Med-Surg Nclex Questions

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A client says to the nurse, "The federal guards were sent to kill me." Which is the best response by the nurse to the client's concern? ID: 4412 | Mental Health Questions_final.htm #869

"Do you feel afraid that people are trying to hurt you?"

A client is somewhat nervous about undergoing magnetic resonance imaging (MRI). Which statement by the nurse would provide the most reassurance to the client about the procedure? ID: 1893 | Adult Health_Neuro Questions_final.htm #2306

"Even though you are alone in the scanner, you will be in voice communication with the technologist at all times during the procedure."

A client with viral hepatitis is having difficulty coping with the disorder. Which question by the nurse is the most appropriate in identifying the client's coping problem? ID: 1364 | Adult Health_GI Questions_final.htm #1521

"Have you enjoyed having visitors?"

A client with type 1 diabetes mellitus is having trouble remembering the types, duration, and onset of the action of insulin. The client tells the nurse that family members have not been supportive. Which response by the nurse is best? ID: 1130 | Adult Health_Endocrine Questions_final.htm #1240

"Let me go over the types of insulins with you again."

The mother with human immunodeficiency virus (HIV) infection brings her 10-month-old infant to the clinic for a routine checkup. The pediatrician has documented that the infant is asymptomatic for HIV infection. After the checkup, the mother tells the nurse that she is so pleased that the infant will not get HIV infection. The nurse should make which most appropriate response to the mother? ID: 0407 | 40.xml #407

"Most children infected with HIV develop symptoms within the first 9 months of life, and some become symptomatic sometime before they are 3 years old."

A 55-year-old male client confides in the nurse that he is concerned about his sexual function. What is the nurse's best response? ID: 0193 | 20.xml #193

"Please share with me more about your concerns."

A 55-year-old male client confides in the nurse that he is concerned about his sexual function. What is the nurse's best response? ID: 2279 | Adult Health_Reproductive Questions_final.htm #243

"Please share with me more about your concerns."

A client who is learning to use a cane is afraid it will slip with ambulation, causing a fall. The nurse provides the client with the most reassurance by making which statement? ID: 1778 | Adult Health_Musculoskeletal Questions_final.htm #2159

"The cane has a flared tip with concentric rings to give stability."

The spouse of a terminally ill client steps out of his room in tears. The spouse tells the nurse, "I don't know what I'm going to do when he's gone!" What is the nurse's best response? ID: 2860 | Developmental Stages_End of Life Care_final.htm #3228

"This must be very hard for you."

A client with Cushing's syndrome verbalizes concern to the nurse regarding the appearance of the buffalo hump that has developed. Which statement should the nurse make to the client? ID: 1125 | Adult Health_Endocrine Questions_final.htm #1235

"Usually these physical changes slowly improve following treatment."

The nurse in a maternity unit is providing emotional support to a client and her significant other who are preparing to be discharged from the hospital after the birth of a dead fetus. Which statement made by the client indicates a component of the normal grieving process? ID: 0215 | 22.xml #215

"We want to attend a support group."

A stillborn baby was delivered in the birthing suite a few hours ago. After the delivery, the family remained together, holding and touching the baby. Which statement by the nurse would assist the family in their period of grief? ID: 4304 | Maternity_Postpartum_final.htm #256

"What can I do for you?"

The nurse is instructing the caregiver of a child about reprimanding the child. The nurse recognizes that additional teaching is needed if the caregiver makes which statement to the child? ID: 2999 | Developmental Stages_Infancy to Adolescence_final.htm #3332

"You need to stop hitting your sister."

A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic? ID: 4403 | Mental Health Questions_final.htm #856

"You're feeling angry that your family continues to hope for you to be cured?"

The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which response by the nurse demonstrates therapeutic communication? ID: 4400 | Mental Health Questions_final.htm #853

"You're having difficulty sleeping?"

A client diagnosed with chronic kidney disease (CKD) is scheduled to begin hemodialysis. The nurse determines that which neurological and psychosocial manifestations, if exhibited by this client, are related to the CKD? Select all that apply. ID: 2161 | Adult Health_Renal Questions_final.htm #2654

1.Agitation 3.Depression 4.Withdrawal 5.Labile emotions

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behaviors by the client indicate effective coping? Select all that apply. ID: 4398 | Mental Health Questions_final.htm #226

2. Looking at old photographs of family 3. Participating in a senior citizens program 4. Visiting the spouse's grave once a month 5. Decorating a wall with the spouse's pictures and awards received

The nurse has been closely observing a client who has been displaying aggressive behaviors. The nurse observes that the behavior displayed by the client is escalating. Which nursing intervention is most helpful to this client at this time? Select all that apply. ID: 0833 | 67.xml #833

2.Acknowledge the client's behavior. 3.Assist the client to an area that is quiet. 4.Maintain a safe distance from the client.

The nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family? Select all that apply. ID: 2832 | Developmental Stages_End of Life Care_final.htm #223

3. Encourage expression of feelings, concerns, and fears. 5. Touch and hold the client's or family member's hand if appropriate. 6. Be honest and let the client and family know they will not be abandoned by the nurse.

The nurse educator is conducting an in-service education session for the nurses employed in the eye and ear surgical unit of a large trauma center. In discussing the topic of cochlear implants, the educator notes that this surgical procedure is contraindicated in which client? ID: 1297 | Adult Health_Eye Questions_final.htm #1464

A client who became deaf before learning to speak

A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse should tell the client that which is the first step in this 12-step program? ID: 0796 | 64.xml #796

Admitting to having a problem

A client with epididymitis is upset about the extent of scrotal edema. Attempts to reassure the client that this condition is temporary have not been effective. The nurse should plan to address which client problem? ID: 2205 | Adult Health_Renal Questions_final.htm #2698

Altered body appearance related to change in the appearance of the scrotum

A client is admitted to the nursing unit after undergoing radical prostatectomy for cancer. The nurse anticipates that which problem would be of most concern to the client in the immediate postoperative period? ID: 2065 | Adult Health_Oncology Questions_final.htm #2545

Concern about the outcome of surgery

The nurse is assessing the adaptation of a client to changes in functional status after a stroke (brain attack). Which observation indicates to the nurse that the client is adapting most successfully? ID: 1859 | Adult Health_Neuro Questions_final.htm #778

Consistently uses adaptive equipment in dressing self

A client admitted voluntarily for treatment of an anxiety disorder demands to be released from the hospital. Which action should the nurse take initially? ID: 3884 | Leadership-Management_Ethical-Legal_final.htm #858

Contact the client's primary health care provider (PHCP).

