NURS301 - EXAM #3

Which statement by a registered nurse (RN) represents appropriate delegation to the unlicensed assistive personnel (UAP)? "Discontinue the IV solution." "Check the infusion rate." "Inspect the site for thrombophlebitis." "Dispose of the disconnected IV set."

"Dispose of the disconnected IV set."

Which statement by a registered nurse (RN) represents appropriate delegation to the unlicensed assistive personnel (UAP)? "Discontinue the IV solution. "Dispose of the disconnected IV set." "Inspect the site for thrombophlebitis." "Check the infusion rate."

"Dispose of the disconnected IV set."

A staff nurse is talking with a clinical nurse leader and asks, "What exactly do you do?" Which statement by the clinical nurse leader would be appropriate? "I'm an administrator involved with client care." "I'm an advanced practice nurse with a specific specialty area." "My position is one of management." "I collaborate with health care teams to promote client care."

"I collaborate with health care teams to promote client care."

An older adult client tells the nurse, "I give myself a mineral oil enema every day." What is the appropriate nursing response? "This is good to help bowels move." "Perhaps you should do this twice daily." "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." "It is important that you discontinue this type of treatment immediately."

"Mineral oil enemas can interfere with absorption of fat-soluble vitamins."

The nurse needs to collect stool for occult blood testing from an 8-month-old client. The parent asks if the specimen for testing can be collected from the child's diaper. What is the best response by the nurse? "Only if the stool has not been contaminated by urine." "Stool cannot be collect from a child's diaper." "Stool can be collected only from a cloth diaper." "It depends on which testing developer is used."

"Only if the stool has not been contaminated by urine."

The nurse has presented an educational in-service about caring for clients who have newly created ostomies. The nurse asks participants, "How will you know when a client begins to accept the altered body image?" Which responses by participants indicates a correct understanding of the material? Select all that apply. "The client makes neutral or positive statements about the ostomy." "The client is willing to look at the stoma." "The client agrees to take prescribed antidepressants." "The client uses spray deodorant several times an hour to mask odor." "The client expresses interest in learning self-care."

"The client makes neutral or positive statements about the ostomy." "The client is willing to look at the stoma." "The client expresses interest in learning self-care."

Which is the test that would provide an accurate measurement of the kidney's excretion of creatinine? 24-hour specimen Clean-catch specimen Random specimen Intermittent specimen

24-hour specimen

Which client would a nurse correctly refer to Medicare services? A 66-year-old client with diabetes A client with a disability A low-income family with infants needing immunizations A client with cancer

A 66-year-old client with diabetes

A nurse demonstrates understanding of Healthy People 2030 by supporting which statement? Establish a set of nursing skills that focuses on quick resolution to clients' needs. A client's health is affected by social, economic, and political factors. Clinical care supports wellness in the environment. Physical therapy supports client safety at home.

A client's health is affected by social, economic, and political factors.

What is the definition of wellness? Maximizing the state in which you live Being without disease A desire to be without disease An active state of being healthy

An active state of being healthy

The nurse is delegating care to an unlicensed assistive personnel (UAP). Which intervention would be most important for the nurse to perform independently? Assess the client with difficulty breathing Obtain a postprandial blood sugar reading Measure the client's blood pressure Assist the client with turning in bed

Assess the client with difficulty breathing

The nurse is caring for an older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first? Apply socks to the client's feet. Put the client's bedside rails up. Assess the need for assistance with ambulation. Arrange furniture so that the client has something to hold on to.

Assess the need for assistance with ambulation.

Which nursing intervention is an example of tertiary preventive care? Blood pressure screenings at a senior center Administration of immunizations to a 6-month-old child Assisting with speech therapy a client with a traumatic brain injury Teaching stress reduction classes at a wellness center

Assisting with speech therapy a client with a traumatic brain injury

A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation? Autocratic. Democratic Laissez-faire Transactional.

