Fundamentals of Nursing

"But you don't understand" is a common statement associated with adolescents. What is the nurse's best response when hearing this? -"I don't understand what you mean." -"I do understand; I was a teenager once too." -"It would be helpful to understand; let's talk." -"It's you who should try to understand others."

"It would be helpful to understand; let's talk"

What is the most important factor relative to a therapeutic nurse-client relationship when a nurse is caring for a client who is terminally ill?1.Knowledge of the grieving process 2.Personal feelings about terminal illness 3.Recognition of the family's ability to cope 4.Previous experience with terminally ill clients

2.Personal feelings about terminal illness

A nurse discusses the philosophy of Alcoholics Anonymous (AA) with the client who has a history of alcoholism. What need must self-help groups such as AA meet to be successful? 1 Trust 2 Growth 3 Belonging 4 Independence

3 Belonging

A nurse is caring for a client who had head and neck surgery. Postoperatively, the nurse positions the client's head in functional alignment to prevent the complication of: 1-Cervical trauma 2-Laryngeal spasmIncorrect 3-Laryngeal edema 4-Wound dehiscence

4-Wound dehiscence

A 50-year-old client being seen for a routine physical asks why a stool specimen for occult blood testing has been prescribed when there is no history of health problems. What is an appropriate nursing response?

"It is performed routinely starting at your age as part of an assessment for colon cancer."

The nurse administers a pneumococcal vaccine to a 70 year old client. The client asks "will i have to get this every year like i do with the flu shot?". How should the nurse respond?

"It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose."

24- An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent is always angry at me." What is the nurse's best initial response?

"Your parent is: working through acceptance of the situation."

A toddler screams and cries noisily after parental visits, disturbing all the other children. When the crying is particularly loud and prolonged, the nurse puts the crib in a separate room and closes the door. The toddler is left there until the crying ceases, a matter of 30 or 45 minutes. Legally, how should this behavior be interpreted?---Limits had to be set to control the child's crying. -The child had a right to remain in the room with the other children. -The child had to be removed because the other children needed to be considered. -Segregation of the child for more than half an hour was too long a period of time.

*The child had a right to remain in the room with the other children.*

A nurse is working as a triage nurse in the emergency department. Place the following clients in the order in which they should receive care

-Infant having a seizure -Woman with acute chest pain -Man with acute pancreatitis -Child with a non-life threatening cut that needs stitches -Adolescent with a blood glucose level of 190

A nurse is reviewing studies to answer a clinical question as part of an evidence-based practice project. The study design determines the level of evidence. Place each methodology in order from the most reliable to the least reliable.

-Meta-analysis -Randomized controlled trial -Controlled trial without randomization -Cohort study -Expert opinion based on scientific principles

22- A client with a leg prosthesis and a history of syncopal episodes is being admitted to the hospital. When formulating the plan of care for this client, the nurse should include that the client is at risk for 1-Falls 2-Impaired cognition 3-Imbalanced nutrition 4-Impaired gas exchange

1-Falls

The nurse prepares to give a prescribed capsule of hydroxyzine to a client. The client begins to vomit, so the nurse holds the oral medication. The nurse has not opened the medication package. What does proper and safe disposal of the capsule of hydroxyzine require the nurse to do? 1-Return the capsule to the pharmacy. 2-Drop the capsule into the sharps container. 3-Place the capsule into a red biohazard bag and tie it shut. 4-Have another nurse witness the disposal of the medication.

1-Return the capsule to the pharmacy.

The professional obligation of a nurse to assume responsibility for actions is referred to as: 1.Accountability. 2.Individuality. 3.Responsibility. 4.Bioethics

1.Accountability

The client asks the nurse to recommend foods that might be included in a diet for diverticular disease. Which foods would be appropriate to include in the teaching plan? (Select all that apply.) 1.Whole grains 2.Cooked fruit and vegetables 3.Nuts and seeds 4.Lean red meats 5.Milk and eggs

1.Whole grains 2.Cooked fruit and vegetables 5.Milk and eggs

When caring for a client with a fractured hip, the nurse should place pillows around the injured leg to specifically maintain what? 1Abduction 2Adduction 3Traction 4Elevation

1Abduction

The nurse has provided instructions about back safety to a client. Which client statement indicates understanding of the instructions 1 "I should carry objects about 18 inches from my body." 2 "I should sleep on my stomach with a firm mattress." 3 "I should carry objects close to my body." 4 "I should pull rather than push when moving heavy objects."