A client admitted voluntarily for treatment of an anxiety problem demands to be released from the hospital. Which action should the nurse take initially? ID: 0793 | 64.xml #793

Contact the client's primary health care provider (PHCP).

The nurse is caring for a client postoperatively after creation of a colostomy. What is an appropriate potential client problem? ID: 1452 | Adult Health_GI Questions_final.htm #1611

Disturbed body image

A client with peptic ulcer disease states that stress frequently causes exacerbation of the disease. The nurse determines that which item mentioned by the client is most likely to be responsible for the exacerbation? ID: 1361 | Adult Health_GI Questions_final.htm #1518

Frequent need to work overtime on short notice

The nurse is caring for a terminally ill client who is experiencing dyspnea. When caring for this client, the nurse should place the client in which position? ID: 2854 | Developmental Stages_End of Life Care_final.htm #3222

Lateral

The nurse is caring for a client with anorexia nervosa. Which behavior is characteristic of this disorder and reflects anxiety management? ID: 0878 | 70.xml #878

Observing rigid rules and regulations

A client who has undergone creation of a colostomy has a concern about body image. What action by the client indicates the most significant progress toward identified goals? ID: 1456 | Adult Health_GI Questions_final.htm #1616

Practicing proper cutting of the ostomy appliance

The nurse is caring for a terminally ill client who is unresponsive to verbal stimuli. The client's spouse asks if her husband can still hear her. Which is the best response by the nurse? ID: 2855 | Developmental Stages_End of Life Care_final.htm #3223

"Assume that your husband can still hear you."

The nurse is caring for a 25-year-old client who will undergo bilateral orchidectomy for testicular cancer. Which statement by the nurse would be helpful in exploring the client's concerns about loss of reproductive ability? ID: 3637 | Fundamentals of Care_Perioperative Care_final.htm #3909

"Can you share with me any concerns about how this surgery will affect you in the future?"

A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse? ID: 0130 | 15.xml #130

"Can you share with me what you've been told about your surgery?"

The nurse is preparing a plan of care for a client and is asking the client about religious preferences. The nurse considers the client's religious preferences as being characteristic of a Jehovah's Witness if which client statement is made? ID: 2767 | Culture-Spirituality Questions_final.htm #7

"I cannot have any food containing or prepared with blood."

The nurse has completed teaching a new nursing graduate on how to avoid being judgmental. Which statement by the new nursing graduate should indicate to the nurse that there is a need for further teaching? ID: 3904 | Leadership-Management_Ethical-Legal_final.htm #4119

"I don't think you need to do that."

The nurse is caring for a 4-year-old child with human immunodeficiency virus (HIV) infection. The nurse should expect which statement that is aligned with the psychosocial expectations of this age? ID: 2973 | Developmental Stages_Infancy to Adolescence_final.htm #459

"I know it hurts to die."

The nurse determines that the wife of an alcoholic client is benefiting from attending an Al-Anon group if the nurse hears the wife make which statement? ID: 0819 | 66.xml #819

"I no longer feel that I deserve the beatings my husband inflicts on me."

The nurse is educating a client on how to eliminate whistling from a hearing aid. The nurse recognizes that further teaching is needed when the client makes which statement? ID: 1306 | Adult Health_Eye Questions_final.htm #1473

"I will raise the volume of my hearing aid."

A client with cancer is placed on permanent total parenteral nutrition (TPN). The nurse considers psychosocial support when planning care for this client when the client makes which correct statement? ID: 2751 | Complex Care_Parenteral Nutrition_final.htm #3195

"I'll need to adjust to the idea of living without eating by the usual route."

A client with viral hepatitis is discussing with the nurse the need to avoid alcohol and states, "I'm not sure I can avoid alcohol." What is the most appropriate nursing response? ID: 1363 | Adult Health_GI Questions_final.htm #1520

"I'm not sure that I understand. Would you please explain?"

A female victim of a sexual assault is being seen in the crisis center. The client states that she still feels "as though the rape just happened yesterday," even though it has been a few months since the incident. Which is the most appropriate nursing response? ID: 0839 | 67.xml #839

"Tell me more about the incident that causes you to feel like the rape just occurred."

A client who was receiving enteral feedings in the hospital has been started on a regular diet and is almost ready for discharge. The client will be self-administering supplemental tube feedings between meals for a short time after discharge. The client expresses concern about performing this procedure at home. What is the nurse's best response? ID: 3577 | Fundamentals of Care_Nutrition_final.htm #3872

"Tell me more about your concerns about going home."

A client in a long-term care facility is being prepared to be discharged to home in 2 days. The client has been eating a regular diet for a week; however, he is still receiving intermittent enteral tube feedings and will need to receive these feedings at home. The client states concern that he will not be able to continue the tube feedings at home. Which nursing response is most appropriate at this time? ID: 1373 | Adult Health_GI Questions_final.htm #1530

"Tell me more about your concerns with your diet after going home."

The registered nurse (RN) is listening to a lecture on pulmonary edema. Which statement by the RN indicates that the teaching has been effective? ID: 1056 | Adult Health_Cardio Questions_final.htm #1097

"The client will experience extreme anxiety."

A pregnant client who is anemic tells the nurse that she is concerned about her infant's condition after delivery. Which nursing response would best support the client? ID: 4003 | Maternity_Antepartum_final.htm #4184

"The effects of anemia on your baby are difficult to predict, but let's review your plan of care to ensure you are providing the best nutrition and growth potential."

A client scheduled for a skin biopsy is concerned and asks the nurse how painful the procedure is. Which statement is the appropriate response by the nurse? ID: 1668 | Adult Health_Integumentary Questions_final.htm #2023

"The local anesthetic may cause a burning or stinging sensation."

The nurse is providing information to a client scheduled for a skin biopsy. The client asks the nurse how painful the procedure is. The nurse should make which response to the client? ID: 1607 | Adult Health_Integumentary Questions_final.htm #1962

"The local anesthetic may cause a stinging sensation."

