Midterm Practice Annatellainfo Medsurg

A nurse is talking with a client who is beginning a program of moderate exercise. The client asks the nurse why warm up exercises are necessary. Which of the following responses should the nurse make?

warm up exercises reduce the risk of injury.

A nurse is teaching a group of older adults about health tests and screenings. Which of the following information should the nurse include? (Select all that apply)

you should have a single dose of the shingles vaccine at age 60, you should have the pneumococcal vaccine at age 65 and then every 10, you should have visual acuity screening every year

A nurse is discussing ageism with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicated an understanding of the concept?

"Ageism refers to the stereotype that older adults are not able to understand new information"

An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?

Help plant workers identify signs of carpal tunnel syndrome.

A nurse is instructing a young client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

"I watch television until I fall asleep at night"

A nurse is conducting a health promotion class for clients and their children about sun protection. The nurse should identify which of the following client responses as an indication that the teaching was effective?

"I will avoid sitting in the sun between 10 a.m. and 3pm"

A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following changes should the nurse plan to include?

Decreased muscle mass.

A nurse is preparing an older adult client for a physical examination the provider is about to preform. Which of the following actions should the nurse take?

Explain to the client what is about to happen.

A nurse in instructing a group of clients regarding nutrition. Which of the following is a good source of omega-3 fatty acids that the nurse should include in the teaching?

Fish.

A nurse is developing an education program about skin cancer for a community center. Which of the following instructions should the nurse plan to include?

Keep a body map of skin lesions.

A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention?

Performing monthly breast self-examinations.

A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

Protein

A nurse is teaching staff which factors to include in an abuse assessment of a client. Which of the following factors should the nurse include in the teaching? (Select all that apply).

Suicide risk, coping patterns, support systems, alcohol use

A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?

Smoking cessation

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

The client should follow a high-fiber diet to establish bowel regularity.

A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)

i must stop smoking, i need to monitor my weight, i am limiting my intake of fast foods

A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply)

more difficulty seeing due to a greater sensitivity to glare, decreased cough reflex, decreased bladder capacity, dehydration of interverebral diss

A nurse is providing teaching for a client who as recent diagnosis of depression. Which of the following should the nurse identify as a primary risk for this disorder?

past history of childhood trauma.

A nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include in the teaching?

race

A nurse is teaching a client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (Select all that apply)

sedentary lifestyle, aging, caffeine intake, secondhand smoke

A nurse is assessing a family as a system. Which of the following factors should the nurse include when assessing sociocultural context?

the family's religious practices

A nurse is assisting an older adult client who is sedentary plan a new exercise regimen, Which of the following activities should the nurse recommend?

walking

A nurse is instructing a group of clients regarding calcium rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium?

1 cup of milk.

A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include?

Clients should have a yearly test for fecal occult blood.

The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following facors should the nurse identify as a likely explanation for the client's behavior?

Confusion

A nurse educator is discussing community mental health with a group of nursing students. Which of the following sites should the educator identify as a source of secondary prevention?

Crisis center.

A nurse is caring for a group of clients. The nurse should recognize that which of the following clients is at risk for a vitamin B6 deficiency?

A client who has chronic alcohol use disorder.

A nurse is reviewing the medical records of four older adult clients. The nurse should plan to administer the herpes zoster vaccine to which of the following clients?

A client who takes omeprazole for peptic ulcer disease.

A nurse in a provider's office is providing teaching to a client about modifiable risk factors for osteoporosis. Which of the following factors should the nurse include? (Select all that apply)

Sedentary lifestyle, carbonated beverages, caffeine intake, smoking tobacco products

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

Smokes 1 pack of cigarettes per day.

A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?

The client will walk for 30 mins 5 days a week.

A nurse is talking with a young adult client who has a family history of osteoporosis. Which health promotion activity should the nurse recommend as a possible preventive measure?

engage in weight-bearing exercise regularly

A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder? (Select all that apply).

Hypercholesterolemia, Hypertension, Obesity, Smoking

A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

Reposition the client every 2 hr

A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select All That Apply)

Ability to perform calculations, Recall Ability, Level of orientation

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

"Eating a high fiber diet will reduce my risk for developing skin cancer"

A nurse is caring for a client who has hepatitis A. The client asks the nurse how he might have contracted the virus. Which of the following is a question the nurse should ask the client?

"Have you been to a third world country in the past?"

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?

"I can use either heat or ice to help relieve discomfort"

A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?

"I will reduce my intake of vitamin K-rich foods"

A nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. Which of the following statements by the client should indicate to the nurse the need for further teaching?

"Increasing my intake of foods containing trans-fatty acids can lower my risk"

A nurse is teaching an adult client who has low literacy level about self administration of a subcutaneous medication. Which of the following strategies should the nurse use to promote the client's understanding?

Ask the client to demonstrate the skill.

A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?

Cigarette smoking.

A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation? (select all that apply)

excessive laxative use, ignoring urge to defecate, inadequate fluid intake

A nurse is instructing clients in the community about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development?

intimacy vs. isolation