3 "I should carry objects close to my body."

The nurse receives a report on a newly admitted client who is positive for Clostridium difficile. Which category of isolation would the nurse implement for this client?1.Airborne precautions 2.Droplet precautions 3.Contact precautions 4.Protective environment

3.Contact precautions

Often when a family member is dying, the client and the family are at different stages of grieving. During which stage of a client's grieving is the family likely to require more emotional nursing care than the client? 1 Anger 2 Denial 3 Depression 4 Acceptance

4 Acceptance

A dying client is coping with feelings regarding impending death. The nurse bases care on the theory of death and dying by Kübler-Ross. During which stage of grieving should the nurse primarily use nonverbal interventions? 1-Anger 2-Denial 3-Bargaining 4-Acceptance.

4-Acceptance

The nurse is caring for a surgical client who develops a wound infection during hospitalization. How is this type of infection classified? 1. Primary 2. Secondary 3. Superinfection 4. Nosocomial

4. Nosocomial

The unlicensed assistive person (UAP) assigned to the 7 am shift has not been coming to work until 8 am. Nursing care is delayed and assignments are started late. What is the most appropriate action by the charge nurse/team leader? 1.Discuss the issue with a friend from another unit 2.Remind the UAP of the expected start time 3.Report the problem to the Human Resources department 4.Document the information before discussing it with the UAP

4.Document the information before discussing it with the UAP

At the beginning of the shift at 7:00 am, a client has 650 mL of normal saline solution left in the intravenous bag, which is infusing at 125 mL/hr. At 9:30 am the healthcare provider changes the IV solution to lactated Ringer solution, which is to infuse at 100 mL/hr. What total amount of intravenous solution should the client have received by the end of the 8-hour shift? Record your answer using a whole number. ___ mL

863 mL

The nurse is monitoring a client's hemoglobin level. The nurse recalls that the amount of hemoglobin in the blood has what effect on oxygenation status?

A low hemoglobin level causes reduced oxygen-carrying capacity

How can a nurse best evaluate the effectiveness of communication with a client?A. Client feedback B. Medical assessments C. Health care team conferences D. Client's physiologic responses

A. Client feedback

When planning discharge teaching for a young adult, the nurse should include the potential health problems common in this age group. What should the nurse include in this teaching plan?

Accidents, including their prevention

Which of the following legal defenses is the most important for a nurse to develop?

Accountability

A nurse speaking in support of the best interest of a vulnerable client reflects the nurse's duty of:

Advocacy

A primary healthcare provider tells a client about the diagnosis of inoperable cancer and that the client does not have long to live. After the primary healthcare provider leaves, the client says to the nurse, "I feel fine. I probably only have the flu." The nurse determines that the client is in the denial stage of grief. What should the nurse do to help meet the client's emotional needs?

Allow the denial and be available to discuss the situation with the client.

When providing care for a client who is receiving enteral feedings via a nasogastric (NG) tube, the nurse should take measures to prevent what serious complication?

Aspiration pneumonia

The nurse is having difficulty understanding a client's decision to have hospice care rather than an extensive surgical procedure. Which ethical principle does the client's behavior illustrate?

Autonomy

A nurse is teaching a parenting class. What should the nurse suggest about managing the behavior of a young school-age child?

Be consistent about established rules.

The hospital's policy requires two nurses to supervise the wasting of excess opioid solutions. The nurse draws up the prescribed dose and then requests that another nurse witness wasting of the remaining medication. The second nurse states that there is no time to observe the wasting of the medication, enters the identification to serve as the witness, and leaves the area. What is the appropriate action for the first nurse to take? 1Waste the appropriate amount of medication and administer the appropriate dose to the client. 2Accept the second nurse's identification as the witness but ask another nurse to observe the actual wasting.Correct 3Cancel the process and ask another nurse to serve as the witness and to observe the wasting of the medication. 4Insist that the second nurse re-enter the area to actually observe the wasting of the medication.

Cancel the process and ask another nurse to serve as the witness and to observe the wasting of the medication.

When changing the soiled bed linens of a client with a wound that is draining seropurulent material, what personal protective equipment (PPE) is most essential for the nurse to wear?

Clean gloves

A client with hypothermia is brought to the emergency department. What treatment does the nurse anticipate?