A client experiencing a great deal of stress and anxiety is being taught to use self-control therapy. Which statement by the client indicates a need for further teaching about the therapy? ID: 0927 | 70.xml #927

"This form of therapy provides a negative reinforcement when the stimulus is produced."

The nurse is preparing a client with schizophrenia a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations and anxiety. Which statement in response to these instructions suggests to the nurse that the client has a need for additional information? ID: 0813 | 65.xml #813

"When I have command hallucinations, I'll call a friend for help."

The nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway, and making aggressive and belligerent gestures at other clients. Which statement would be most appropriate to make to this client? ID: 0827 | 67.xml #827

"You seem restless; tell me what is happening."

A depressed client on an inpatient unit says to the nurse, "My family would be better off without me." Which is the nurse's best response? ID: 0832 | 67.xml #832

"You sound very upset. Are you thinking of hurting yourself?"

A pregnant woman in her second trimester calls the prenatal clinic nurse to report a recent exposure to a child with rubella. Which response by the nurse is most appropriate and supportive to the woman? ID: 4062 | Maternity_Antepartum_final.htm #4243

"You were wise to call. I will check your rubella titer screening results, and we can immediately identify whether future interventions are needed."

The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which response by the nurse demonstrates therapeutic communication? ID: 0788 | 64.xml #788

"You're having difficulty sleeping?"

A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes right for me." Which response by the nurse demonstrates therapeutic communication? ID: 4399 | Mental Health Questions_final.htm #852

"You've been feeling like a failure for a while?"

The nurse recognizes that which interventions are likely to facilitate effective communication between a dying client and family? Select all that apply. ID: 2833 | Developmental Stages_End of Life Care_final.htm #934

1. The nurse encourages the client and family to identify and discuss feelings openly. 2. The nurse assists the client and family in carrying out spiritually meaningful practices. 5. The nurse maintains a calm attitude and one of acceptance when the family or client expresses anger.

Which client statements best demonstrate to the nurse that the client understands the concepts of an advance directive? Select all that apply.

1."This document is a separate document from my final will." 4."This document describes the kind of treatment I want depending on how sick I am."

A client with end-stage renal disease (ESRD) has the problem of ineffective coping. Which nursing interventions are appropriate in working with this client? Select all that apply. ID: 2185 | Adult Health_Renal Questions_final.htm #2678

1.Acknowledge the client's feelings. 2.Assess the client and family's coping patterns. 3.Explore the meaning of the illness with the client. 5.Give the client information when the client is ready to listen.

3.Encourage expression of feelings, concerns, and fears. 5.Touch and hold the client's or family member's hand if appropriate. 6.Be honest and let the client and family know they will not be abandoned by the nurse.

A client is admitted to the nursing unit after a left below-the-knee amputation after a crush injury to the foot and lower leg. The client tells the nurse, "I think I'm going crazy. I can feel my left foot itching." How should the nurse interpret this client statement? ID: 1758 | Adult Health_Musculoskeletal Questions_final.htm #2139

A normal response that indicates the presence of phantom limb sensation

A client who has had spinal fusion and insertion of hardware is extremely concerned with the perceived lengthy rehabilitation period. The client expresses concerns about finances and the ability to return to prior employment. The nurse understands that the client's needs could best be addressed by referral to which member of the health care team? ID: 1786 | Adult Health_Musculoskeletal Questions_final.htm #2167

A social worker

A client is admitted to the mental health unit with a diagnosis of depression. The nurse should develop a plan of care for the client that includes which intervention? ID: 0805 | 65.xml #805

A structured program of activities in which the client can participate

On review of the client's record, the nurse notes that the admission was voluntary. Based on this information, the nurse plans care anticipating which client behavior? ID: 0792 | 64.xml #792

A willingness to participate in the planning of the care and treatment plan

A client with a spinal cord injury becomes angry and belligerent whenever the nurse tries to administer care. The nurse should perform which action? ID: 1885 | Adult Health_Neuro Questions_final.htm #2298

Acknowledge the client's anger and continue to encourage participation in care.

A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse should tell the client that which is the first step in this 12-step program? ID: 4407 | Mental Health Questions_final.htm #861

Admitting to having a problem

A client with diabetes mellitus is told that amputation of the leg is necessary to sustain life. The client is very upset and tells the nurse, "This is all my primary health care provider's fault. I have done everything I've been asked to do!" Which nursing interpretation is best for this situation? ID: 0893 | 70.xml #893

An expected coping mechanism

The nurse is working with a client newly diagnosed with chronic kidney disease (CKD) to set up a schedule for hemodialysis. The client states, "This is impossible! How can I even think about leading a normal life again if this is what I'm going to have to do?" The nurse determines that the client is exhibiting which problem? ID: 2163 | Adult Health_Renal Questions_final.htm #2656

Anger

The nurse is caring for a client who is terminally ill. When assessing the client, the nurse recognizes which as the most common distress symptom near the end of life? ID: 2851 | Developmental Stages_End of Life Care_final.htm #3219

Anxiety

When communicating with a client who speaks a different language, which best practice should the nurse implement? ID: 2762 | Culture-Spirituality Questions_final.htm #2

Arrange for an interpreter to translate.

The home health nurse visits a client at home and determines that the client is dependent on drugs. During the assessment, which action should the nurse take to plan appropriate nursing care? ID: 0817 | 66.xml #817

Ask the client about the amount of drug use and its effect.

The nurse is preparing a plan of care for a client who just delivered a dead fetus. Which initial action should the nurse include in the client's plan of care to meet the emotional needs of the client and spouse? ID: 2842 | Developmental Stages_End of Life Care_final.htm #3210

Assess the client's and the spouse's perception of the event.

A client who attempted suicide by hanging is brought to the emergency department by emergency medical services. Which is the immediate nursing action? ID: 2659 | Complex Care_Emergency Situations_final.htm #3145

Assess the client's respiratory status and for the presence of neck injuries.

A client with viral hepatitis states, "I am so yellow." What is the most appropriate nursing action? ID: 1365 | Adult Health_GI Questions_final.htm #1522

Assist the client in expressing feelings.

