Minor concepts II

A nurse is caring for a client who has benign prostatic hyperplasia. Which of the following medications should the nurse plan to administer

Finasteride

A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation?

-Excessive laxative use -ignoring the urge to dedicate -inadequate fluid intake

A nurse is teaching a client who has constipation about a high-fiber diet. Which of the following foods should be included as sources of fiber? SATA

-kidney beans -blackberries -whole wheat bread

A nurse is caring for a client who is recovering from a CVA. Which of the following information should the nurse include when teaching family members about repositioning the client? SATA

-remove pillows prior to repositioning -elevate the bed to waist height -stand with feet wide apart -face the direction of movement when positioning the client

A nurse is assessing a client who is experiencing a prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect? SATA

-reports of feeling pressure -tenderness over the symphysis pubis -distended bladder -voiding 30 mL frequiently

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? SATA

-sedentary lifestyle -carbonated beverages -caffeine intake -smoking tobacco products

A nurse is teaching a client who has benign prostatic hypertrophy and has a new prescription for finsteride. Which of the following instructions should the nurse include in the teaching?

A decreased libido is an adverse effect of the medication

A nurse caring for a client of Chinese heritage. Which of the following actions should the nurse take to demonstrate cultural competence?

Ask the client's permission to add ice to the drinking water

A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?

Avoid lifting anything heavier than 4.5kg (10 lbs) for 1 week.

A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?

Bradykinesia

A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Drying the newborn's skin thoroughly

A nurse working in an emergency room is caring for a client who has third degree frostbite to both lower extremities. The nurse should plan to take which of the following actions?

Elevate the legs

A nurse is caring for a client 8 hour postoperative following a total knee replacement. Which of the following actions should the nurse take?

Encourage increased fluid intake

A nurse is implementing a bladder retraining program for a client. Which of the following actions should the nurse take?

Encourage the client to hold her breath when feeling the urge to urinate

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

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric CVA 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?

Establish the ability to communicate effectively

A nurse is providing dietary teaching for a client who is Asian-American and is gazing at the floor during the instructions. Which of the following actions should the nurse take to demonstrate culturally sensitive nursing care?

Continue with the discussion

A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions can cause incontinence in the older adult client?

Cystitis

A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse?

Determine if the client uses hearing aids

A nurse is caring for a client who has benign prostatic hyperplasia. The nurse should expect which of the following findings?

Difficulty starting the flow of urine

A nurse is admitting a client who was prescribed antibiotic therapy and now has ClostRidium difficile infection. Which of the following actions should the nurse take?

Disinfect equipment in the client's room daily

A nurse is about to explain a therapeutic procedure to a client who doesn't speak the same language as the nurse. Which of the following actions should the nurse take?

Have a medical interpreter present during the teaching

A nurse in a clinic is teaching a group of clients about preventing low back pain and injury. Which of the following statements should the nurse identify as an indication that the client requires further clarification?

I sit with my knees lower than my hips

A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diploma, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

Implement a schedule to include periods of rest

A nurse is teaching an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching?

Increase dietary intake of raw vegetables

A nurse is planning care for a client who has acute dysphasia. Which of the following nursing interventions should be included in the plan of care?

Instructing the client to tilt head forward when swallowing

A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client?

Kyphosis

A nurse is caring for a client who has Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

Non anti microbial soap

A nurse is discussing culturally competent care at a nursing staff in service. Which of the following information should the nurse include when discussing the clients cultures?

Nurses should focus on a clients culture, rather than ethnicity, when providing care

A nurse is caring for a client. Who is terminally ill and exhibiting signs of impending death. The client's medical record states that the client is a practicing Roman Catholic. Which of the following nursing actions is appropriate?

Offer to make arrangements for the sacrament of the sick

A nurse is planning care for a client who has manifestations of a Clostridium difficile infection. Which of the following actions should the nurse plan to take?

Place the patient on contact precaution

A nurse is observing and assistive personnel performing postmortem care for a client who is Muslim. Which of the following actions should prompt the nurse to intervene?

Prepares to cleanse the body

A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?

Provide supervision

A nurse is caring for an ante-argument client who has iron-deficiency anemia. When teaching the client about nutrition, the nurse should emphasize the need for an increased intake of which of the following foods?

Red meat and organ meat

A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain?

Renal stones

A nurse is developing a plan of care for a client who practices Islam. Which of the following actions should the nurse include in the plan?

Request a meal tray without pork

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

Scattered rugs are present in the kitchen

A nurse is administering a cold therapy application to a client. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response?

Shivering

A nurse is caring for a client who has meningitis, A temp of 39.7 C, and is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?

Shivering

A nurse is caring for a client who has meningitis, a temp of 39.7 C (103.5 F), and is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?

Shivering

A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take?

Speak directly to the client in a normal, clear voice

A nurse is caring for a client following a CVA and observes the client experiencing severe dysphasia. The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?

Supplements via nasogastric tube

A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent?

Surgeon

A Nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest?

Swimming

A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior?

Take the patient to the bathroom every 2 hours

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?

Talk with the patient during wound care

A client who is terminally ill tells a nurse on the med-surge unit that she feels hopeless. Which of the following statements by the nurse is appropriate?

Tell me what you understand about your illness

A nurse is assessing a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal

The client faces the direction of movement when sliding an object across the floor

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 assessing a client who has a hip fracture. Which of the following findings should the nurse expect?

muscle spasms