Kaplan Fundamentals A
The nurse does discharge teaching with a client that has a new diagnosis of eczema. Which common foods are a likely
... [Show More] contributing factors of eczema that the client should eliminate in the diet? - CORRECT ANSWER Milk, wheat, egg whites.
The clinic nurse interviews a middle-age adult client who comes to the clinic reporting difficulty sleeping and ongoing fatigue. The nurse learns the client works as a security guard and frequently works the night shift. Which is the best initial statement for the nurse to make while discussing this clients problem? - CORRECT ANSWER "Tell me about your usual sleeping habits."
The nurse provides care for a client at risk for developing a pressure injury. The nurse knows which factor puts the client at risk? Select all that apply.
1. decreased skin moisture
2. Ambulation with an assistive device.
3.Bony prominences.
4.Early stage Alzheimer disease.
5. immobility.
6.Low serum albumin. - CORRECT ANSWER 3. Bony prominences
5. Immobility
6. Low serum albumin
Moist to dry dressing changes are prescribed for a client. After the first layer of dressing is removed, the client yells at the nurse, " Ouch, that really hurts. Are you sure you are doing it right?" Which statement is the best response by the nurse? - CORRECT ANSWER "I'm sorry this hurts. I will add some normal saline to loosen it a bit more."
The nurse assesses an older adult client. Which statement does the nurse expect the client to make? - CORRECT ANSWER "Eating just does not appeal to me anymore."
The nurse identifies a staff member is using standard precautions appropriately if which action is observed? - CORRECT ANSWER The staff member places contaminated linens in a leak-proof bag.
The nurse knows that serum albumin is used as an indicator of malnutrition for which reason? - CORRECT ANSWER Serum albumin is easy to measure and can indicate a protein deficiency that may not be detected on physical examination.
The nurse explains to the nursing student that a client has a new diagnosis of psoriasis. Which best describes psoriasis? - CORRECT ANSWER Chronic autoimmune reaction.
An older adult client asks "why am I having constipation?" Which rationale does the nurse use regarding the PRIMARY reason for constipation for this client? - CORRECT ANSWER Older adult clients have less physical activity and decreased muscle tone.
A liver scan is prescribed for a client prior to surgery. Which description BEST describes this procedure? - CORRECT ANSWER The client will be asked to lie still while a scanning probe is passed back and forth over the body.
Following a total hip arthroplasty, the elderly client is ordered to begin ambulation with a walker. Which statement by the nurse is BEST? - CORRECT ANSWER Make sure rubber caps are in place on all four legs of the walker.
The nurse provides care for a client beginning intermittent heparin therapy. The nurse knows which laboratory test is used to monitor the effectiveness of heparin? - CORRECT ANSWER Activated partial thromboplastin time. APTT
The nurse provides care for clients in a long term care facility. Which client indicates a need for the nurse to reinforce teaching about the use of assistive devices? Select all that apply.
1. The client uses a swing-through crutch gait to prevent weight bearing on the affected leg.
2. The client places weight on the axilla when taking a step using crutches.
3. The client lifts the walker, moves it forward then walks between the legs of the walker.
4. The client places a cane in the hand on the side of the unaffected leg.
5. The client uses a four-point crutch gait with no weight bearing on the affected leg.
6. The client uses a three-point crutch gait to prevent weight bearing on the affected leg. - CORRECT ANSWER 2. 4, 5.
The client with a diagnosis of ovarian cancer experiences severe pain. Which principle does the nurse remember when caring for this client? - CORRECT
ANSWER Pain medication is more effective if given before pain becomes severe.
Which nursing action is BEST to identify and manage a clients valuable items during hospitalization? - CORRECT ANSWER Document the disposition of the clients valuable items in the medical record.
The nurse provides care for a client with an abdominal wound. Which action does the nurse take first? - CORRECT ANSWER Places the client on contact precautions. [Show Less]