Autocratic

The nurse is caring for a female client with frequent urinary tract infections (UTIs). What does the nurse include in the client's teaching plan to decrease the incidence of UTIs? Shower rather than taking baths. Wipe the perineal area from back to front. Be sure to urinate after you have sexual intercourse. Ensure adequate vitamin C intake.

Be sure to urinate after you have sexual intercourse.

The nurse is working at a facility that is applying for Magnet® Recognition. The nurse knows that compared with other hospitals, Magnet® hospitals have which direct effect on client care? Lower staffing ratios Higher nurse turnover Better client outcomes Reduced emphasis on continuing education

Better client outcomes

Why are health promotion and illness prevention a key responsibility of nurses? People do not like to be sick and feel bad. Chronic illnesses are the leading health problem in the world. Chronic illnesses can cause pain and suffering. Treatment of chronic illnesses is very expensive.

Chronic illnesses are the leading health problem in the world.

The nurse is preparing to insert an indwelling urinary catheter into a client's bladder. The nurse has opened the sterile catheterization tray using sterile technique, donned sterile gloves and has opened all sterile supplies. Arrange the following steps in the correct order. Inflate the balloon with the correct amount of sterile saline. Discard used supplies. Clean each labial fold, then the area directly over the meatus. Advance the catheter until there is a return of urine. Insert the lubricated catheter into the urethra.

Clean each labial fold, then the area directly over the meatus. Insert the lubricated catheter into the urethra. Advance the catheter until there is a return of urine. Inflate the balloon with the correct amount of sterile saline. Discard used supplies.

A client is preparing to give a clean-catch urine specimen. Which instruction will the nurse provide? Cleanse the meatus with antiseptic and then void into the container. Collect the sample after allowing initial urine to flow into the toilet.

Collect the sample after allowing initial urine to flow into the toilet.

A client has burning upon urination. The urinalysis indicates pyuria. Which is the next action the nurse will take? Monitor vital signs Contact the health care provider Encourage fluids Instruct on proper wiping technique

Contact the health care provider

The nurse is working to enhance time management skills and has to administer pain medications to several clients, obtain vital signs, and assist clients with bathing. What should the nurse do next? Bathe clients Obtain vital signs. Delegate bathing and vital signs tasks. Administer pain medications.

Delegate bathing and vital signs tasks.

The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying? Autocratic Quantum Democratic Laissez-faire

Democratic

The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and health care providers is exhibiting what style of leadership? Democratic Autocratic Laissez-faire Transformational

Democratic

A nurse informs the client that the client has no choice and must take a bath in the morning. What type of leadership does this exemplify? Directive leadership Participative leadership Shared governance Institutional governance

Directive leadership

The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? Disconnect the nasogastric tube from the suction for 1 hour prior to the assessment of bowel sounds. Allow the low intermittent suction to continue during the assessment of bowel sounds. Disconnect the nasogastric tube from suction during the assessment of bowel sounds. Apply continuous suction to the nasogastric tube during assessment of bowel sounds.

Disconnect the nasogastric tube from suction during the assessment of bowel sounds.

An adolescent client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health? Emotional dimension Intellectual dimension Sociocultural dimension Physical dimension

Emotional dimension

The nurse is creating a plan of care for an older adult client at risk for constipation. The nurse will provide what health education? Advise increasing milk or milk products in the diet to provide stool bulk. Encourage physical activity to improve bowel regularity. Suggest use of warm compresses on the abdomen to increase gastrointestinal motility. Advise decreasing dietary fiber in the diet to enhance stooling.

Encourage physical activity to improve bowel regularity.

Which of these is not a factor in the Agent-Host-Environment Model of health and illness, as developed by Leavell and Clark (1965)? Chemical substance Virus Bacteria Evil spirit

Evil spirit

The nurse manager has recently promoted a staff nurse to the charge nurse position. Which type of power does the charge nurse now have? Situational Explicit Democratic Implied

Explicit

Which are factors that impact how a client defines health? Select all that apply. Family Society Culture Music Community

Family Society Culture Community

A nurse is caring for a client with an external condom catheter. Which guideline should be implemented when applying and caring for this type of catheter? Remove the catheter every 8 hours, or more often in humid weather. Wipe the penis thoroughly with an alcohol swab and dry thoroughly before application. Fasten the condom securely enough to prevent leakage without constricting blood flow. Ensure the tip of the tubing is touching the tip of the client's penis.

