Predictor 2
A nurse is conducting group therapy with clients who have breast cancer. The nurse should recognize which of the following statements by a client as an example of altrusim?
"I told my doctor that I would like to start a support group for other women who are sick in my community"
A home health nurse is caring for a group of older adult clients. The nurse should initiate a referral to the Program of All-Inclusive Care for the Elderly (PACE) for which of the following clients?
A client whose caregiver requests adult day care services
A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective?
Hemoglobin 14.9 g/dL
A nurse is assessing an older adult client who has pneumonia. Which of the following findings should the nurse expect?
acute confusion
A nurse manager is preparing an educational session about advocacy to a group of nurses. The nurse manger should include which of the following information in the teaching?
advocacy is a leadership role that helps other to self-actualize
A nurse is teaching about adverse effects with a client who is starting to take captopril. Which of the following findings should the nurse identify as an adverse effect of the medication to report to the provider?
cough
A nurse is planning care for a client who has rheumatoid arthritis. Which of the following interventions should the nurse include in the plan?
increase the client's dietary iron intake
A nurse is assessing a client following a colonoscopy. Which of the following findings should indicate to the nurse that the client is hemorrhaging?
rapid decrease in blood pressure
A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care?
"We can expect the hospice nurse to provide support for us after our mother's death"
A nurse is providing client teaching about the basal body temperature method of birth control. Which of the following information should the nurse include in the teaching?
"Your body temperature might decrease slightly just prior to ovulation
A nurse is performing an abdominal assessment on a client. Identify the sequence of action the nurse should take
- inspection - auscultation - percussion - palpation
A nurse is creating a plan of care for a newly admitted child. Which of the following actions should the nurse include in the plan?
Administer high-dose antibiotic therapy
A rural community health nurse is developing a plan to improve health care delivery for migrant farmworkers. To identify health services data for this minority group, the nurse should gather information from which of the following sources?
Agency for healthcare research and quality
A nurse is caring for a client who has a stroke 6 hr ago. Which of the following interventions should the nurse implement to reduce the risk of increased intracranial pressure (ICP)?
Place the client in a quiet environment
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider?
apply a cold pack to the client's ankle for 30 min every hour
A nurse manager is reviewing clients' rights with the nurses on the unit. The nurse manager should tell the nurses that informed consent promotes which of the following ethical principles?
autonomy
A nurse is caring for a client who is in the resuscitation phase of burn injury. Which of the following findings should the nurse expect?
hyponatremia
A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of terminal cancer. The client tells the nurse that they would like to go home to be with family and loved ones. Which of the following actions should the nurse take?
make a referral for social services
A nurse is assessing a client after administering epinephrine for an anaphylactic reaction. Which of the following findings should the nurse identify as an adverse effect of this medication?
report of chest pain
A nurse in an outpatient mental health facility is assessing a child who has autism spectrum disorder. Which of the following manifestations should the nurse expect?
strict adherence to routines
