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Identify and recommend some credible web sites appropriate to his learning needs

A female client has been recently diagnosed with Alzheimer's disease. Her husband asks the nurse for web sites to supplement his learning about her diagnosis. The nurse will

Lack of respite or relief from caregiver responsibilities

A home health nurse is interviewing the patient's primary caregiver. For which common caregiver stressor should the nurse assess?

Obtain access to the language line or a medical interpreter for all interactions

A non-English speaking patient has been admitted to the ED with chest pain. The nurse speaks only English. The nurse should:

Mind, body, spirit

Nursing's holistic approach to patient care includes:

Ask the client to demonstrate the skill after being given verbal instructions

A nurse is teaching an adult client who has a low literacy level about self-administration of a subq medication. Which of the following strategies should the nurse use to promote the client's understanding?

BP

AN assistive personnel reports a client's vital signs as tympanic temperature 98.8 F, pulse 92/min, respiratory rate 18/min and BP 98/58 mmHg. Which of the following vital signs should the nurse re-measure

return demonstration

a nurse evaluates whether a client is correctly performing exercises to decrease lower back pain. The evaluation method the nurse should use is

Provide information on ways to reduce risk factors for HTN

46 yr old African American man is in an outpatient clinic for PE. He has BP of 124/82 mm Hg, BMI of 24, reports no previous medical problems. Which of the following should the nurse anticipate doing for this client?

Assess the apical pulse for a full minute

A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?

Pain

A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?

Nurses should focus on clients' cultures, rather than their ethnicity, when providing care

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

Sharing computer passwords with coworkers

A nurse is documenting information in a computerized health record. Which of the following nursing actions jeopardizes client confidentiality?

Establish a baseline for postoperative assessment

A nurse is preparing a client for hip arthroplasty. For which of the following reasons should the nurse assess the client's vital signs?

Find out what the client wants to know

A nurse is preparing health education for a 45 year old patient who was diagnosed with T2DM at age 2. Education session today will focus on a new injectable diabetes medication that the patient requested be added to her medication regimen. First action the nurse must take is

"information about a client can be disclosed to family members at any time"

A nurse is reviewing information about HIPAA with a newly licensed nurse. Which of the following statements by the new nurse indicates a need for further teaching?

Places the client's arm above the level of the client's heart

A nurse is teaching a client's partner about how to obtain a blood pressure reading. Which of the following actions by the partner indicates a need for further instruction?

psychomotor

A patient, newly diagnosed with insulin dependent diabetes, is doing very well with a teach back performing the steps of insulin injection. Which of the following learning domains includes performing insulin injection?

wait 30 min for oral temp

An AP is obtaining a client's oral temp. The client informs the AP that he has just had some ice chips

Culture

Belief system that guides behavior

Older adults, people living in poverty, people with disabilities, single moms, vulnerable populations

Health People 2030 focuses on efforts to prevent health disparities of which of the following groups

Weak pulse

Nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia? decreased HR dyspnea Increased BP Weak pulse

Health Disparities

Term that is used to describe differences in the incidence, prevalence, mortality rate, and burden of diseases that exist among specific population groups?

To prevent infection in the eye, wash your hands before changing the eye patch or using eyedrops

The nurse is providing written postoperative instructions for the patient following cataract surgery at the day-surgery unit. The statement that is most appropriate based on the average adult reading level is

Orthopnea

The nurse notes that a patient is able to breathe more easily in an upright position. The nurse will document this finding as

Newborn

The nurse records a pulse of 170 bpm. For which age group is this a normal finding?

"Are there any spiritual or religious beliefs or practices that are important to you?"

What assessment questions should a nurse use in an effort to assess a patient's spiritual needs and beliefs?

Use verbal and visual modes of instruction

When caring for a client in a health clinic, the client confides to the nurse that he is unable to read or write. Which of the following teaching approaches is most useful for this client?

weakness, syncope, dizziness

Which of the following are symptoms of orthostatic hypotension (SATA) weakness syncope dizziness skin rash HA fever