random questions

The nurse is preparing information for a community health fair. Which information should the nurse include to promote healthy skin?

Drink an adequate amount of water.

A parent describes that she is trying to get her toddler to eat well but meal times with have become increasingly frustrating. Which behavior would the nurse suggest that the parent modify to make meals a more pleasant experience?

offering several healthy choices

A nurse is obtaining a prenatal history from a client who's 8 weeks pregnant. To help determine whether the client is at risk for a TORCH infection, the nurse should ask which question?

"Do you have any cats at home?"

Which statement indicates the client understands the lifestyle modifications required when managing ulcerative colitis?

"I'll have to stop smoking."

The public health nurse is teaching a prenatal class about tobacco smoke during pregnancy. Which comment made by one of the class members demonstrates that the teaching was effective?

"If I continue to smoke during pregnancy, my baby could be born small."

A 29-year-old woman is concerned about her personal risk factors for malignant melanoma. She is upset because her 49-year-old sister was recently diagnosed with the disease. After gathering information about the client's history of sun exposure, what should the nurse tell the client?

Some melanomas have a familial component and she should seek medical advice.

The nurse is teaching a new prenatal client about her iron-deficiency anemia during pregnancy. Which statement indicates that the client needs further instruction about her anemia?

"I may have anemia because my family is of Asian descent."

A client with newly diagnosed chronic obstructive pulmonary disease (COPD) presents to the clinic for a routine examination. The nurse teaches the client strategies for preventing airway irritation and infection. Which statement by the client best indicates that teaching was successful?

"I should avoid using powders."

A 1-day-old breastfed newborn has a bilirubin level indicating an intermediate risk for jaundice. Which statement by the infant's mother indicates an understanding of teaching regarding jaundice?

"I should breastfeed my baby as often as possible."

The nurse instructs the client on health maintenance activities to help control symptoms from a hiatal hernia. Which statement would indicate that the client has understood the instructions?

"I will avoid lying down after a meal."

A nurse is teaching a client about prevention of genital herpes. What statement indicates the teaching was successful?

"I'll ask any future partners if they have ever been diagnosed with genital herpes."

During a home visit to a primiparous client who gave birth vaginally 14 days ago, the client says, "I have been crying a lot the last few days. I just feel so awful. I am a rotten mother. I just do not have any energy. Plus, my husband just got laid off from his job." The nurse observes that the client's appearance is disheveled. What would be the nurse's best response?

"It's not unusual for some mothers to feel depressed after the birth of a baby. I'm going to contact your health care provider."

When the nurse instructs a pregnant client with a history of varicose veins about strategies to promote comfort, which client statement indicates that the teaching has been successful?

"Lying down with my feet elevated should help."

A client is a long-distance runner and is 8 weeks pregnant with her first baby. The client tells the nurse that she would like to continue running throughout the pregnancy and asks the nurse if there are any safety risks. Which response by the nurse correctly identifies musculoskeletal changes in pregnancy that may be a safety risk to the client?

"The joints of the pelvis relax."

The nurse is instructing a client with chronic obstructive pulmonary disease how to do pursed-lip breathing. In which order from first to last should the nurse explain the steps to the client? All options must be used.

"Relax your neck and shoulder muscles." "Breathe in normally through your nose for two counts (while counting to yourself, one, two)." "Pucker your lips as if you were going to whistle." "Breathe out slowly through pursed lips for four counts (while counting to yourself, one, two, three, four)."

The nurse has completed discharge teaching with new parents who will be bottle-feeding their normal term newborn. Which statement by the parents reflects the need for more teaching?

"We should weigh our baby daily to make sure he is gaining weight."

The nurse is providing prenatal education regarding microorganisms to be avoided during pregnancy. Which of the following statements during the counseling session would indicate to the nurse that the client understands the teaching?

"Women should avoid unpasteurized milk and cheese and undercooked meat."

The primary care provider prescribes an eye patch for a child with strabismus. Which statement by the child's mother would indicate the need for additional teaching about this treatment?

"You see, his problem eye is patched."

A mother tells the nurse that her 10-year-old daughter has an increase in hair growth and breast enlargement. The nurse explains to the mother and daughter that after the symptoms of puberty are noticed, menstruation typically occurs within time frame?

30 months

The nurse is checking the blood sugar level of a pregnant client who is at 33 weeks' gestation. This client has had type 1 diabetes since she was 12 years old. Which fasting glucose value would indicate to the nurse that this client's disease is controlled?

85 mg/dl (4.7 mmol/L)

The nurse is providing nutrition counseling for an obese adolescent. What is the most effective way for the nurse to obtain a nutrition history from this client?

Ask her what she ate yesterday if it was a typical day.

A 17-year-old client confides in the school nurse an interest in understanding safe sex practices. In instructing the client on how to correctly use a condom, which information would be stressed? Select all that apply.

Condoms should be stored in a cool, dry place to prevent damage. Leave a 1/2-inch space at the tip of the condom. Never reuse a condom. The condom should be applied on an erect penis.

