PN Fundamentals 2020 midterm (Hayward Campus)/A nurse is caring for a client who has been vomiting and has diarrhea. Which of the
following findings
... [Show More] should the nurse identify as an indication of fluid volume deficit?
A. BUN 18 mg/dL.
B. A thready pulse.
C. Hemoglobin 15 g/dL.
D. Prominent neck veins.
B. A thready pulse. ( A client who has fluid volume deficit will have thready
peripheral pulses).
A nurse is planning care for a group of clients. The nurse should expect to witness an
informed consent for a client who will undergo which of the following procedures?
A. Administration of an enema.
B. Performance of a paracentesis.
C. Insertion of an indwelling urinary catheter.
D. Placement of an NG tube.
B. Performance of a paracentesis. (The nurse should expect to witness the
informed consent for a client prior to an invasive diagnostic procedure, such as a
paracentesis)
A nurse is caring for a client who has chronic pain. The nurse recommends that the
client concentrate on a memory of a pleasurable experience. Which of the following
complementary therapies is the nurse suggesting?
A. Art therapy.
B. Tai chi.
C. Guided imagery.
D. Biofeedback.
C. Guided imagery. (Guided imagery is a technique that can produce physical
changes in the body, such as decreasing pain levels, by concentrating on a
visualization of a pleasurable memory).
A nurse is reinforcing teaching about advance directives with a client who has endstage renal disease. Which of the following client statements indicates an understanding
of the teaching?
A. "I know that I can change my advance directives if I need to in the future."
B. "My health care surrogate will make my health care decisions as soon as I have
signed the power of attorney."
C. "My family can overrule the decisions made by my health care surrogate."
D. "Advance directive from one state are valid in any other state."
A. "I know that I can change my advance directives if I need to in the future."
(The client can change their advance directives at their discretion).
A nurse is caring for a client who has a new diagnosis of cancer. Which of the following
actions by the nurse maintains the client's confidentiality?
A. Sharing the client's prognosis with a member of the client's family.
B. Discussing the client's status with a member of the spiritual support team.
C. Collaborating with a nurse from another unit about the client's care.
D. Providing client information to another nurse at change of shift.
D. Providing client information to another nurse at change of shift. (The nurse can
share information with other staff who are caring for the client because it is
essential to maintaining continuity of care, and does not violate the client's
confidentiality. The nurse should only share information about the client with
those directly involved in the client's care).
A nurse and an assistive personnel (AP) are providing postmortem care for a decease
client prior to visitation by the family. Which of the following actions by the AP requires
intervention by the nurse?
A. Fathering the client's personal belongings.
B. Removing the client's dentures.
C. Placing absorbent pads under the client's buttocks.
D. Closing the client's eyes.
B. Removing the client's dentures. (The client's dentures should remain in place
in order to give the face a natural appearance). [Show Less]