When calling the nurse consultant about a difficult client-centered problem, the primary nurse is sure to report the following: A. Length of time the current treatment has been in place. B. The spouse’s reaction to the client’s dressing change. C. Client’s concern about the current treatment. D. Physician’s reluctance to change… Read More »
A 46-year-old female with chronic constipation is assessed by the nurse for a bowel training regimen. Which factor indicates further information is needed by the nurse? A. The client’s dietary habits include foods high in bulk. B. The client’s fluid intake is between 2500-3000 ml per day. C. The client engages in… Read More »
A client is receiving a continuous intravenous infusion of heparin sodium to treat deep vein thrombosis. The client’s activated partial thromboplastin time is 77 seconds. Based on this result, the nurse anticipated which of the following prescriptions? A. Maintain the rate of the heparin infusion. B. Decrease the rate of the heparin infusion.… Read More »
When helping a person through grief work, the nurse knows: A. Coping mechanisms that were effective in the past are often disregarded in response to the pain of a loss. B. A person’s perception of a loss has little to do with the grieving process. C. The sequencing of stages of grief… Read More »
A patient must receive 50 units of Humulin regular insulin. The label reads 100 units = 1 ml. How many milliliters should the nurse administer? A. 0.5 ml B. 0.75 ml C. 1 ml D. 2 ml Correct Answer: A. 0.5 ml There are 3 primary methods… Read More »
Which document addresses the client’s right to information, informed consent, and treatment refusal? A. Standard of Nursing Practice B. Patient’s Bill of Rights C. Nurse Practice Act D. Code for Nurses Correct Answer: B. Patient’s Bill of Rights The Patient’s Bill of Rights addresses the client’s right… Read More »
The nurse recognizes that urinary elimination changes may occur even in healthy older adults because of which of the following? A. The bladder distends and its capacity increases. B. Older adults ignore the need to void. C. Urine becomes more concentrated. D. The amount of urine retained after voiding increases. … Read More »
Which of the following vascular system changes results from aging? A. Increased peripheral resistance of the blood vessels B. Decreased blood flow C. Increased workload of the left ventricle D. All of the above Correct Answer: D. All of the above Aging decreases the elasticity of the… Read More »
The primary nurse asked a clinical nurse specialist (CNS) to consult on a difficult nursing problem. The primary nurse is obligated to: A. Implement the specialist’s recommendations. B. Report the recommendations to the primary physician. C. Clarify the suggestions with the client and family members. D. Discuss and review advised strategies… Read More »
Mr. Teban is a 73-year old patient diagnosed with pneumonia. Which data would be of greatest concern to the nurse when completing the nursing assessment of the patient? A. Alert and oriented to date, time, and place. B. Buccal cyanosis and capillary refill greater than 3 seconds. C. Clear breath sounds and… Read More »