Fasten the condom securely enough to prevent leakage without constricting blood flow.

When caring for a client who has just been diagnosed with a chronic illness, the nurse understands the importance of promoting health by highlighting which concept? Focus on the altered functioning. Focus on what is possible. Focus on what can no longer be. Focus on why the client has the illness.

Focus on what is possible.

The nurse is preparing to administer an enema to a client who is constipated. Upon assessment, the nurse notes painful distended veins on the exterior rectum. Which action will the nurse take next? Digitally stimulate the client to defecate. Generously lubricate the enema tube tip before proceeding. Continue with the enema with no further intervention. Use a different solution for the enema.

Generously lubricate the enema tube tip before proceeding.

When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is demonstrating an understanding of which health model? Health belief model Clinical model High-level wellness model Holistic health model

Health belief model

Which is the most accurate definition of health? Health is a reflection of wellness and requires a conscious and deliberate effort to maintain. Health is a state of complete physical, mental, and social well-being. Health is a state of maximal wellness. Health is a lack of disease.

Health is a state of complete physical, mental, and social well-being.

Which definition of health is the best? Health is how people feel. Health is a state of complete well-being. Health is the absence of disease. Health is the lack of physical symptoms.

Health is a state of complete well-being.

A nursing facility has recently implemented new policies regarding nurse-to-client ratios. The nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the change? Use the laissez-faire leadership style to address staff concerns. Institute the changes immediately and collectively to decrease anticipation anxiety. Challenge staff's beliefs and values regarding providing quality client care. Hold a unit meeting to discuss how the changes will benefit staff.

Hold a unit meeting to discuss how the changes will benefit staff.

Which is the acute care setting for people who are too ill to care for themselves at home, are severely injured, or require surgery? Hospitals Primary care centers Ambulatory care centers Day care centers

Hospitals

Which attributes should be characteristic of a nurse mentor? Select all that apply. Is supportive Is resourceful Is driven by financial reward Embraces disruptive conflict Demonstrates leadership abilities Is an experienced, licensed professional Deconstructs health care networks

Is supportive Is resourceful Demonstrates leadership abilities Is an experienced, licensed professional

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease? It persists for a long time. It is a sequela of acute illness. It takes a long time to cure. It has a gradual onset and lasts for a long time.

It has a gradual onset and lasts for a long time.

A nurse leader on a unit allows the staff to make all decisions and direct themselves, including filling out the work schedule. The nurse leader is practicing which leadership style? Laissez-faire Autocratic Transformational Democratic

Laissez-faire

The charge nurse on the orthopedic unit believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which the charge nurse contributes. The charge nurse's style of leadership can be described as which? Laissez-faire Democratic Transformational Autocratic

Laissez-faire

Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses? Democratic Autocratic Laissez-faire Transformational

Laissez-faire

A nurse is giving a large-volume enema to a client who winces in pain and reports severe cramping. What intervention would be most appropriate in this situation? Place the client on a bedpan in the supine position while receiving the enema. Lower the solution container and check the temperature and flow rate. Remove the tubing immediately and discontinue the procedure. Reposition the rectal tube and check for any fecal content.

Lower the solution container and check the temperature and flow rate.

Which statement should the nurse convey to the parent of a 3-year-old male child who has not achieved urinary continence? a) Male children may walk by 1 year and should be continent by 3 years b) Incontinence after the age of 3 years is not normal c) Daytime continence is usually not achieved by boys until age 5 d) Male children may take longer for daytime continence than female children.

Male children may take longer for daytime continence than female children.