Core rewarming with warm fluids

A nurse manager in charge of a unit overhears two nurses in a hall filled with visitors discussing a client on the unit who has AIDS. What should be the nurse manager's initial action? A. Place an incident report in each nurse's personnel record. B. Note the situation and intervene if it happens again. C. Inform the nurse who is in the role of supervisor for the shift. D. Have a conference with the nurses and talk about the need for confidentiality.

D. Have a conference with the nurses and talk about the need for confidentiality.

A client reaches the point of acceptance during the stages of dying. What response should the nurse expect the client to exhibit?

Detachment

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

Effectiveness of the interventions

When caring for a client with venous insufficiency, the nurse would implement which nursing measure?

Elevate the client's legs above heart level.

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

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

Four days after abdominal surgery a client has not passed flatus and there are no bowel sounds. Paralytic ileus is suspected. What does the nurse conclude is the most likely cause of the ileus?

Impaired neural functioning

A nurse is teaching a client about gentamycin (Garamycin) that has been prescribed for a severe infection. Which statement indicates to the nurse that the client needs further teaching?

It is okay for me to stop taking this medication after a few days."

A nurse has provided discharge instructions to a client that received a prescription for a walker to use for assistance with ambulation. The nurse determines that the teaching has been effective when the client:

Moves the walker no more than 12 inches in front of the client during use.

After recovery from a modified neck dissection for oropharyngeal cancer, the client receives external radiation to the operative site. For which most critical reaction to the radiation should the nurse assess the client?

Mucosal edema

A client with hemiplegia is staring blankly at the wall and reports feeling like half a person. What is the most appropriate initial nursing action?

Offer to spend more time with the client.

The triage nurse in the emergency department receives four clients simultaneously. Which of the clients should the nurse determine can be treated last?

Older adult male with a partially amputated finger

A client with internal bleeding is in the intensive care unit (ICU) for observation. At the change of shift an alarm sounds, indicating a decrease in blood pressure. What is the initial nursing action?

Perform an assessment of the client before resuming the change-of-shift report.

Two nurses are planning to help a client with one-sided weakness move up in bed. What should the nurses do to conform to a basic principle of body mechanics?Instruct the client to position one arm on each shoulder of the nurses.Direct the client to extend the legs and remain still during the procedure.Have both nurses shift their weight from the front leg to the back leg as they move the client up in bed.

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.

A high-protein diet is recommended for a client recovering from a fracture. The nurse recalls that the rationale for a high-protein diet is to do what?- Promote gluconeogenesis.- Produce an antiinflammatory effect.- Promote cell growth and bone union.- Decrease pain medication requirements.

Promote cell growth and bone union.

Nursing actions for the older adult should include health education and promotion of self-care. Which is most important when working with the older adult client?

Reinforcing the client's strengths and promoting reminiscing

In all states of the United States, what is the professional nurse's legal responsibility regarding child abuse? 1-Honor the request of the parents not to report the suspected abuse. 2-Report any suspected abuse to local law enforcement authorities. 3-Return the child to the legal parent even if he or she is suspected of abuse. 4-Provide the parents with a copy of the child's medical record.

Report any suspected abuse to local law enforcement authorities.

It is appropriate for the nurse to pull up on the client's skin, release it, and determine if the skin returns immediately to its original position to assess for:

Skin turgor

The nurse is assessing a group of older adults. Which should the nurse consider to be least likely to be affected by aging?

Strategies to handle stress

During the beginning phase of a therapeutic relationship, why is a clear understanding of participants' roles important? - The client should understand what will be discussed. - The client will know that the nurse is trying to be helpful. - The client needs to know what to expect from the relationship .- The client will be able to be prepared for termination of the relationship.

The client needs to know what to expect from the relationship.

What is the primary purpose of evidence-based nursing (EBP)?

Using results from research to improve the outcome of nursing care

To prevent septic shock in the hospitalized client, the nurse should: a) Maintain the client in a normothermic state. b) Administer blood products to replace fluid losses. c) Use aseptic technique during all invasive procedures. d) Keep the ill client immobilized to reduce metabolic demands.

c) Use aseptic technique during all invasive procedures.

