Care Man. Post Test

A patient asks the nurse for a nonmedical approach for excessive worry and work stress. Which therapy should the nurse recommend?

Meditation

When planning care of a patient with dementia, which of the following outcomes would be a priority?

Preventing injury

The nurse is to conduct an admission interview with 74-year-old patient who is hearing impaired. What should the nurse do to enhance the patient's ability to hear?

-Position self to be within the client's line of vision -Turn down the television in the room -Use a moderate rate and the same tone for all words

The nurse is caring for a school-aged child who has injured the right leg after a bicycle accident. Which signs and symptoms will the nurse assess to determine if the child is experiencing a localized inflammatory response?

Edema, redness, tenderness, and loss of function

A patient has fallen several times in the past week when attempting to get to the bathroom. The patient gets up 3 or 4 times a night to urinate. Which recommendation by the nurse is most appropriate in correcting this urinary problem?

Limit fluid and caffeine intake before bed.

A nurse is planning primary prevention activities for the community. Which activity should the nurse include in this plan?

Safer sex education for teens

A veteran is hospitalized after surgical amputation of both lower extremities owing to injuries sustained during military service. Which type of loss will the nurse focus the plan of care on for this patient?

Situational loss

The nurse is admitting an older patient from a nursing home. During the assessment, the nurse notes a shallow open ulcer without slough on the right heel of the patient. This pressure ulcer would be staged as stage

Stage II

The nurse should implement which of the following as a requirement of care specific to the patient who has tuberculosis (TB)?

The client with tuberculosis can spread the infection by breathing and requires a private room and airborne precautions

The nurse receives a handoff report on four patients from another nurse. Which patient should the nurse assess first?

pulse 42 beats/min

A nurse is caring for a patient who smokes and drinks caffeine. Which of the following is most important for the nurse to understand before assessing the patient's blood pressure (BP)?

smoking results in vasoconstriction, falsely elevating BP

A patient diagnosed with a terminal illness states, "What's left for me? I feel hopeless." The nurse determines that which of the following would be the best response?

"It must be difficult feeling as though there is no hope."

A nurse is providing discharge teaching for a patient with a fractured humerus. The patient is going home with hydrocodone, a narcotic analgesic. Which important patient education should the nurse provide?

"You need to drink plenty of fluids and eat a diet high in fiber."

The nurse enters the patient's room and notices a small fire in the headlight above the patient's bed. In which order should the nurse perform the steps, beginning with the first one? 1. Pull the alarm. 2. Remove the patient. 3. Use the fire extinguisher. 4. Close doors and windows.

2, 1, 4, 3

A nurse is caring for a patient who is having difficulty breathing. The client is lying in bed in supine position and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority action?

Assist the client to Fowler's position.

The nurse is teaching a patient how to use a cane. Which information should the nurse include in the teaching session?

Place the cane on the stronger side of the body

The nurse working with a terminally ill patient wishes to support the patient's decisions concerning end-of-life care. To do this appropriately, the nurse should plan to do which of the following?

Respect the client's wishes about death to the extent possible by law.

The nurse is providing perineal care to an uncircumcised male patient. Which action should the nurse take?

Retract the foreskin and return it to its natural position when done.

A nurse is caring for a patient who recently had spinal surgery. The nurse knows that patients usually experience acute pain following this type of surgery. The patient refuses to get up and walk and is not moving around in the bed. However, the patient is stoic and denies experiencing pain at this time. Which of the following most likely explains this patient's behavior?

The patient's culture is possibly influencing the patient's experience of pain.