The implementation of diagnosis-related groups (DRGs) by Medicare in 1983 affected hospitals in which way? Medicare pays only the amount of money preassigned to a treatment for a diagnosis. Benefits and reimbursement cannot be changed annually. Part B of Medicare covers most inpatient and outpatient costs. Part A of Medicare is voluntary and is paid for by a monthly premium.

Medicare pays only the amount of money preassigned to a treatment for a diagnosis.

A nurse manager is changing the policy for scheduling staff on a critical care unit. The schedules will be changed and an announcement was made regarding this to the staff. Based on Lewin's change theory, in what stage of change is the manager participating? Freezing Unfreezing Transforming Moving

Moving

A client is suspected of having a disease process affecting the basic functional unit of the kidney. Which structure is likely involved? Glomerulus Bowman's capsule Loop of Henle Nephron

Nephron

A client with an emergently placed central venous catheter (CVC) is to have emergent hemodialysis. Upon assessment of the CVC the nurse visualizes redness, drainage, and odor to the area around the CVC. Palpation of the surrounding skin causes the client pain. Which intervention is the priority? Checking for blood return in the CVC Placing the client as N.P.O. status Notifying the health care provider of the assessment findings Obtaining laboratory studies

Notifying the health care provider of the assessment findings

A client with an emergently placed central venous catheter (CVC) is to have emergent hemodialysis. Upon assessment of the CVC the nurse visualizes redness, drainage, and odor to the area around the CVC. Palpation of the surrounding skin causes the client pain. Which intervention is the priority? Checking for blood return in the CVC Placing the client as N.P.O. status Notifying the health care provider of the assessment findings Obtaining laboratory studies

Notifying the health care provider of the assessment findings

The nurse assesses redness, drainage, and odor to the area around a client's peritoneal dialysis catheter. Palpation of the abdomen causes the client pain. Which intervention is the priority? Flushing the catheter with 15-20mL of normal saline Obtaining lab studies Sitting the client up in a greater than a 40-degree angle Notifying the health care provider of the assessment findings

Notifying the health care provider of the assessment findings.

The nurse is caring for a client who requires a cleansing enema before undergoing an x-ray of the bowel. When planning and implementing this intervention, which action(s) will the nurse take? Select all that apply. Encourage the client to retain the fluid for 45 minutes. Place the client in a Sims position. Auscultate the bowel sounds. Ensure there is a bedpan at the bedside. Keep the solution temperature below 77°F (25°C).

Place the client in a Sims position. Auscultate the bowel sounds. Ensure there is a bedpan at the bedside.

A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. Which is the best statement to include? Plans to eat a snack of fruit twice per day. Will includes a pat of butter with eggs for breakfast. Plans to eat 4 ounces of protein 3 times per day. Will include fish one to two times per week.

Plans to eat a snack of fruit twice per day.

While providing care to a client admitted to the health care facility, the client states that they have "a burning sensation when urinating." After further questioning, the nurse inspects the client's perineal area. Which sign/symptom would the nurse document as an abnormal finding? Moist perineal skin Reddened perineal skin Presence of smegma Absence of discharge

Reddened perineal skin

The nurse manager is aware that nurses in the operating room are concerned about a proposed change in their working hours. Which is the nurse manager's best approach to addressing this problem and the nurses? Relate the proposed change to the group's existing beliefs and values. Discourage the nurses from discussing the problem because the change is going to occur. Discuss the disadvantages for the hospital if the change is not made. Explain the rationale for this change in an e-mail to each of the nurses.

Relate the proposed change to the group's existing beliefs and values.

An older adult client's small-bowel obstruction has resolved, and the intestinal decompression tube has been prescribed to be removed. When performing this nursing action, what should the nurse prioritize? Aspirate the tube while removing it in order to normalize pressure. Change from continuous to intermittent suction during removal. Instill a small amount of water to provide lubrication while withdrawing the tube. Remove the tube slowly to avoid injuring the client.

Remove the tube slowly to avoid injuring the client.