The nurse is creating a plan of care for a client with a stroke (brain attack) who has global aphasia. The nurse should incorporate communication strategies into the plan of care because of which expected characteristic of the client's speech? ID: 1932 | Adult Health_Neuro Questions_final.htm #2345

Associated with poor comprehension

The nurse is caring for a client diagnosed with paranoid personality disorder who is experiencing disturbed thought processes. In formulating a nursing plan of care, which best intervention should the nurse include? ID: 0815 | 65.xml #815

Avoid using a whisper voice in front of the client.

A client is unwilling to go to his church because his ex-girlfriend goes there and he feels that she will laugh at him if she sees him. Because of this hypersensitivity to a reaction from her, the client remains homebound. The home care nurse develops a plan of care that addresses which personality disorder?

Avoidant

The hospice nurse visits a client who is dying of ovarian cancer. During the visit, the client says, "If I can just live long enough to celebrate my daughter's sweet-16 birthday party, I'll be ready to die." The nurse notes that the client is experiencing which phase of coping? ID: 2845 | Developmental Stages_End of Life Care_final.htm #3213

Bargaining

A home care nurse is making home visits to an older client with urinary incontinence who is very concerned about the incontinent episodes. Which finding by the nurse indicates that the client has an environmental barrier to normal voiding? ID: 2191 | Adult Health_Renal Questions_final.htm #2684

Bathroom located on the second floor, bedroom on the first floor

A client has several fractures of the lower leg, which has been placed in an external fixation device. The client is upset about the appearance of the leg, which is edematous. The nurse documents which client problem in the plan of care? ID: 1750 | Adult Health_Musculoskeletal Questions_final.htm #2131

Body image alteration

The nurse is developing a plan of care for a client who is scheduled for a thyroidectomy. The nurse focuses on psychosocial needs, knowing that which is likely to occur in the client? ID: 1138 | Adult Health_Endocrine Questions_final.htm #1248

Body image changes

A client has just had surgery to deliver a nonviable fetus resulting from abruptio placentae. As a result of the abruptio placentae, the client develops disseminated intravascular coagulation (DIC) and is told about the complication. The client begins to cry and screams, "God, just let me die now!" Which client problem should be the priority for the client at this time? Concern about the loss of the baby and personal health

Concern about the loss of the baby and personal health

Consistently uses adaptive equipment in dressing self

A client is admitted to a medical nursing unit with a diagnosis of acute blindness after being involved in a hit-and-run accident. When diagnostic testing cannot identify any organic reason why this client cannot see, a mental health consult is prescribed. The nurse plans care based on which mental health condition? ID: 0809 | 65.xml #809

Conversion disorder

In the prenatal clinic, the nurse is interviewing a new client and obtaining health history information. Which action should the nurse plan to elicit the most accurate responses to the questions that refer to sexually transmitted infections? ID: 4072 | Maternity_Antepartum_final.htm #4253

Establish a therapeutic relationship.

A client with anorexia nervosa is a member of a predischarge support group. The client verbalizes that she would like to buy some new clothes, but her finances are limited. Group members have brought some used clothes to the client to replace the client's old clothes. The client believes that the new clothes are much too tight and has reduced her calorie intake to 800 calories daily. How should the nurse evaluate this behavior? ID: 0826 | 66.xml #826

Evidence of the client's disturbed body image

The nurse is trying to help the family of an unconscious client cope with the situation. Which intervention should the nurse plan to incorporate into the care routine for the client and family? ID: 1877 | Adult Health_Neuro Questions_final.htm #2290

Explaining equipment and procedures on an ongoing basis

The nurse reads that a client's tuberculin skin test is positive and notes that previous tests were negative. The client becomes upset and asks the nurse what this means. The nurse should base the response on which interpretation? ID: 2341 | Adult Health_Respiratory Questions_final.htm #2838

Exposure to tuberculosis

A woman has just been told by the primary health care provider that she has breast cancer. The woman responds, "Oh, no! Does this mean I'm going to die?" The nurse interprets the woman's initial reaction as which response? ID: 2089 | Adult Health_Oncology Questions_final.htm #2569

Fear

The nurse is developing a plan of care for a 4-year-old child scheduled for a renal biopsy. What developmental characteristic of this child should the nurse consider? ID: 3008 | Developmental Stages_Infancy to Adolescence_final.htm #3341

Fears of mutilation may be present in the child.

A client immobilized in skeletal leg traction complains of being bored and restless. Based on these complaints, the nurse identifies which client problem as the priority? ID: 1743 | Adult Health_Musculoskeletal Questions_final.htm #2124

Inability to entertain self

The nurse has made a judgment that a client who had a craniotomy is experiencing a problem with body image. The nurse develops goals for the client but determines that the client has not met the outcome criteria by discharge if the client performs which action? ID: 1883 | Adult Health_Neuro Questions_final.htm #2296

Indicates that facial puffiness will be a permanent problem

The nurse is working with a client who despite making a heroic effort was unable to rescue a neighbor trapped in a house fire. Which client-focused action should the nurse engage in during the working phase of the nurse-client relationship? ID: 4411 | Mental Health Questions_final.htm #867

Inquiring about and examining the client's feelings for any that may block adaptive coping

The nurse is working with a client who, despite making a heroic effort, was unable to rescue a neighbor trapped in a house fire. Which client-focused action should the nurse engage in during the working phase of the nurse-client relationship? ID: 0802 | 64.xml #802

Inquiring about and examining the client's feelings for any that may block adaptive coping

The nurse is caring for a client after thyroidectomy. The client expresses concern about the postoperative voice hoarseness she is experiencing and asks if the hoarseness will subside. The nurse should provide the client with which information? ID: 1158 | Adult Health_Endocrine Questions_final.htm #1268

It is normal during this time and will subside.

The nurse enters a client's room with a pulse oximetry machine and tells the client that the primary health care provider (PHCP) has prescribed continuous oxygen saturation readings. The client's facial expression changes to one of apprehension. The nurse can alleviate the client's anxiety by providing which information about pulse oximetry? ID: 2361 | Adult Health_Respiratory Questions_final.htm #2858

It is painless and safe.

