EAQ dumby

Which nurse collaborates with the client to establish and implement a basic plan of care on admission?

primary nurse

Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients?

explanatation

Which critical thinking skill is being used when the nurse applies knowledge and experience to client care?

explanation

The nurse is discussing discharge plans with a client. The client states, "I'm worried about going home." The nurse responds, "Tell me more about this." Which interviewing technique did the nurse use?

exploring

Which physiological changes are expected during the first trimester of pregnancy? Select all that apply. One, some, or all responses may be correct.

fatigue, morning sickness, breast enlargment

Which activity can be performed by infants aged 6 to 8 months?

Transferring objects from hand to hand

At which site would the nurse obtain a sterile urinalysis from a client with an indwelling catheter?

Tubing injection port

Which critical thinking skill demonstrates maturity in the nurse?

Ability to reflect on own judgments

The nurse records the client's weight and body mass index (BMI) at a healthy range, but the client states, "I wish I were as thin as my coworkers." Which culturally bound condition is the client at risk for?

Anorexia nervosa

A Spanish-speaking client is being cared for by English-speaking nursing staff. Which communication technique would be correct for the nurse to use when discussing health care decisions with the client?

Contact an interpreter provided by the hospital.

The nurse in the health clinic is counseling a college student who recently was diagnosed with asthma. Which aspect of counseling would the nurse focus on?

Evaluating whether the necessary lifestyle changes are understood

The nurse is caring for a client who has an implanted port. How often would the nurse change the noncoring needle?

Every 7 days

Which intrinsic factor is associated with the fall of an older adult?

Lack of exercise

The nurse changed a dressing on a client's wound with vancomycin-resistant enterococci (VRE). Which step would the nurse take to ensure proper disposal of the soiled dressing?

Place the dressing in a red bag/hazardous materials bag.

Two nurses are planning to help a client with one-sided weakness move up in bed. Which principle of body mechanics would the nurses observe?

Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client.

Which stage of Piaget's theory of cognitive development would the nurse observe in a preschooler?

Preoperational

Which nursing practice is associated with a self-regulation skill?

Reflecting on one's experience

A client on hospice care is receiving palliative treatment. Which is the goal of palliative care for this client?

Relieve the client's discomfort.

The nurse assesses bilateral +4 peripheral edema while assessing a client with heart failure and peripheral vascular disease. Which is the pathophysiological reason for the excessive edema?

Shift of fluid into the interstitial spaces

A client who wakes up after a surgery spits out the oral airway placed during the recovery from anesthesia. What would this behavior indicate to the nurse?

Their gag reflex has returned.

Which fine motor skills may be observed in an 8- to 10-month-old infant? Select all that apply. One, some, or all responses may be correct.

Using pincer grasp well Picking up small objects Showing hand preference

Which critical thinking skill will help a student nurse avoid making assumptions about clients?

analysis

Which nursing process involves delegation and verbal discussion with the health care team?

implementation

Which intervention improves client satisfaction?

Adjusting the bed and asking if the client is comfortable

Which skill in critical thinking requires the nurse to be orderly in data collection?

interpretation

The registered nurse (RN) is teaching the nursing student about providing care to an older adult with dementia. Which statement made by the nursing student indicates a need for further education?

"I should monitor weight and food intake once a month."

A client with chronic renal failure stops responding to the treatment. On examination, the primary health care provider determines that the client is terminally ill. Which is the correct nursing intervention in this situation?

Encourage the family members to provide palliative care to the client.

The nurse has provided instructions about back safety to a client. Which statement by the client indicates understanding of these instructions?

"I will carry objects close to my body."

The nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says it is the nurses' responsibility to discourage these people from bringing all that alternative medicine stuff to their family members. Which response by the nurse is correct?

"Nontraditional approaches to health care can be beneficial."

A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I love him, but I don't want to upset him." Which is the correct response by the nurse?

"You should share your feelings with him while you can."

The nurse teaches a client about wearing thigh-high antiembolism elastic stockings. Which instruction would be correct to include?

"You will need to apply them in the morning before you lower your legs from the bed to the floor."

To prevent thrombophlebitis in the immediate postoperative period, which action is important for the nurse to include in the client's plan of care?

Encourage early mobility.

The nursing student is learning about the realms of family life. Which component would be included while learning about integrity processes?

Family rituals

Which therapeutic communication technique is used when the nurse and a client have a conversation and the client begins to repeat the conversation to her- or himself?

Focusing

Which disease process places a client at increased risk for infection? Select all that apply. One, some, or all responses may be correct.

Leukemia Lymphoma Emphysema

Which action relates with the relevance strategy of the motivational learning model proposed by Keller?

Linking the person's needs, interests, and motives for learning

The nurse at the well-baby clinic is assessing the gross motor skills of a 5-month-old infant. Which finding is a cause for concern?

The baby has a head lag when pulled to sit.

A new mother says to the nurse, "I would like to care for my baby independently rather than depending on the baby's grandparents." From this information, which culture would the nurse infer that the new mother belongs to?

north american

Which description of family-centered care is correct?

A collaborative plan of care is developed to achieve optimal health.