A nurse is assisting a client when they are draining a continent ileostomy. The catheter suddenly becomes plugged with stool. Which action should the nurse take to rectify the problem? Avoid removing the catheter. Rotate the catheter tip inside the stoma. Wait for 8 hours to obtain drainage. Avoid milking the catheter.

Rotate the catheter tip inside the stoma.

A nurse is performing health promotion activities for clients at a local health care clinic. Which nursing actions exemplify the focus of secondary preventive care? Select all that apply. Screening clients for hypertension Referring a client to family counseling Educating parents about child safety in the home Scheduling a mammogram for a client Performing range-of-motion exercises on a client Scheduling immunizations for a child

Screening clients for hypertension Referring a client to family counseling Scheduling a mammogram for a client

The nurse is holding a cholesterol screening at a local pharmacy this Saturday morning. What level(s) of health promotion is this screening an example of? All three levels Secondary Primary Tertiary

Secondary

A nurse manager best demonstrates effective leadership characteristic by which action? Knowing all information about the unit processes Being very structured and rigid with the unit flow Sharing a vision for the unit and enlisting support Indicating an interest in becoming a role model

Sharing a vision for the unit and enlisting support

The nurse is inserting a rectal tube to administer a large-volume enema. Which nursing action is performed correctly in this procedure? Encourage the client to hold the solution for at least 20 minutes. Introduce solution quickly over a period of 3 to 5 minutes. Position the client on their back and drape properly. Slowly and gently insert the enema tube 3 to 4 in (7.5 to 10 cm) for an adult.

Slowly and gently insert the enema tube 3 to 4 in (7.5 to 10 cm) for an adult.

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone? Emotional needs Intellectual needs Sociocultural needs Spiritual needs

Sociocultural needs

The nurse is a member of the multidisciplinary team in a large primary health care setting. The nurse understands that which health care team member is responsible for a client's swallow evaluation following a cerebral vascular accident? Physical therapist Occupational therapist Speech pathologist/therapist Physician assistant

Speech pathologist/therapist

A nurse is a member of an interdisciplinary team providing home health care to a client who was discharged home after experiencing a stroke. The client has been receiving services to assist with swallowing. The nurse would collaborate with which member of the team to discuss the client's progress? Social worker Physical therapist Speech therapist Occupational therapist

Speech therapist

While administering a cleansing enema, the client displays lightheadedness, nausea, and has clammy skin. The nurse would implement which priority action? Stop the procedure, monitor heart rate and blood pressure. Slow the infusion rate, withdraw the tubing slightly, then resume the enema. Stop the procedure and reposition the client. Slow the infusion rate, have the client take deep breaths, then resume the enema.

Stop the procedure, monitor heart rate and blood pressure.

A nurse is caring for a client who has COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness? The disease is no longer present. Symptoms are not experienced. The symptoms of the illness reappear. New symptoms occur at this time.

Symptoms are not experienced.

Which model is most useful in examining the cause of disease in an individual, based upon external factors? The Health-Illness Continuum The High-Level Wellness Model The Agent-Host-Environment Model The Health Belief Model

The Agent-Host-Environment Model

The nurse is slowly advancing a nasogastric (NG) tube when the client begins to gasp and is unable to vocalize. Which scenario has likely occurred? The NG tube is curled in the back of the client's throat. The client is experiencing a vasovagal reaction. The client is forcefully resisting the procedure. The NG tube is in the client's airway.

The NG tube is in the client's airway.

The nurse is caring for a client who has been experiencing difficulty voiding in the 8 hours since giving birth vaginally. What information should be provided to the client? The birth can cause perineal swelling. A neurogenic bladder results from local anesthesia. A urinary tract infection results from the birth process. Catheterization is necessary for 1 week.

The birth can cause perineal swelling.