The nurse is creating a plan of care for a client who was experiencing anxiety after the loss of a job. The client is now verbalizing concerns regarding the ability to meet role expectations and financial obligations. What is the priority nursing problem for this client? ID: 0942 | 70.xml #942

Lack of ability to cope effectively

The nurse is caring for a client with terminal cancer who is close to death. On reviewing the plan of care, the nurse determines that which intervention is the priority? ID: 2836 | Developmental Stages_End of Life Care_final.htm #3204

Maintain the client's dignity and self-esteem, and make the client as comfortable as possible.

A client with a spinal cord injury expresses little interest in food and is very particular about the choice of meals that are actually eaten. How should the nurse interpret this information? ID: 1970 | Adult Health_Neuro Questions_final.htm #2383

Meal choices represent an area of client control and should be encouraged as much as is nutritionally reasonable.

A client is participating in a therapy group and focuses on viewing all team members as equally important in helping the clients meet their goals. The nurse is implementing which therapeutic approach? ID: 0801 | 64.xml #801

Milieu therapy

When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this client? ID: 4405 | Mental Health Questions_final.htm #859

Monitor closely for harm to self or others.

Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all that apply. ID: 0818 | 66.xml #818

Monitor vital signs 2.Provide a safe environment. 3.Address hallucinations therapeutically. 5.Provide reality orientation as appropriate.

The nurse is planning discharge teaching for a client newly diagnosed with chronic kidney disease (CKD). Which factor will enhance the educational process? ID: 2159 | Adult Health_Renal Questions_final.htm #2652

Presence of family

The primary health care provider (PHCP) has written a prescription to start progressive ambulation as tolerated in a hospitalized client who experiences periods of confusion because of bed rest and prolonged confinement to the hospital room. Which nursing intervention would be appropriate when planning to implement the PHCP's prescription and address the needs of the client? ID: 3759 | Fundamentals of Care_Safety_final.htm #4013

Progressively ambulate the client in the hall 3 times daily.

The nurse is responsible for the care of a client who has begun to experience hallucinations more frequently. Which activity in the care of the client can be most appropriately delegated to an assistive personnel (AP)? ID: 3853 | Leadership-Management_Delegating_final.htm #4091

Providing distraction for the client by engaging the client in a board game

A client with Guillain-Barré syndrome has ascending paralysis and is intubated and receiving mechanical ventilation. Which strategy should the nurse incorporate in the plan of care to help the client cope with this illness? ID: 0718 | 58.xml #718

Providing information, giving positive feedback, and encouraging relaxation

During morning rounds the nurse comes into the room of a client who is unresponsive and near death. Two assistive personnel (APs) are bathing the client, and their conversation centers on their plans for a weekend party. How should the nurse best intervene? ID: 2863 | Developmental Stages_End of Life Care_final.htm #3231

Remind the APs, "Remember that Mr. Smith can hear everything you are saying!"

The nurse is providing care to a Hispanic client who is terminally ill. Numerous family members are present most of the time, and many of the family members are very emotional. What is the appropriate action? ID: 2804 | Culture-Spirituality Questions_final.htm #3561

Request permission to move the client to a private room and allow the family members to visit.

The nurse in the mental health unit plans to use which therapeutic communication techniques when communicating with a client? Select all that apply. ID: 0799 | 64.xml #799

Restating Active listening Maintaining neutral responses Providing acknowledgment and feedback

The nurse is caring for a client just admitted to the mental health unit and diagnosed with catatonic stupor. The client is lying on the bed in a fetal position. Which is the most appropriate nursing intervention? ID: 0814 | 65.xml #814

Sit beside the client in silence with simple open-ended questions.

The nurse is caring for a hearing-impaired client. Which approach will facilitate communication? ID: 0694 | 56.xml #694

Speak at a normal volume.

The nurse is caring for a hearing-impaired client. Which approach will facilitate communication? ID: 1097 | Adult Health_Ear Questions_final.htm #759

Speak at a normal volume.

After a precipitous delivery, the nurse notes that the new mother is passive and touches her newborn infant only briefly with her fingertips. What should the nurse do to help the woman process the delivery? ID: 0257 | 25.xml #257

Support the mother in her reaction to the newborn infant.

The nurse is preparing to perform a pediatric physical examination. The child refuses to sit on the examining table, screams when the nurse attempts to perform the assessment, and does not make eye contact. What is the most appropriate initial nursing action?

Talk to the parent while ignoring the child.

What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session? ID: 0800 | 64.xml #800

Thank the client for the input, but inform the client that others now need a chance to contribute.

The nurse is monitoring the client for signs of postpartum depression. Which behavior indicates the need for further assessment related to this form of depression?

The client constantly complains of tiredness and fatigue.

The home health care nurse is visiting a client who has undergone a mastectomy. The nurse determines that the client demonstrates greatest adjustment to the loss of the breast if which behavior is noted? ID: 2061 | Adult Health_Oncology Questions_final.htm #2541

The client looks at the surgical site.

The nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented the client is experiencing anxiety as a result of a situational crisis. The nurse plans care for the client, determining that this type of crisis could be caused by which event? ID: 0828 | 67.xml #828

The death of a loved one

The nurse should plan which goals of the termination stage of group development? Select all that apply.

The group evaluates the experience. The group explores members' feelings about the group and the impending separation.

The nurse is assessing a client for signs of postpartum depression. Which observation, if noted in the new mother, indicates a need for follow-up or further assessment related to this form of depression?

The mother constantly complains of tiredness and fatigue.

A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially? ID: 4413 | Mental Health Questions_final.htm #870

Use an indirect light source and turn off the television.

The nurse is performing an assessment on a client with dementia. Which piece of data gathered during the assessment indicates a manifestation associated with dementia? ID: 0877 | 70.xml #877

Use of confabulation

A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? ID: 0789 | 64.xml #789

Using open-ended questions and silence

A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? ID: 4401 | Mental Health Questions_final.htm #854

Using open-ended questions and silence

An older client is brought to the hospital emergency department by a neighbor who heard the client talking and found him wandering in the street at 3 a.m. The nurse should first determine which data about the client? ID: 1978 | Adult Health_Neuro Questions_final.htm #2391

Whether this is a change in usual level of orientation

The nurse is taking a nutritional history from a 16-year-old pregnant adolescent. Which statement, if made by the adolescent, should alert the nurse to a potential psychosocial problem? ID: 4016 | Maternity_Antepartum_final.htm #4197

"I want to gain only 10 pounds because I want to have a small, petite baby."

