Adult Health 2

A client's spouse is concerned because the client is requiring increasingly high doses of analgesia. The spouse reports that the client, "was in pain long before cancer diagnosis because of a broken back about 20 years ago. For that problem, the pain medicine wasn't just raised and raised." What would be the nurses best response

Much cancer pain is caused by tumor involvement and needs to be treated in a way that brings client relief

A client with a recent diagnosis of which condition would most likely benefit from health education that emphasizes adherence

Multiple sclerosis

A community health nurse has been asked to participate in a health fair that is being sponsored by the local senior center. Which principal if health promotion for older adults should the nurse use when developing education activities

Older adults benefit from practices that help them maintain independence

A recent nursing graduate is aware of the differences between nursing actions that are independent and interdependent. A nurse performs an interdependent nursing intervention when performing which actions?

Administering an IV Bolus of normal saline to a client with hypotension

A team of public health nurses is doing a strategic plan discussing health promotion activities for the next year for the next year. What initiative best demonstrates the principles of health promotion

A family planning clinic at a community center

The nurse is caring for a client with dementia who has fractured femur secondary to a fall. Which approach should the nurse take in regard to pain management with this client?

Assume that a fracture is painful and the client is in pain

The nurse is assessing the nutritional awareness of a client who is overweight. What outcomes most clearly demonstrates that the client possesses nutritional awareness

The client avoids process foods

The occupational health nurse is preparing health promotion programs for the workplace. Which program is the occupational health nurse most likely to develop to promote wellness

Cholesterol screening

A nurse who provides care in a campus medical clinic is performing an assessment of a 21 year old student who has presented for care. After assessment the nurse determines that the client has a body mass index of 45. What does this indicate

The client is extremely obese

An unlicensed assistive personnel (UAP) reports to the nurse that a postsurgical client has pain rated 8 on a 0-10 scale. The UAP tells the nurse that the client is exaggerating and does not need pain medication. What is the nurse's best response?

Unless there is strong evidence to the contrary we should take the clients report at face value

A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin

Before birth

The nurse in a rehabilitation unit receives a report about a new client who has fibromyalgia and has difficulty with ADLs. The off- going nurse also reports that the client is withdrawn. What aspect of chronic pain syndromes could account for this clients behaviors?

Chronic pain can cause intense emotional responses

A medical nurse is appraising the effectiveness of a clients current pain control regimen. The nurse is aware that if an intervention is deemed ineffective, goals need to be reassessed and other measures need to be considered. What is the role of the nurse in obtaining additional pain relief for this client

Client advocate

A masters degree prepared nurse is helping other nurses on medical surgical unit integrate evidence and research into their practice. Which role is the nurse performing

Clinical nurse leader

In the process of planning a clients care the nurse identified a nursing diagnosis of Ineffective Health Maintenance related to alcohol use. What must precede the determination of this nursing diagnosis?

Collecting and analyzing data that corroborates the diagnosis

A nurse provides community based care and acts as the case manger for a small town. When planning care in the community what is the most important variable in community based nursing that the nurse should integrate into planning?

Community resources available to client

The nurse navigator is coordinating the transition from the hospital to a rehabilitation facility of a client who had a total hip replacement. Which activity would be an example of the nurse navigator role for this client

Educating the client on the goals of rehabilitation

A nurse is discussing health promotion strategies with a client with elevates lipid levels. Which client responses best indicate to the nurse that the client is exhibiting self responsibility

I will need to learn to read food labels when food shopping

A nurse is planning care for an older adult who lives with a number of chronic problems. Which nursing diagnosis would educate the client and be the priority intervention

Ineffective health maintenance related to non adherence to therapeutic regime

The nurse is caring for a client whose family members are in bitter conflict about the best course of treatment for the client. How should the nurse best address this challenging situation

Involve the institution's ethics committee

At the beginning of a day that will involve several home visits, the nurse has ensured that the health care agency has a copy of the nurse's daily schedule. What is the rationale for this action?

It supports safety precautions for the nurse when making a home care visit

The nurse is planning to teach a 75 year old client with coronary artery disease about administering the prescribed anti-platelet medication. How can the nurse best enhance the clients ability to learn.

Make the information directly relevant to the clients condition

The nurse is admitting a client to the medical unit after the client has been transferred from the emergency department. What is the nurse's priority action at this time?

Meeting the urgent needs of the client

A hospice nurse is caring for a client who is dying of lymphoma. According to Maslow hierarchy of needs, what dimensions of care should the nurse consider primary in importance when caring for a dying client

Providing outcome based client care

A hospital nurse is transitioning to a home health nurse position. The nurse has that the client smokes while at home. What will the nurse need to do to work therapeutically with the client in the home setting?

Resolve to convey respect for the clients beliefs and choices

There are specific legal guidelines and regulations for the documentation related to home care. When providing care for a client who is a Medicaid recipient what is most important for the nurse to document

The clients homebound status and the specific need for skilled nursing care

An 80 year old client is admitted with the diagnosis of community acquired pneumonia. During the assessment the client states "I have a living will." What implication of this should the nurse recognize?

The document specifies the clients wishes before hospitalization

A medical surgical nurse is aware of the scope of practice as defined in the jurisdiction where the nurse provides care. When exploring the legal basis for the scope of practice the nurse should consult

The nurse practice act in the nurse's jurisdiction

A nurse on a medical surgical unit has asked to represent the unit on the hospitals quality committee. When describing quality improvement programs to nursing colleagues and members of other health disciplines, what characteristics should the nurse cite?

These programs emphasize the need for evidence based practice

The nurse is creating a nursing care plan for a client with primary diagnosis of cellulitis and secondary diagnosis of chronic pain. What common trait of clients who live with chronic pain should be integrated into care planning

They can experience acute pain in addition to chronic pain

The nurse is caring for a client with back pain. The nurse reviews the medications and sees that an NSAID is prescribed every 6 hours as needed. How should the nurse best implement preventing pain measures?

Use a pain scale to assess clients pain and ibuprofen every 6 hours

The nurse is caring for a post-surgical client who minimally speaks the dominant language. How should the nurse most accurately assess this clients pain

Use the services of a translator each time when assessing the client to document the clients pain rating