A client diagnosed with lung cancer has been given a prognosis of 3 to 4 months of life. The nurse discusses hospice care with the client and family. Which aspect of the client's health status indicates that hospice care is appropriate? The client wishes to treat disease with complementary alternative medicine The client has a diagnosis of metastatic cancer The client does not have family or a support system to provide care The client has a life expectancy of less than 6 monthsa

The client has a life expectancy of less than 6 months

A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify is occurring with this client? The client is having an exacerbation of COPD. The client is experiencing the effects of a terminal illness. The client is experiencing remission of the COPD. This is the effect of a secondary illness.

The client is having an exacerbation of COPD.

A nurse is caring for a client who has just undergone surgery to create an ileal conduit for urinary elimination via a stoma. Which fact about this procedure should the nurse mention to the client? This urinary diversion is only temporary. The client will need to change the urinary pouch every 4 hours. The client will have to wear an external appliance to collect urine. Urination can be voluntarily controlled after the stoma heals from the initial surgery.

The client will have to wear an external appliance to collect urine.

The case manager works in a facility that supports a participative leadership style. Which action should the nurse recognize as an example of democratic leadership style? The nurse implementing the physician's written orders for client care The unlicensed assistive personnel (UAP) taking vital signs for several nurses The dietitian completing a nutritional assessment for a registered nurse (RN) The interdisciplinary health care team collectively developing plans of care for clients

The interdisciplinary health care team collectively developing plans of care for clients

The nurse is teaching a client with a new ostomy about the care regimen. Which teaching will the nurse provide? Adopt a high-fiber diet to ensure adequate flow of output. Empty the collection bag once it is 75% full. Use water and mild soap to cleanse the skin surrounding the stoma. Use alcohol-based sanitizer on the stoma and surrounding skin to prevent infection.

Use water and mild soap to cleanse the skin surrounding the stoma.

An older adult has developed occasional constipation despite having no such issues during their adult years. Which developmental factor is most likely related to this change? Lactose intolerance can develop with age, causing constipation. Weakened pelvic muscles lead to constipation. Increases in dietary fiber can decrease peristalsis. Increased stomach pH causes fiber to be indigestible.

Weakened pelvic muscles lead to constipation.

A sterile urine specimen for culture and sensitivity has been prescribed for a client who has an indwelling urinary catheter. How should the nurse obtain this specimen? Withdraw several milliliters of urine from the port on the collection tubing, using aseptic technique. Empty the collection bag, wait 30 minutes, and then collect the contents of the collection bag. Discontinue the indwelling catheter and insert an intermittent catheter to obtain the sterile specimen. Collect a urine specimen from the collection bag first thing in the morning, or a few hours after the client receives a diuretic.

Withdraw several milliliters of urine from the port on the collection tubing, using aseptic technique.

The risk for developing colorectal cancer during one's lifetime is 1 in 19. Nurses play an integral role in the promotion of colorectal cancer screening. What are risk factors for colorectal cancer? Select all that apply. a history of inflammatory bowel disease a diet high in fruits, vegetables, and whole grains. age 50 and older a positive family history

a history of inflammatory bowel disease age 50 and older a positive family history

A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the: agent. host. environment. disease.

agent

The student nurse is preparing a presentation on bowel elimination. Which potential cause(s) of diarrhea will the student include? Select all that apply. depression opioid use antibiotic use increased physical activity acute stress

antibiotic use acute stress

A client with chronic kidney disease reports not being able to urinate for the past 24 hours. A bladder scan shows no urine in the bladder. How does the nurse document this data? anuria oliguria nocturia urinary retention

anuria

A nurse has received an order to insert a urinary catheter into a female client. In preparation, the nurse asks if the client has ever had an indwelling catheter and, if so, why and for how long. The nurse has performed which action? assessed for the most appropriate size of catheter to insert assessed the possibility that the client has urethral strictures assessed the client's risk of hemorrhage during insertion gauged the client's risk of developing a urinary tract infection

assessed the possibility that the client has urethral strictures

When collecting a urine sample from a client for examination, the nurse notes that the sample appears reddish-brown in color. What could cause this variation in color of the urine? dehydration infection stasis blood

blood

The health care provider notifies a client of a diagnosis of glycosuria. Which assessment information will the nurse obtain from the client next? Frequency of urine Intake and output Blood pressure Blood sugar