The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse, "I should get out of this bad situation." Which is the most helpful response by the nurse? ID: 0825 | 66.xml #825

"What do you find difficult about this situation?"

The nurse is conducting an initial assessment of a client in crisis. When assessing the client's perception of the precipitating event that led to the crisis, which is the most appropriate question? ID: 0829 | 67.xml #829

"What leads you to seek help now?"

The client with pheochromocytoma is scheduled for surgery and says to the nurse, "I'm not sure that surgery is the best thing to do." Which statement is the appropriate response by the nurse? ID: 1227 | Adult Health_Endocrine Questions_final.htm #1337

"You have concerns about the surgical treatment for your condition?"

"You were wise to call. Your rubella titer indicates that you are immune and your baby is not at risk."

The nurse in the mental health unit plans to use which therapeutic communication techniques when communicating with a client? Select all that apply. ID: 4408 | Mental Health Questions_final.htm #864

1.Restating 2.Listening 4.Maintaining neutral responses 5.Providing acknowledgment and feedback

The nurse is caring for a terminally ill toddler. When interacting with the toddler's parents, the nurse should implement which interventions? Select all that apply. ID: 2848 | Developmental Stages_End of Life Care_final.htm #3216

1.Retain ritualism. 2.Avoid significant changes in lifestyle. 3.Maintain sensitivity toward the parents. 4.Encourage the parents to be near the child. 5.Encourage as normal an environment as possible.

A client with a medical diagnosis of breast cancer is undergoing chemotherapy. The client complains to the nurse about losing her hair and severe fatigue from the treatment. Which interventions should the nurse implement for this client? Select all that apply. ID: 2118 | Adult Health_Oncology Questions_final.htm #2598

1.Review side effects of chemotherapy and treatment with the client. 3.Teach the client to pace activities with rest so as to maintain strength. 4.Offer information on available counseling services and support groups. 6.Inquire how the cancer diagnosis and treatment affect the client's normal routine.

The nurse is caring for a client who is at risk for increased intracranial pressure (ICP) after a stroke. Which activities performed by the nurse will assist with preventing increases in ICP? Select all that apply. ID: 2010 | Adult Health_Neuro Questions_final.htm #2423

2.Hyperoxygenating before suctioning 4.Maintaining the head and neck in midline position 5.Maintaining the head of the bed (HOB) at 30 degrees elevation

The nurse monitors a terminally ill client for which physical signs of approaching death? Select all that apply. ID: 2849 | Developmental Stages_End of Life Care_final.htm #3217

2.Loss of consciousness 3.Loss of bowel control 4.Loss of bladder control 5.Decreased blood pressure 6.Decreased tactile sensation

The nursing instructor is reviewing the plan of care for a postpartum client with a student. The instructor asks the nursing student about the taking-in phase according to Rubin's phases of regeneration and the client behaviors that are most likely to occur during this phase. Which responses made by the student indicate an understanding of this phase? Select all that apply. ID: 4383 | Maternity_Postpartum_final.htm #4488

4."The client may complain of lack of sleep and fatigue." 5."The client is self-focused and talks to others about labor."

A client has a neurological deficit involving the limbic system. On assessment, which finding is specific to this type of deficit? ID: 1865 | Adult Health_Neuro Questions_final.htm #784

Affect is flat, with periods of emotional lability

A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety? ID: 0491 | 46.xml #491

Convey empathy, trust, and respect toward the client.

The nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa. Which assessment findings should the nurse expect to note? Select all that apply.

Dental decay 3.Loss of tooth enamel 4.Electrolyte imbalances

A client who had cranial surgery 5 days earlier to remove a brain tumor has a few cognitive deficits and does not seem to be progressing as quickly as the client or family had hoped. The nurse plans to implement which approach as most helpful to the client and family at this time? ID: 1938 | Adult Health_Neuro Questions_final.htm #2351

Emphasize progress in a realistic manner.

A client is being discharged to home after 2 weeks with a diagnosis of tuberculosis and is worried about the possibility of infecting family members and others. How should the nurse respond to provide reassurance? ID: 3256 | Fundamentals of Care_Infection Control_final.htm #3448ID: 3256 | Fundamentals of Care_Infection Control_final.htm #3448

The family will be treated prophylactically, and the client will not be contagious after 2 to 3 consecutive weeks of medication therapy.

The nurse is preparing to care for a newborn with respiratory distress syndrome. Which initial action should the nurse plan to best facilitate bonding between the newborn and the parents? ID: 4287 | Maternity_Newborn_final.htm #4419

Encourage the parents to touch their newborn.

When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a cognitive behavioral approach is used as part of the treatment plan. The nurse plans care based on which purpose of this approach? ID: 0795 | 64.xml #795

Helping the client to examine dysfunctional thoughts and beliefs

A client is participating in a therapy group and focuses on viewing all team members as equally important in helping the clients to meet their goals. The nurse is implementing which therapeutic approach? ID: 4410 | Mental Health Questions_final.htm #866

Milieu therapy

Monitor closely for harm to self or others.

Which statement should the nurse initially make to a client who is anxious about having a magnetic resonance imaging test? ID: 3168 | Fundamentals of Care_Diagnostic Tests_final.htm #3933

"Can you tell me what you know about this test?"

The mother of a 6-year-old child arrives at a clinic because the child has been experiencing itchy, red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis, the nurse determines that which requires further investigation? ID: 0343 | 34.xml #343

Possible sexual abuse

A client who has experienced nonunion of a fracture is scheduled for bone grafting using cadaver bone. The client appears restless and anxious about the procedure. After determining that the client understands the surgical procedure, the nurse should explore which item next? ID: 1791 | Adult Health_Musculoskeletal Questions_final.htm #2172

Potential worry about contracting hepatitis or possibly human immunodeficiency virus infection

The nurse is caring for a terminally ill client who is experiencing delirium. When caring for this client, the nurse should take which action? ID: 2853 | Developmental Stages_End of Life Care_final.htm #3221

Provide a well-lighted room.

The nurse is caring for a client who is at risk for suicide. What is the priority nursing action for this client? ID: 0938 | 70.xml #938

Provide authority, action, and participation.