43- The nurse is providing post-procedure care for a client that had a central venous access device (CVAD) inserted. Before the CVAD is used, what procedure is performed to verify placement?

chest xray

An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent is always angry at me." What is the nurse's best initial response? -"your parent is frightened by impending death" -"your parent is working through acceptance of the situation" -"Your parent is attempting to reduce your need for dependency" -"Your parent is hurt that you will not provide physical care at home"

your parent is working through acceptance of the situation

A nurse who promotes freedom of choice for clients in decision-making best supports which principle?1Justice 2Autonomy 3Beneficence 4Paternalism

2 Autonomy

When providing care for a client with a nasogastric (NG) tube, the nurse should take measures to prevent what serious complication? 1.Skin breakdown 2.Aspiration pneumonia 3.Retention ileus 4.Profuse diarrhea

2-Aspiration pneumonia

A nurse manager is informed that a community disaster drill will take place. The disaster scenario will include a bombing in a shopping mall with hundreds of casualties. What location should the nurse consider for triage of casualties when planning for this exercise? 1-In the hospital parking lot 2-At the scene of the disaster 3-In the emergency department 4-At the closest school gymnasium

2-At the scene of the disaster

1.) A nurse is assigned to change a central line dressing, the agency policy is to clean the site with Betadine and then cleanse with alcohol. The nurse recently attended a conference that presented information that alcohol should precede Betadine in a dressing change. In addition, an article in a nursing journal stated that a new product was more effective antibacterial than alcohol then Betadine. The nurse had a sample of the new product. How should the nurse proceed? a. Use the new product sample when changing the dressing b. Cleanse the site with alcohol first and then with Betadine c. Cleanse the site with the new product first and then follow the agency's protocold. d. Follow the agency's protocol unless it is contradicted by a health care provider's orders

d. Follow the agency's protocol unless it is contradicted by a health care provider's orders.(Follow the agency's policy unless it is contradicted by a health care provider's)

A client has been diagnosed as "brain dead". The nurse understands that this means that the client has:

no cortical functioning with some reflex breathing

A nurse is caring for a newly admitted client in a long-term care facility. The nurse notes that the client has a decreased attention span and cannot concentrate. The nurse suspects which effects of sensory deprivation?1.Cognitive response 2.Emotional response 3.Perceptual response 4.Physical response

1.Cognitive response

A 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 "home medicine stuff" to their family members. Which response by the recently hired nurse is most appropriate?

"Nontraditional approaches to health care can be beneficial."

During a newborn assessment the nurse identifies that the temperature, pulse, respirations, and other physical characteristics are within the expected range. The nurse records these findings on the clinical record. Legally, how should the nurse's action be interpreted? 1The nurse performed her role correctly 2This is a medical diagnosis and the nurse overstepped the legal boundary. 3Nursing assessments are not equivalent to a primary healthcare provider's assessments. 4The initial assessment of the infant's physical status is the responsibility of the client's primary healthcare provider.

1. The nurse performed her role correctly (The nurse met the requirements set forth in the Nurse Practice Act.)

Health promotion efforts within the health care system should include efforts related to secondary prevention. Which activities reflect secondary prevention interventions in relation to health promotion? (Select all that apply.) 1.Encouraging regular dental checkups 2.Facilitating smoking cessation programs 3.Administering influenza vaccines to older adults 4.Teaching the procedure for breast self-examination 5.Referring clients with a chronic illness to a support group

1.Encouraging regular dental checkups 4.Teaching the procedure for breast self-examination

A nurse is teaching a client how to use the call bell/call light system. Which level of Maslow's Hierarchy of Needs does this nursing action address 1.Safety 2.Self-esteem 3.Physiological 4.Interpersonal

1.Safety

A visitor says to the nurse, "Can I read my client's progress record? I am the sponsor from an alcohol recovery program." How should the nurse respond?1.Allow the visitor to review the record; sponsors have access to privileged information 2.Ask the primary health care provider about granting permission to the sponsor 3.Do not allow the sponsor to review the record 4.Allow the visitor to review the record; clients with alcoholism need reassurance from sponsors

3.Do not allow the sponsor to review the record

A client who is suspected of having tetanus asks a nurse about immunizations against tetanus. Before responding, what should the nurse consider about the benefits of tetanus antitoxin? 1) It stimulates plasma cells directly .2) A high titer of antibodies is generated. 3) It provides immediate active immunity. 4) A long-lasting passive immunity is produced.

2) A high titer of antibodies is generated.