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee?

Right communication

Which risk of adolescent pregnancy would the community nurse teach?

Risk for premature birth

The advanced practice registered nurse (APRN) is caring for a pregnant woman ready to deliver. Which type of APRN would care for this client?

certified nurse midwife

After reviewing a client's reports, the primary health care provider suggests palliative care for the client. Which conditions would qualify the client for this type of care? Select all that apply. One, some, or all responses may be correct.

chronic renal failure, congestive heart failure, chronic obstructive lung disease

How can the nurse evaluate the effectiveness of communication with a client?

client feedback

Which therapeutic communication technique is a coping strategy to help the nurse and client adjust to stress?

sharing humor

After a below-the-knee amputation, a client is refusing to eat, talk, or perform any rehabilitative activities. Which approach would the nurse take when interacting with this client?

Acknowledge that the client's withdrawal is an expected and necessary part of initial grieving.

Which intervention would the nurse expect to implement to alleviate anxiety for a preoperative client?

Attempt to identify the client's concerns.

Which nursing intervention is correct for a client with venous insufficiency?

Elevate the client's legs above heart level.

Which statement is true about the nursing model of team nursing?

Hierarchical communication exists from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members.

The nurse is performing nursing care therapies and including the client as an active participant in the care. Which step in the nursing process is involved in this situation?

Implementation

Which concept refers to respecting the rights of others?

Open-mindedness

Which caring intervention helps provide comfort, dignity, respect, and peace to a client?

Relieving pain and suffering

Which developmental changes require the nurse's assessment in a 12-year-old female?

Skeletal growth

Which definition is involved in the caring process called knowing, according to Swanson's theory of caring?

Striving to understand an event as it has meaning in the life of the other

How would the nurse prevent footdrop in a client with a leg cast?

Support the foot with 90 degrees of flexion.

Refusing to follow the prescribed treatment regimen, a client plans to leave the hospital against medical advice. Which is it important for the nurse to inform the client of?

The client must accept full responsibility for possible undesirable outcomes.

Which statement defines the term "family resiliency"?

The family has an ability to cope with stressors.

The client is on neutropenic precautions. From which direction does the protective environment isolation help prevent the spread of infection?

To the client from outside sources

The nurse is caring for a surgical client who develops a wound infection during hospitalization. Which classification would this infection belong to?

nosocomial

Which component of ethical decision-making refers to the duties and activities the nurse is employed to perform?

responsibility

A client is to receive a transfusion of packed red blood cells (PRBCs). Which solution would the nurse use to prime the blood intravenous (IV) tubing?

saline of some sort

To ensure the safety of a client who is receiving a continuous intravenous normal saline infusion, the nurse would change the administration set how often?

Every 72 to 96 hours

Which goals of care are associated with the family health system model? Select all that apply. One, some, or all responses may be correct.

Improving family health or well-being, Providing assistance in family management of illness conditions, Achieving health outcomes related to the family's areas of concern`

Which action would the nurse take to decrease the risk of transmission of vancomycin-resistant enterococci (VRE)?

Move the client to a private room.

A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. Which type of room would the nurse assign this client?

Negative-airflow room

A client has been placing used insulin needles in a container sealed with heavy-duty tape. Where would the nurse tell the client to dispose of the container?

The local hazardous waste collection site

A client is likely to undergo reconstructive surgery for which purpose?

To restore function and/or appearance

The nurse on the medical-surgical unit tells other staff members, "That client can just wait for the lorazepam; I get so annoyed when people drink too much." Which does this nurse's comment reflect?

Demonstration of a personal bias

After abdominal surgery, a client reports pain. Which action would the nurse take first?

Determine the characteristics of the pain.

When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration?

Elevate the head of the bed between 30 and 45 degrees.

When teaching a health promotion class at a retirement home, which information would the nurse include about ways to decrease infection in older adults?

Obtain flu vaccinations.

When monitoring a client 24 to 48 hours after abdominal surgery, the nurse would assess for which problem associated with anesthetic agents?

Paralytic ileus

Which interventions would the nurse perform while caring for an actively dying client? Select all that apply. One, some, or all responses may be correct.

Provide client and family reassurance. Perform symptom management for the client.

Which nonpharmacological nursing intervention is effective in helping relieve postoperative pain?

Repositioning

The home health care nurse visits a client who lives with her two grandchildren. Which term would the nurse use to define this family form?

Skip-generation family

Which risk factor increases a client's risk for infection in the community? Select all that apply. One, some, or all responses may be correct.

lifestyle, occupation, frequent traveling

The nurse is reviewing a client's plan of care. Which is the determining factor in the revision of the plan?

Effectiveness of the interventions

Which nursing intervention is classified under complex physiological domain according to the Nursing Interventions Classification (NIC) taxonomy? Select all that apply. One, some, or all responses may be correct.

Interventions to restore tissue integrity Interventions to optimize neurological functions Interventions to provide care before, during, and immediately after surgery

The nurse is caring for a client who had a hip replacement 2 days prior. Which nursing intervention would the nurse perform next?

Provide perineal care.