blood sugar

A client is reporting bladder urgency. Which will the nurse assess? exercise weight caffeine intake vitamin supplements

caffeine intake

Which client is most likely to require interventions to maintain regular bowel patterns? client, age 58, who has a BMI of 32 and leads a sedentary lifestyle client whose neuropathic pain requires multiple doses of opioids each day client with hypertension who takes a diuretic and adrenergic blocker each morning client who has gastroesophageal reflux disease (GERD)

client whose neuropathic pain requires multiple doses of opioids each day

A client has been diagnosed with a dental infection and been prescribed a course of clindamycin. The nurse will monitor for what potential change in bowel function? abdominal bloating constipation diarrhea fecal impaction

diarrhea

A registered nurse is delegating activities to unlicensed assistive personnel (UAP) on a hospital unit. Which activity(ies) could this nurse normally delegate? Select all that apply. determining a nursing concern for care planning for a client with breast cancer giving a bed bath to a client planning education for a client with a colostomy taking routine vital signs administering medications to a client transferring a client to another floor

giving a bed bath to a client taking routine vital signs transferring a client to another floor

A community health nurse arranges for a dentist to teach local children in the school district how to properly brush their teeth. Which goal will the nurse set for this event? high-level wellness illness prevention health promotion reversal of self-care deficit

health promotion

A cleansing enema has been ordered for the client to draw water into the bowel. Which type of solution does the nurse gather? tap water mineral oil hypertonic saline soap and water

hypertonic saline

A nurse is successful in promoting change on the nursing division. This nurse would be considered a: guide. leader. manager. specialist.

leader.

The nurse is caring for a client with an ileostomy that was created 5 days ago. The nurse will teach the client to anticipate what type of expected ostomy output? mucus-streaked stool blood-tinged, loose stool liquid stool soft, semiformed stool

liquid stool

A nurse manager reviews an employee's contribution to the nursing division annually. This process is: interpreting quality indicators employee's job satisfaction survey. performance appraisal. reward and development survey.

performance appraisal.

As part of a prenatal class, the nurse is educating a group of clients on car seat safety. The nurse is providing which type of prevention? tertiary illness prevention secondary illness prevention educational illness prevention primary illness prevention

primary illness prevention

A nurse is providing care for client who experienced a stroke. Which nursing intervention reflects the tertiary level of prevention? conduct mental status assessment every 2 hours discuss family history of hypertension assess blood pressure every 4 hours provide care transition at discharge for speech therapy

provide care transition at discharge for speech therapy

The nurse is caring for an older adult client with diarrhea. Which assessment finding requires immediate nursing intervention? temperature 99.9°F (37.9°C) skin turgor response 5 seconds blood pressure 130/80 mm Hg heart rate 90 beats/min

skin turgor response 5 seconds

Which catheter would the nurse use to drain a client's bladder for short periods (5 to 10 minutes)? indwelling urethral catheter straight catheter foley catheter retention catheter

straight catheter

A 70-year-old client who has four children and six grandchildren states that they "wet" themself when they sneeze or laugh. They report that sometimes this also occurs when rising from a sitting to standing position. Which type of incontinence does the nurse anticipate? total reflect urge stress

stress

A client reports to the nurse that after delivering an infant, they lose small amounts of urine each time they sneeze or laugh hard. Which type of incontinence does the nurse anticipate? urge total reflex stress

stress

The nurse is caring for a client who has been experiencing nausea, vomiting, and diarrhea for 3 days. Which urine characteristics does the nurse anticipate? cloudy, foul odor light yellow, clear clear, colorless strongly aromatic, dark amber

strongly aromatic, dark amber

Chronic illness may be characterized by periods of remission. Remission is best defined as: the response of a person to a disease. a pathologic change in the structure of function of the body or mind. the presence of a disease with the absence of symptoms. the reappearance of symptoms of a disease.

the presence of a disease with the absence of symptoms.