The nurse recognizes that which are important components of a neurovascular assessment? Select all that apply .1 -Orientation 2- Capillary refill 3- Pupillary response 4- Respiratory rate 5-Pulse and skin temperature 6 -Movement and sensation

2- Capillary refill 5- Pulse and skin temperature 6- Movement and sensation

The nurse has gathered data on a newly admitted client and is attempting to write the nursing diagnoses and develop a plan of care. In doing so, the nurse is aware that in the problem-etiology-signs and symptoms (PES) format: 1-Signs and symptoms come last in the diagnostic process. 2-Nursing interventions are derived from the etiology statement. 3-The only allowable diagnoses are nursing diagnoses.Nursing diagnoses deal only with actual or potential illness problems.

2-Nursing interventions are derived from the etiology statement

A nurse applies a heating pad to a client's buttocks. Upon removal of the heating pad, the nurse discovers that the client has received burns due to incorrect settings when use of the heating pad was initiated. Which principle would legally apply? 1-No one could be held liable for new equipment.Correct 2-The nurse could be held liable for the injury that occurred. 3-The nurse did what a reasonable, prudent nurse would do. 4-The manufacturer is liable for new equipment.

2-The nurse could be held liable for the injury that occurred

A nurse applies a heating pad to a client's buttocks. Upon removal of the heating pad, the nurse discovers that the client has received burns due to incorrect settings when use of the heating pad was initiated. Which principle would legally apply? 1No one could be held liable for new equipment. 2The nurse could be held liable for the injury that occurred. 3The nurse did what a reasonable, prudent nurse would do. 4The manufacturer is liable for new equipment.

2-The nurse could be held liable for the injury that occurred

A client expresses concern about being exposed to radiation therapy because it can cause cancer. What should the nurse emphasize when informing the client about exposure to radiation?1.The dosage is kept at a minimum 2.Only a small part of the body is irradiated. 3.The client's physical condition is not a risk factor. 4.Nutritional environment of the affected cells is a risk factor.

2.Only a small part of the body is irradiated.

A client with respiratory difficulties asks why the percussion procedure is being performed. The nurse explains that the primary purpose of percussion is to: 1.Relieve bronchial spasm. 2.Increase depth of respirations. 3.Loosen pulmonary secretions. 4.Expel carbon dioxide from the lungs.

3.Loosen pulmonary secretions.

The nurse is caring for a client admitted with chronic obstructive pulmonary disease (COPD). The nurse should monitor the results of which laboratory test to evaluate the client for hypoxia? 1 -Red blood cell count 2 -Sputum culture 3 -Arterial blood gas 4 -Total hemoglobin

3 -Arterial blood gas

A nurse is assigned to care for a newly admitted client. The nurse performs a physical assessment and reviews the admission form and the health care provider's prescriptions. What should the nurse identify as the priorities in this client's plan of care? 1) Intake and output 2) Diet and nutrition 3) Hygiene and comfort 4) Body mechanics and posture

3) Hygiene and comfort

The plan of care for the client was to lose 7 lbs (3.2 kg) by the end of the month. The client only lost 3 lbs (1.4 kg). How should the nurse respond? 1-Assume that the client has been cheating on the diet. 2-Increase the goal for next month to keep the client on track. 3-Reevaluate the plan of care for appropriateness 4-.Discontinue the plan of care because it did not work.

3-Reevaluate the plan of care for appropriateness.

A client is admitted with severe diarrhea that resulted in hypokalemia. The nurse should monitor for what clinical manifestations of the electrolyte deficiency? Select all that apply. 1-Diplopia 2-Skin rash 3-Leg cramps 4-Tachycardia 5-Muscle weakness

3-leg cramp 5-muscle weakenss

The nurse is preparing discharge instructions for a client who has begun to demonstrate signs of early Alzheimer's dementia. The client lives alone. The client's adult children live nearby. According to the prescribed medication regimen the client is to take medications six times throughout the day. What is priority nursing intervention to assist the client with compliance with medication-taking? 1.Contact the client's children and ask them to hire a private duty aide who will provide round-the-clock care. 2.Develop a chart for the client, listing the times the medication should be taken. 3.Contact the primary healthcare provider and discuss the possibility of simplifying the medication regimen. 4.Instruct the client and client's children to put medications in a weekly pill organizer

3.Contact the primary healthcare provider and discuss the possibility of simplifying the medication regimen.

