EAQ 2 NMNC 1110

Which response would the nurse make to a client with obsessive-compulsive disorder who says, "I know that my hands aren't dirty, but I just can't stop washing them"?

"I understand that—maybe we can work together to limit the number of times you wash them."

The clinic nurse is teaching an adolescent about lifestyle modifications to prevent hyperlipidemia. Which statement by the adolescent indicates a need for further teaching?

"I'll start eating more red meat."

Which response would the nurse make when a female client confides to the nurse that she enjoys engaging in sex with multiple male adult sex partners simultaneously?

"What are you using for birth control and protection from sexually transmitted infections?"

How can the nurse describe heart failure to a client?

An inability of the heart to pump blood in proportion to metabolic needs

The health care provider prescribes an oral hypoglycemic medication for the client with type 2 diabetes. Which statement will the nurse need to consider when developing the teaching plan?

Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control.

Which activity would the nurse encourage parents to plan for a 12-year-old child who will be bedridden at home for several weeks after orthopedic surgery?

Continuing schoolwork

The nurse changing the dressing on the client's perineum would fall into which zone?

Intimate zone

Why would lactulose be prescribed for a client with a history of cirrhosis of the liver?

Elevated ammonia levels are lowered.

Which characteristic is most essential for the nurse to have in caring for clients with mental health disorders?

Empathy

Which action indicates that the nurse is actively listening to the client?

Interpreting what the client is saying and restating it for clarification

Which program would the nurse suggest for the 70-year-old client who needs to undergo heart surgery but cannot afford it?

Medicare

Which information would the nurse give a pregnant client about having a chorionic villus sampling (CVS) before the 10th and 12th weeks?

The test can cause fetal anomalies.

Which statement describes scoliosis?

There is a rotary deformity of the lateral curvature of the spine.

After a prolonged period in a regional hospital far from home to which the parents were unable to travel, an 18-month-old toddler becomes depressed, withdrawn, and apathetic. Eventually the toddler begins playing with toys and relating to others, even strangers. When the parents visit, the child ignores them. The parents tell the nurse that their child has forgotten them. How would the nurse explain the child's behavior?

This is typical behavior in toddlers who are separated from their parents for prolonged periods, and indicates that their child will need special attention from them.

Which procedural description would the nurse provide the parents of an infant who has a cardiac catheterization scheduled?

"A catheter will be inserted into a blood vessel in your baby's groin and then threaded to the heart to confirm an anatomic abnormality."

The nurse provides discharge instructions to the parents of a child who has undergone tonsillectomy. Which statement indicates that the parents need further teaching?

"Cherry milkshakes will ease the pain."

Which is the most therapeutic response by the nurse to a client who is joking about dying?

"Does it help to joke about your illness?"

The parents of a child with acute poststreptococcal glomerulonephritis ask the nurse why their child is being weighed every morning. Which is the best response by the nurse?

"It's the best way to measure your child's fluid balance."

An 8-year-old child has experienced the death of a sister. The child begins to ask many questions about what happens to the body after death. The parents wonder if this is abnormal behavior picked up from playing video games. Which is the best response by the nurse?

"School-aged children are inquisitive and ask a lot of questions about death."

An 8-year-old child has experienced the death of a sister. The child begins to ask many questions about what happens to the body after death. The parents wonder whether this is abnormal or morbid behavior picked up from playing video games. Which is the best response by the nurse?

"School-aged children are inquisitive and ask a lot of questions about death."

An 8-year-old girl who is hospitalized for intravenous (IV) antibiotic therapy tells the nurse that she is bored. The nurse has a discussion with the father about appropriate activities. Which activity suggested by the father would indicate a need for further teaching?

"She'll enjoy having a rubber baseball and plastic bat."

A client is being initiated on bisphosphonates. Which advice will the nurse provide?

"Take it on an empty stomach."

A parent tells the nurse that he or she is apprehensive that an antidepressant has been prescribed for an adolescent. Which is the best response by the nurse?

"Tell me more about what's concerning you."

Which statement indicates that a pregnant client requires further teaching about fetal growth and development?

"The fetus gets nutrients from the amniotic fluid."

A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a minor trauma. The mother states that the toddler is very active and is difficult, constantly saying "no". Which response would the nurse communicate that would be an appropriate response?

"Toddlers are curious, trying to make decisions and be independent."

Which response would the nurse make to a client scheduled for electroconvulsive therapy (ECT) who says, "I'm scared that I'll lose my memory forever after the treatment"?

"You'll experience a temporary loss of memory, and feeling frightened about it is expected."

Which action would the nurse do first when planning to provide a back massage to a client?

Assess the client's preference for touch and massage.

Which intervention would the nurse expect to implement to alleviate anxiety for a preoperative client?

Attempt to identify the client's concerns.

Which strategy would the nurse use to help a depressed, withdrawn client who exhibits sadness through nonverbal behavior?

Cope with painful feelings by sharing them.

The nurse should expect to take which action to help alleviate anxiety for a client scheduled for a colostomy?

Encourage the client to express feelings.