On examination of a Black newborn, the nurse notes a macular, blue-black area of pigmentation near the buttocks. Which nursing action is appropriate?

Consider the finding as normal in a Black client.

While assessing a 2-hour-old neonate, a nurse observes that the neonate has acrocyanosis. Which nursing action should the nurse perform at this time?

Do nothing — acrocyanosis is normal in the neonate.

A nurse is assessing the chest of a 4-month-old infant. The nurse identifies the ratio of the anteroposterior-to-lateral diameter as 1:2. Which actions should the nurse take next?

Document the findings in the client's medical record.

The nurse is a assessing a newborn and notes the presence of strabismus. Which is the nurse's best action?

Document the findings in the newborn's chart.

A mother brings her 2-year-old child to the clinic because of her concerns about the child's nutritional status. For the last week, he has refused to eat anything except animal crackers and peanut butter and jelly sandwiches. Which measure would be most appropriate for the nurse to suggest?

Do not worry about this behavior because food fads usually last only a short time.

The parent of a preschooler reports that the child creates a scene every night at bedtime. What is the best course of action?

Establish a set bedtime and follow a routine.

The nurse is screening clients for cancer prevention. Which is the recommended screening protocol for colon cancer in asymptomatic clients who have a low-risk profile?

Fecal occult blood testing should be performed annually after age 50 and up to age 75.

When performing a physical assessment on an 18-month-old child, which measure would be best?

Have a parent hold the toddler.

What advice should a nurse give to the caregivers of a 2-year-old client who frequently throws temper tantrums?

Ignore the behavior when it happens.

A 30-year-old client is being treated for epididymitis. What information should the nurse include in the teaching plan about the likely cause of epididymitis?

No further increase in bone length occurs.

Which suggestion would be most appropriate in helping parents to prepare their children for entry into school?

Orient the child to the school's physical environment.

Which information would be important to include in the teaching plan for the client who wants more information on ovulation and fertility management?

Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle.

Why should the nurse avoid palpating both carotid arteries at one time?

Palpating both arteries at one time may cause severe bradycardia.

A multiparous client who has been in labor for 2 hours states that she feels the urge to move her bowels. What would the nurse do first?

Perform a pelvic examination.

During a home visit to a breastfeeding primiparous client at 1 week postpartum, the client tells the nurse that her nipples have become sore and cracked from the feedings. Which instructions should the nurse give the client?

Position the baby with the entire areola in the baby's mouth.

A client is in the 38th week of her first pregnancy. She calls the prenatal facility to report occasional tightening sensations in the lower abdomen and pressure on the bladder from the fetus, which she says seems lower than usual. The nurse should take which action?

Review premonitory signs of labor with the client.

A nurse is caring for a client who is scheduled for amniocentesis. What will the nurse teach the client about this procedure?

She needs to empty her bladder prior to the procedure.

Which nursing approach is most helpful to a client with Parkinson disease who is experiencing a freezing of gait with difficulty initiating movement?

Tell the client to march in place.

A multigravid client at 32 weeks' gestation has experienced hemolytic disease of the newborn in a previous pregnancy. The nurse should prepare the client for frequent antibody titer evaluations obtained from which source?

maternal blood

A client reports to the primary health care facility for routine physical examination after cardiac rehabilitation that followed myocardial infarction. Keeping in mind that the client speaks English as a second language, how should the nurse conduct the interview?

The nurse should avoid using complex medical terminology.

When teaching a group of parents about the potential for febrile seizures in children, which information should the nurse include?

The seizures occur as the fever rises.

The nurse providing health promotion education to the parents of a 6-year-old child should include which statements about 6-year-old children in the education?

They are very sensitive to criticism."

A nurse has received report on her clients and notices that they're of varying ages. To prepare for the shift, the nurse reviews Erik Erikson's five stages of psychosocial development. Place the stages in chronological order from infancy to adolescence. Use all options.

Trust versus mistrust Autonomy versus shame and doubt Initiative versus guilt Industry versus inferiority Identity versus role confusion

During a home visit 4 days after birth, the breastfeeding primiparous client tells the nurse that her breasts are hard and tender. The nurse determines the client has breast engorgement and should instruct the client to perform which measure?

Use her hand or a pump to express a small amount of breast milk before breastfeeding.

Which client should receive a shingles vaccine?

a client who is over 50 years of age

An uncle is shopping for a toy to give his niece. He has no children of his own and asks his neighbor, a nurse, what would be the most appropriate toy to give a 15-month-old. Which toy should the nurse recommend to facilitate learning and development?

a push-pull toy

The nurse performs the initial assessment and reports the following findings to the health care professional: The client's contractions started 5 hours ago and are now coming every 3 minutes and lasting for 60 seconds. The cervix is 100% effaced and 5 cm dilated, the membranes are intact, and the presenting part is well applied to the cervix and is at -1 station. The nurse recognizes that the client is in which stage or phase of labor?

active

When obtaining a client's history, the nurse should

ask questions about the client's reason for seeking care.