A 2-year-old child admitted with a diagnosis of pneumonia was administered antibiotics, fluids, and oxygen. The child's temperature increased until it reached 103° F. When notified, the health care provider determined that there was no need to change treatment, even though the child had a history of febrile seizures. Although concerned, the nurse took no further action. Later, the child had a seizure that resulted in neurological impairment. Legally, who is responsible for the child's injury? 1.Health care provider, because this decision took precedence over the nurse's concernIncorrect 2.Health care provider, because of total responsibility for the child's health and treatment regimen 3.Nurse, because failure to further question the health care provider about the child's status placed the child at risk 4.Neither, because high fevers are common in children and the health care provider had little cause for concern

3.Nurse, because failure to further question the health care provider about the child's status placed the child at risk

While the nurse moves a client from a lying to standing position, the client experiences a rapid drop in blood pressure. The nurse would report this finding as: 1.malignant hypotension 2.orthostatic dehydration 3.orthostatic hypotension 4.vasomotor instability

3.orthostatic hypotension

A nurse assesses the lungs of a client and auscultates soft, crackling, bubbling breath sounds that are more obvious on inspiration. This assessment should be documented as what?1Vesicular 2Bronchial 3Crackles 4Rhonchi

3Crackles

A client who was exposed to hepatitis A asks why an injection of gamma globulin is needed. Before responding, what should the nurse consider about how gamma globulin provides passive immunity? 1 It increases production of short-lived antibodies. 2 It accelerates antigen-antibody union at the hepatic sites. 3 The lymphatic system is stimulated to produce antibodies. 4 The antigen is neutralized by the antibodies that it supplies.

4 The antigen is neutralized by the antibodies that it supplies.

28- A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. The nurse should assign the client to which type of room? 1 -Private room 2 -Semi-private room 3 -Room with windows that can be opened 4- Negative airflow room

4-negative airflow room

The nurse creates a plan of care for a client with a risk of infection. Which is the most desirable expected outcome for the client? 1.All nursing functions will be completed by discharge. 2.All invasive intravenous lines will remain patent. 3.The client will remain awake, alert, and oriented at all times. 4.The client will be free of signs and symptoms of infection by discharge.

4.The client will be free of signs and symptoms of infection by discharge.

A nurse is applying a dressing to a client's surgical wound using sterile technique. While engaging in this activity, the nurse accidentally places a moist sterile gauze pad on the cloth sterile field. What physical principle is applicable for causing the sterile field to become contaminated?1Dialysis 2Osmosis 3Diffusion 4Capillarity

4Capillarity

The spouse of a comatose client who has severe internal bleeding refuses to allow transfusions of whole blood because they are Jehovah's Witnesses. The client does not have a Durable Power of Attorney for Healthcare. What action should the nurse take? 1 Institute the prescribed blood transfusion because the client's survival depends on volume replacement. 2 Clarify the reason why the transfusion is necessary and explain the implications if there is no transfusion. 3 Phone the health care provider for an administrative prescription to give the transfusion under these circumstances. 4 Give the spouse a treatment refusal form to sign and notify the health care provider that a court order now can be sought.

4Give the spouse a treatment refusal form to sign and notify the health care provider that a court order now can be sought.

The nurse is monitoring a client's hemoglobin level. The nurse recalls that the amount of hemoglobin in the blood has what effect on oxygenation status?

A low hemoglobin level causes reduced oxygen-carrying capacity.

A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, "I will not discuss any client's illness with you. Are you concerned about it?" This response is based on the nurse's knowledge that to discuss a client's condition with someone not directly involved with that client is an example of:

Breach of confidentiality

A client is admitted with a suspected malignant melanoma on the arm. When performing the physical assessment, the nurse would expect to find a:

Brown or black mole with red, white, or blue areas

A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an:

Ice bag

27- The nurse teaching a health awareness class identifies which situation as being the highest risk factor for the development of a deep vein thrombosis (DVT)?

Inactivity

A nurse is preparing a community health program for senior citizens. The nurse teaches the group that the physical findings that are typical in older people include: 1.Increased skin elasticity and a decrease in libidoIncorrect 2.Impaired fat digestion and increased salivary secretionsCorrect 3.Increased blood pressure and decreased hormone production 4.An increase in body warmth and some swallowing difficulties

Increased blood pressure and decreased hormone production

A nurse is preparing to change a client's dressing. What is the reason for using surgical asepsis during this procedure?

Keeps the area free of microorganisms.

A client, who is in a late stage of pancreatic cancer, intellectually understands the terminal nature of the illness. Behaviors that indicate the client is emotionally accepting of impending death are that the client is:

Revising the client's will and planning a visit to a friend