Adult Health Test #1

4 fl oz to mL

120 mL

8 kg to lb

17.6 lb

convert 2 mg to mcg

2,000 mcg

15 mL to teaspoons

3 tsp

A client who has recently been diagnosed with chronic heart failure is being taught by the nurse how to live successfully with the chronic condition. The client;s ability to meet this goal and and primarily depend on the ability to do which of the following?

Adapt a lifestyle to accommodate the clients symptoms

A 50-year old client presents at the clinic with recent episodes of forgetfulness. The client reports that a parent had some kind of illness in which the parent to be institutionalized at age 42 and passed away at 45. The client states that the parent forgot who their children were when the parent was institutionalized. Based on this information, what should the nurse suspect?

Alzheimers disease

A home health nurse makes a home visit to a 90-year old client who has cardiovascular disease. During the visit the nurse observes that the client has begun exhibiting subtle and unprecedented signs of confusion and agitation. What should the home health nurse do?

Arrange for the client to see their primary health care provider

An 80-year old client is being admitted for dehydration and syncope. The client is found to be hypertensive, and intravenous fluids are ordered. What are some teaching strategies that the nurse should review with this client?

Before ambulation the client should rise slowly, and take more breaks between lying, sitting, and standing.

The community health nurse is preparing to conduct a home visit on a client without an active infection. When performing the home visit how should the nurse best implement the principles of infection control?

Perform hand hygiene before and after giving direct client care

A client is devastated by the results of genetic testing, stating "How am I ever going to get a job with these kinds of risks?"What is the nurse's best response?

There's legislation that outlaws that kind of discrimination

A gerontological nurse has observed that clients often fail to adhere to their therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care?

Demonstrate a dressing change and allow the client to practice

A 45- year old client has just been diagnosed with Huntington disease. The client and the client's spouse are concerned about their four children. What will the nurse understand about the children's possibility of inheriting the gene for this disease?

Each child will have a 50% chance of inheriting the disease

A client presents to the health center and is diagnosed with an enlarged thyroid. The healthcare provider believes the thyroid cells may be undergoing hyperplasia. How should the nurse explain this condition to the client?

Hyperplasia is an abnormal increase in new cells and is reversible with the stimulus for cell growth removed.

A nurse is discussing a health promotion strategies with a client with elevated lipid levels. Which client response best indicates to the nurse that the client is exhibiting self responsibility?

I will need to learn to read food labels when food shopping

A 65-year old client has come to the clinic for a yearly physical. The client reports enjoying good health, but also reports having occasional episodes of constipation over the last 6 months. what intervention should the nurse first suggest?

Increase daily intake of water

An older adult client tells the nurse about about a spouse who died 14 months ago and reports continued grieving over the loss. What should the nurse encourage the client to do?

Increase interactions within the client's social network

The nurse is assessing a 28-year old client who has presented to the emergency department with vague reports of malaise. The nurse observes bruising to the client's upper arm that corresponds to the outline of fingers as well as yellow bruising around the left eye. the client makes minimal eye contact during the assessment. How should the nurse best inquire about the bruising?

Is anyone physically hurting you?

A client tells the nurse that the doctor just told the client that a new diagnosis of rheumatoid arthritis is considered to be a chronic condition. The client asks the nurse what chronic condition means. What would be the nurse's best response?

It is a health problem that requires management for several months or longer

A nurse is discharging a 4 year old client from the emergency department. The client was seen for an insect bite that became swollen, reddened, warm, and painful to the touch. The client's vital signs are within normal range for age. While the nurse is giving discharge instructions to the client's parent, the parent asks why the child is not going to get antibiotics for the infected insect bite. What would be the nurse's best response?

This is a local inflammatory response to the insect bite, it is not an infection, so antibiotics will not help.

The emergency department nurse is obtaining a health history from a client who reported experiencing intermittent abdominal pain...

What brings you to the hospital today?

The community health nurse has received a referral for a new client who resides in a high crime area. What is the most important request the nurse should make of the agency to ensure safety?

a colleague to accompany the nurse on the visit.

Which concept should the nurse use when performing health teaching?

health teaching is an independent nursing function

The interface model of disability is being used to plan the care of a patient who is living with the effects of a stroke. Why should the nurse prioritize this model? A) It fosters dependency and rapport between the caregiver and the patient. B) It encourages the provision of care that is based specifically on the disability. C) It promotes interactions with patients focused on the root cause of the disability. D) It promotes the idea that patients are capable and responsible.

it promotes the idea that patients are capable and responsible

At the beginning of the day that will involve several home visits, the nurse has ensured that the home health agency has a copy of the nurse's daily schedule. What is the rationale for this action?

it supports safety precautions for the nurse when making a home care visit.

The nurse is preparing a discharge teaching session with a client to evaluate the client's ability to change a dressing. The client speaks and understands the dominant language only minimally. What would be the best way to promote understanding during the teaching session?

use an interpreter during the teaching session