The nurse is assessing a client's nutritional status before surgery. Which observation would indicate poor nutrition in a 5-foot 7-inch (170 cm) female client who is 21 years of age?

brittle nails

Which food should the nurse teach a client with heart failure to limit when following a 2-gram sodium diet?

canned tomato juice

When assessing an elderly client, the nurse expects to find various aging-related physiologic changes. These changes include

delayed gastric emptying.

A nurse is teaching a client how to prevent a vaginal infection. Which activity puts the client at risk for altering the normal pH of her vagina?

douching unless instructed to do so by the health care provider (HCP)

A nurse is assessing a neonate. When maternal estrogen has been transferred to the fetus which sign will the nurse see in the neonate?

enlarged breast tissue

A client in labor is attached to an electronic fetal monitor (EFM). Which finding by an EFM indicates adequate uteroplacental and fetal perfusion?

fetal heart rate variability within 5 to 10 beats/minute

The nurse is auscultating S1 and S2 in a client. Identify the area where the nurse should hear S1 the loudest. You Selected:

fifth bone on right

The nurse is assessing a 2-year-old child's development. What assessment finding would warrant further investigation by the nurse?

having a vocabulary of 100 words

A 29-week gestation client arrives in the labor and birth suite for an emergency cesarean section. The neonate is born and artificial surfactant is administered. Which action best explains the main function and goal of surfactant use?

helps lungs remain expanded after the initiation of breathing improving oxygenation

The nurse is performing a focused assessment on a client's gastrointestinal system. Which assessment is an expected finding?

high pitched gurgling noises in four abdominal quadrants

A client with Down syndrome is admitted to the pediatric unit with asthma. The client does not enunciate words well and holds onto furniture when walking. The nurse should ask the caregiver

how the client's condition today differs from their normal condition.

According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage?

industry versus inferiority

A nurse is planning care for an adolescent client who is 12 weeks' gestation. The nurse will monitor this client closely for the development of which complication during this stage of the pregnancy?

iron-deficiency anemia

The correct procedure for auscultating the client's abdomen for bowel sounds is to:

listen for 5 minutes in all four quadrants to confirm absence of bowel sounds.

During assessment, a nurse auscultates for a client's breath sounds. Auscultation provides which type of data?

objective

A nurse is providing care for a postpartum client. Which condition increases this client's risk for a postpartum hemorrhage?

placenta previa

When developing a care plan for a hospitalized client, the nurse knows that children in which age-group are most likely to view illness as a punishment for misdeeds?

preschool age

The nurse is teaching a group of high school students about risk-taking behaviors. Which topic would be considered an example of healthy behaviors?

preventative vaccinations

An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of health promotion?

primary prevention

The nurse should instruct a client with heart disease to avoid which foods that contribute to increases in serum cholesterol?

saturated fat

A 30-year-old client is being treated for epididymitis. What information should the nurse include in the teaching plan about the likely cause of epididymitis?

sexually transmitted infection

When discussing an infant's motor skill development with the mother, the nurse should explain that by age 7 months, an infant most likely will be able to perform which skill?

sitting alone using the hands for support

When assessing a 13-year-old adolescent, what is an expected finding?

subjective judgments of right and wrong

During a routine physical examination to assess a client's deep tendon reflexes, a nurse should make sure to

support the joint where the tendon is being tested.

The nurse is assessing a 6-month-old and notices no pincer grasp on either hand. The parent asks the nurse if this is abnormal. The nurse correctly responds that:

the 6-month-old does not normally have a pincer grasp yet.

A client and her partner, both 25 years old, are having trouble conceiving. Infertility in this couple is defined as:

the inability to conceive after 1 year of unprotected attempts.

After instructing a mother about normal reflexes of term neonates, the nurse determines that the mother understands the instructions when she describes the tonic neck reflex as occurring when the neonate displays which behavior?

turns head to the left, extends left extremities, and flexes right extremities

The nurse is preparing a community presentation on oral cancer. Which is a primary risk factor for oral cancer that the nurse should emphasize in the presentation?

use of alcohol

What should the nurse teach the client with neutropenia to avoid?

using suppositories or enemas

The client had an ostomy created 3 days prior. The nurse is planning to teach the client how to empty the ostomy pouch. What is the best time for the nurse to conduct the teaching?

the time that the nurse and client mutually agree upon

The cervix of a 15-year-old primigravid client admitted to the labor area is 2 cm dilated and 50% effaced. Her membranes are intact, and contractions are occurring every 5 to 6 minutes. Which intervention should the nurse recommend at this time?

walking around in the hallway

The home care nurse is conducting a follow-up visit to a client who was recently discharged to home with intermittent total parental nutrition (TPN) therapy. What statement by the client leads the nurse to determine that additional teaching is needed?

"I will change the I.V. administration tubing every week."