The nurse in the emergency department is caring for a young female victim of sexual assault. The client's physical assessment is complete, and physical evidence has been collected. The nurse notes that the client is withdrawn, distracted, tremulous, and bewildered at times. How should the nurse interpret these behaviors? ID: 0831 | 67.xml #831

Reactions to a devastating event

The nurse is preparing to teach ostomy care to a client who has just had a urinary diversion; the client expresses concern about body appearance. Which client action indicates that the best initial positive adaptation is being made? ID: 2202 | Adult Health_Renal Questions_final.htm #2695

Agrees to look at the ostomy

A young adult client has never had a chest x-ray before and expresses to the nurse a fear of experiencing some form of harm from the test. Which statement by the nurse provides valid reassurance to the client? ID: 2362 | Adult Health_Respiratory Questions_final.htm #2859

"The x-ray exam itself is painless, and a lead shield protects you from the minimal radiation."

"What can I do for you?"

Encourage expression of feelings, concerns, and fears. Touch and hold the client's or family member's hand if appropriate. Be honest and let the client and family know they will not be abandoned by the nurse.

Members of the family of an unconscious client with increased intracranial pressure are talking at the client's bedside. They are discussing the client's condition and wondering whether the client will ever recover. The nurse intervenes on the basis of which interpretation? ID: 1878 | Adult Health_Neuro Questions_final.htm #2291

It is possible the client can hear the family.

A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying, and trying to climb out of the tent. Which is the most appropriate nursing action? ID: 0357 | 35.xml #357

Let the mother hold the child and direct the cool mist over the child's face.

A client with severe psoriasis has a problem of chronic low self-esteem. The nurse should incorporate which nursing action when working with this client? ID: 1620 | Adult Health_Integumentary Questions_final.htm #1975

Listening attentively

A client with renal cell carcinoma of the left kidney is scheduled for nephrectomy. The right kidney appears normal at this time. The client is anxious about whether dialysis will ultimately be needed. The nurse should plan to use which information in discussions with the client to alleviate anxiety? ID: 2195 | Adult Health_Renal Questions_final.htm #2688

One kidney is adequate to meet the needs of the body as long as it has normal function.

A Spanish-speaking client arrives at the triage desk in the emergency department and states to the nurse that an interpreter is needed. Which is the best action for the nurse to take? ID: 0090 | 12.xml #90

Page an interpreter from the hospital's interpreter services.

A Spanish-speaking client arrives at the triage desk in the emergency department and states to the nurse, "No speak English, need interpreter." Which is the best action for the nurse to take? ID: 2869 | Developmental Stages_Health Assessment-Physical Exam_final.htm #132

Page an interpreter from the hospital's interpreter services.

The client has undergone mastectomy. The nurse determines that the client is making the best adjustment to the loss of the breast if which behavior is observed? ID: 2081 | Adult Health_Oncology Questions_final.htm #2561

Participating in the care of the surgical drain

Providing information, giving positive feedback, and encouraging relaxation

The parents of a 2-year-old arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom, the child does not readily approach the parents. Which is the correct interpretation of the behavior? ID: 2979 | Developmental Stages_Infancy to Adolescence_final.htm #3312

The child exhibits detachment.

A client with terminal cancer arrives at the emergency department dead on arrival (DOA). After an autopsy is prescribed, the client's family requests that no autopsy be performed. Which response to the family is most appropriate? ID: 0894 | 70.xml #894

"I will contact the medical examiner regarding your request."

The nurse is talking to a client who had a below-the-knee amputation 2 days earlier. The client states, "I hate looking at this; I feel that I'm not even myself anymore." What client problem should the nurse incorporate in the plan of care based on the statement by this client? ID: 1741 | Adult Health_Musculoskeletal Questions_final.htm #2122

Altered body image

The nurse is completing the admission assessment for a client who is intellectually disabled. Which part of the client encounter may require more time to complete? ID: 0009 | 5.xml #9

The history

The nurse is caring for a non-English-speaking client and is attempting to integrate the client's cultural practices into Western medicine. What are some other aspects of culturally competent care the nurse can employ? Select all that apply. ID: 2791 | Culture-Spirituality Questions_final.htm #3548

1.Increasing client safety 2.Using spiritual practices 3.Reducing health disparities 4.Increasing client satisfaction 6.Preventing misunderstandings between the nurse and the client

The nurse is explaining a preoperative teaching plan to an English-speaking client. What are some other aspects of verbal communication? Select all that apply.

1.Timing 2.Volume 3.Voice tone 6.Ability to share thoughts and feelings

A client has a neurological deficit involving the limbic system. On assessment, which finding is specific to this type of deficit? ID: 0719 | 58.xml #719

Affect is flat, with periods of emotional lability.

The emergency department nurse is performing an assessment on a child suspected of being sexually abused. Which assessment data obtained by the nurse most likely support this suspicion? ID: 2886 | Developmental Stages_Health Assessment-Physical Exam_final.htm #3240

Difficulty walking

A client who has a gastrostomy tube for feeding refuses to participate in the plan of care, will not make eye contact, and does not speak to the family or visitors. The nurse interprets that the client is using which coping mechanism? ID: 1445 | Adult Health_GI Questions_final.htm #1604

Distancing

The nurse is caring for a terminally ill adolescent client. When caring for this client the nurse should implement which intervention? ID: 2847 | Developmental Stages_End of Life Care_final.htm #3215

Encourage the client to maintain maximum self-control.

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behaviors by the client indicates effective coping? Select all that apply. ID: 0176 | 19.xml #176

Looking at old snapshots of family Participating in a senior citizens program Visiting the spouse's grave once a month Decorating a wall with the spouse's pictures and awards received

The nurse is caring for an older adult who has been placed in Buck's extension traction after a hip fracture. On assessment of the client, the nurse notes that the client is disoriented. What is the best nursing action based on this information? ID: 0906 | 70.xml #906

Place a clock and calendar in the client's room.

The nurse is caring for a client with tuberculosis (TB) who is fearful of the disease and anxious about the prognosis. In planning nursing care, the nurse should incorporate which intervention as the best strategy to assist the client in coping with the illness? ID: 2342 | Adult Health_Respiratory Questions_final.htm #2839

Provide reassurance that continued compliance with medication therapy is the most proactive way to cope with the disease.

