client with pancytopenia?
You Selected:
• a client with digoxin toxicity
Correct response:
• a client with digoxin toxicity
Question 20
A community health nurse provides a client with information about
a local support group for those with multiple sclerosis. Providing
this information is an example of which of the following?
You Selected:
• A referral.
Correct response:
• A referral.
Question 21
A nurse working on a neurologic floor has received reports on four
clients. After identifying priority assessment data for each client,
which client should the nurse investigate first?
You Selected:
• the client admitted after a head injury in a motor vehicle who
reports nausea
Correct response:
• the client admitted after a head injury in a motor vehicle who
reports nausea
Question 22
The mother of an adolescent client who is diagnosed with
oppositional defiant disorder tells the nurse that she has read
extensively on this disorder and does not believe the diagnosis is
correct for her daughter. Which response by the nurse is
appropriate?
You Selected:
• “Tell me what you’ve found in your reading that’s leading
you to that conclusion.”
Correct response:
• “Tell me what you’ve found in your reading that’s leading
you to that conclusion.”
Question 23
A nurse prepares a client's medication by reconstituting a multi-dose
vial of medication. What other nursing interventions should the
nurse take? Select all that apply.
You Selected:
• Label the vial with the strength of the medication.
• Store the multi-dose vial in a secure place.
• Initial the vial as the person reconstituting the medication.
Correct response:
• Label the vial with the strength of the medication.
• Store the multi-dose vial in a secure place.
• Initial the vial as the person reconstituting the medication.
Question 24
Because of religious beliefs, a client, who is an Orthodox Jew,
refuses to eat hospital food. Hospital policy discourages food from
outside the hospital. The nurse should next:
You Selected:
• discuss the situation and possible courses of action with the
dietitian and the client.
Correct response:
• discuss the situation and possible courses of action with the
dietitian and the client.
Question 25
After a plaster cast has been applied to the arm of a child with a
fractured right humerus, the nurse completes discharge teaching.
The nurse should evaluate the teaching as successful when the
mother agrees to seek medical advice if the child experiences which
symptom?
You Selected:
• fussiness and reports that the cast is heavy
Correct response:
• inability to extend the fingers on the right hand
Question 26
While shopping, a nurse meets a neighbor who asks about a friend
receiving treatment at the nurse's clinic. What is the
nurse's most appropriate response?
You Selected:
• "I'm sorry, I can't disclose client information."
Correct response:
• "I'm sorry, I can't disclose client information."
Question 27
When assessing an 18-year-old primipara who gave birth under
epidural anesthesia 24 hours ago, the nurse determines that the
fundus is firm but to the right of midline. Based on this finding, the
nurse should further assess for which complication?
You Selected:
• urinary retention
Correct response:
• urinary retention
Question 28
Which situation demonstrates correct principles of confidentiality?
You Selected:
• Two nurses alone in an elevator are discussing a client's
status.
Correct response:
• An emergency department nurse reports suspected child
abuse.
Question 29
The nurse in a psychiatric unit has formed a therapeutic relationship
with a client with a borderline personality disorder. When the client
is readmitted to the unit for a suicide attempt, the nurse exclaims to
another staff nurse, “Why? Everything was going well. How could
they do this to me?” What response by the staff nurse reflects an
understanding of the client’s borderline disorder?
You Selected:
• “Clients with borderline disorder act out to relieve anxiety,
and something must have provoked a great deal of anxiety.”
Correct response:
• “Clients with borderline disorder act out to relieve anxiety,
and something must have provoked a great deal of anxiety.” [Show Less]