The nurse is assessing the learning readiness of a client newly diagnosed with diabetes mellitus. Which behavior indicates to the nurse that the client is not ready to learn? ID: 1224 | Adult Health_Endocrine Questions_final.htm #1334

The client complains of fatigue whenever the nurse plans a teaching session.

The nurse in the postpartum unit is observing the mother-infant bonding process in a client. Which observation, if made by the nurse, indicates the potential for a maladaptive interaction? ID: 4345 | Maternity_Postpartum_final.htm #4450

The mother requests that the nurse feed the newborn because she is feeling fatigued.

The home care nurse is visiting a client who is in a body cast. While performing an assessment, the nurse plans to evaluate the psychosocial adjustment of the client to the cast. What is the most appropriate assessment for this client? ID: 0908 | 70.xml #908

The need for sensory stimulation

Helping the client to examine dysfunctional thoughts and beliefs

A client brought to the emergency department is dead on arrival (DOA). The family of the client tells the primary health care provider (PHCP) that the client had terminal cancer. The PHCP examines the client and asks the nurse to contact the medical examiner regarding an autopsy. Family members of the client tell the nurse that they do not want an autopsy performed. Which response to the family is appropriate? ID: 2837 | Developmental Stages_End of Life Care_final.htm #3205

"I will contact the medical examiner regarding your request."

The mother of a 5-year-old child tells the nurse that the child scolds the floor or a table if she hurts herself on the object. The nurse educates the mother according to Piaget's theory of cognitive development and its terminology and definitions. Which statement by the mother indicates that the teaching has been effective? ID: 2997 | Developmental Stages_Infancy to Adolescence_final.htm #3330

"This is an example of animism."

A client with recent-onset Bell's palsy is upset and crying about the change in facial appearance. The nurse plans to support the client emotionally by making which statement to the client? ID: 1955 | Adult Health_Neuro Questions_final.htm #2368

"This is not a stroke, and many clients recover in 3 to 5 weeks."

The home care nurse is making extended follow-up visits to a client discharged from the hospital after a moderately severe head injury. The family states that the client is behaving differently than before the accident. The client is more fatigued and irritable and has some memory problems. The client, who was previously very even tempered, is prone to outbursts of temper now. The nurse determines that these behaviors are indicative of which problem? ID: 1968 | Adult Health_Neuro Questions_final.htm #2381

A long-term sequela of the injury

An older client in an acute state of disorientation is brought to the hospital emergency department by the client's daughter. The daughter states that the client was "clear as a bell this morning." The nurse determines from this piece of information that which is an unlikely cause of the disorientation? ID: 1979 | Adult Health_Neuro Questions_final.htm #2392

Alzheimer's disease

\The nurse in the medical unit is assigned to provide discharge teaching to a client with a diagnosis of angina pectoris. The nurse is discussing lifestyle changes that are needed to minimize the effects of the disease process. The client continually changes the subject during the teaching session. The nurse interprets that this client's behavior is most likely related to which problem? ID: 0965 | Adult Health_Cardio Questions_final.htm #1006

An attempt to ignore or deny the need to make lifestyle changes

Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply. ID: 0811 | 65.xml #811

Communicate expected behaviors to the client. 3.Assist the client in identifying ways of setting limits on personal behaviors. 4.Follow through about the consequences of behavior in a nonpunitive manner. 6.Have the client state the consequences for behaving in ways that are viewed as unacceptable.

The nurse is annoyed by a healthy Hispanic American client who had minor abdominal surgery 2 days ago. The client claims he cannot get out of bed by himself, and the nurse lectures the client and tells him to try to be tough. What type of cultural behavior is this called? ID: 2807 | Culture-Spirituality Questions_final.htm #3564

Cultural imposition

What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session? ID: 4409 | Mental Health Questions_final.htm #865

Thank the client for the input, but inform the client that others now need a chance to contribute.

The need for sensory stimulation

The nurse is preparing to provide preoperative teaching to a Spanish-speaking client and the client's family. Which nursing action would be most effective for teaching the client? ID: 2799 | Culture-Spirituality Questions_final.htm #3556

The nurse secures the assistance of a professional interpreter to communicate with the client.

A client diagnosed with tuberculosis (TB) is distressed over fatigue and the loss of physical stamina. What should the nurse tell the client? ID: 2343 | Adult Health_Respiratory Questions_final.htm #2840

This is expected, and the client should gradually increase activity as tolerated.

A pregnant client at 10 weeks' gestation calls the prenatal clinic to report a recent exposure to a child with rubella. The nurse reviews the client's chart. What is the nurse's best response to the client? Refer to the chart below.History and PhysicalLaboratory and Diagnostic ResultsMedicationsGravida, Term Births, Preterm Births, Abortions, Living Children (GTPAL) 1,0,0,0,0Venereal Disease Research Laboratory (VDRL) nonreactivePrenatal vitaminsWeight 135 lb (61 kg)Rubella immune Positive Goodell and ChadwickRh positive, Type O

"You were wise to call. Your rubella titer indicates that you are immune and your baby is not at risk."

The nurse is trying to communicate with a client who had a stroke and has aphasia. Which actions by the nurse would be most helpful to the client? Select all that apply. ID: 2011 | Adult Health_Neuro Questions_final.htm #2424

1.Speaking to the client at a slower rate 2.Allowing plenty of time for the client to respond 4.Looking directly at the client during attempts at speech

The nurse recognizes that which interventions are likely to facilitate effective communication between a dying client and family? Select all that apply. ID: 0883 | 70.xml #883

The nurse encourages the client and family to identify and discuss feelings openly. 2. The nurse assists the client and family in carrying out spiritually meaningful practices. 5. The nurse maintains a calm attitude and one of acceptance when the family or client expresses anger.

The nurse in the primary health care provider's office is performing a postoperative assessment of a client who underwent mastectomy of her right breast 2 weeks ago. The client tells the nurse that she is very concerned because she has numbness in the area of the surgery and along the inner side of the arm from the armpit to the elbow. The nurse should provide which information to the client about her complaint? ID: 2124 | Adult Health_Oncology Questions_final.htm #2604

These sensations dissipate over several months and usually resolve after 1 year.

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