final hesi oa
The overproduction of which hormone is associated with carpal tunnel syndrome in clients? Growth hormone Antidiuretic hormone Parathyroid hormone Aldosterone hormone
Growth hormone
Which Quality and Safety Education for Nurses (QSEN) competency would the nurse comply with when using flowcharts to determine usefulness of bed monitoring devices for checking on dementia clients? Safety Informatics Quality improvement Patient-centered care
Quality improvement
Which topic would be included in discharge teaching for a 22-year- old client who has had mitral valve replacement with a mechanical valve? Daily aspirin use Care of leg incisions Anticoagulation therapy Low fat and cholesterol diet
Anticoagulation therapy
Arrange the hierarchy of needs in ascending order beginning with thehighestpriority needs as defined by Maslow. Safety and security Physiological needs Self-esteem Self-actualization Love and belonging needs
Physiological needs Safety and security Love and belonging needs Self-esteem Self-actualization
Which condition results in elevated serum adrenocorticotropic hormone (ACTH) and urine cortisol levels? Diabetes insipidusAdrenal Cushing syndrome Pituitary Cushing syndrome Syndrome of inappropriate antidiuretic hormone
Pituitary Cushing syndrome
The nurse receives an order to prepare a solution for administering a cleansing enema for an adolescent client. Which is the volume of solution that would be prepared? 150 to 250 mL 250 to 350 mL 300 to 500 mL 500 to 750 mL
500 to 750 mL
A client is being treated for pituitary Cushing syndrome. The nurse anticipates that which medication will be prescribed? Mitotane Cabergoline Cyproheptadine Bromocriptine mesylate
Cyproheptadine
An older adult with a history of diabetes reports giddiness, excessive thirst, and nausea. During an assessment, the nurse notices the client's body temperature as 105°F (40.6°C), orally. Which condition would the nurse suspect in the client? Heat stroke Heat exhaustion Accidental hypothermia Malignant hyperthermia
Heat stroke
Which language developmental milestone is seen in 4-year-olds? Names four or more colors Knows simple songs Has a vocabulary of about 2100 words Uses sentences of six to eight words, with all parts of speech
Knows simple songs
Which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone? Anovulation Dehydration Malaise Menstrual abnormalities
Malaise
The nurse is caring for a client with type 2 diabetes mellitus and renal insufficiency. The client is scheduled for a computerized tomography (CT) scan with contrast. Which medication would the nurse withhold to prevent lactic acidosis? Pioglitazone Insulin Glyburide Metformin
Metformin
A client is diagnosed with primary hypofunction of the adrenal gland. Which clinical manifestation is likely to be observed? Edema at extremities Uneven patches of pigment loss Reddish-purple stretch marks on the abdomen 'Buffalo hump' between shoulders on the back
Uneven patches of pigment loss
Which services do nurse-managed clinics provide in preventive and primary care services? Select all that apply. One, some, or all responses may be correct. Crisis intervention Wellness counseling Health risk appraisal Employment readiness Communicable disease control
Wellness counseling Health risk appraisal Employment readiness
The nurse is caring for a client with hyperpituitarism. Which diagnostic test helps identify the abnormalities of the sella turcica associated with the condition? Skull x-ray Angiography Computer tomography Magnetic resonance imaging
Skull x-ray
The nurse asked the student nurse to care for a client whose dermal- epidermal junction is flattened. On assessing the client, the registered nurse observes that the risk for skin tears is increased. Which action of the student nurse may have resulted in this condition? Taping the client's skin Encouraging the client to take vitamin D supplements Assisting the client to change positions at 4-hour intervals Avoiding the removal of the client's adhesive wound dressings
Taping the client's skin
The nurse is assessing the skin of a client with a cortisol deficiency and expects which finding? Dry skin Ulcerated skin Generalized edema Diminished axillary hair
Diminished axillary hair
Which medications used for the treatment of plaque psoriasis will the nurse administer subcutaneously? Select all that apply. One, some, or all responses may be correct. Alefacept Infliximab Etanercept Adalimumab Ustekinumab
Etanercept Adalimumab Ustekinumab
Which clinical feature is indicative of hypercortisolism? Loss of weight Thickening of skin Enhanced density of bones Increased pigmentation
Increased pigmentation
Which symptom would a client exhibit if having a thyrotoxic crisis? Increased pulse deficit Decreased blood pressure Decreased heart rate and respirations Increased temperature and pulse rate
Increased temperature and pulse rate
The nurse is caring for a client who is going to undergo surgery for pheochromocytoma. Which action by the nurse needs correction to ensure client safety? Palpating the abdomen Providing fluids before surgery Administering phenoxybenzamine Initiating an intravenous bolus of alpha-adrenergic blockers
Palpating the abdomen
Which information would the nurse include in the discharge teaching of a postpartum client? The prenatal Kegel tightening exercises should be continued. A bowel movement may not occur for up to a week after the birth. The episiotomy sutures will be removed at the first postpartum visit. A postpartum checkup should be scheduled as soon as menses returns.
The prenatal Kegel tightening exercises should be continued.
Which instruction would the nurse emphasize when preparing a client for an emergency splenectomy? The poor prognosis associated with a splenectomy The expectation that postoperative bleeding will occur The high risk associated with the procedure in light of the client's other injuries The presence of abdominal drains for several days after the surger
The presence of abdominal drains for several days after the surgery
The nurse is providing instructions about foot care for a client with diabetes mellitus. Which would the nurse include in the instructions? Select all that apply. One, some, or all responses may be correct. Wear shoes when out of bed. Soak the feet in warm water daily. Dry between the toes after bathing. Remove corns as soon as they appear. Use a heating pad when the feet feel cold.
Wear shoes when out of bed. Dry between the toes after bathing.
The nurse teaches a client about how to protect a skin area that has undergone radiation treatment. Which statement made by the client indicates the nurse needs to follow up? 'I should avoid swimming in saltwater.' 'I should avoid using adhesive bandages.' 'I should avoid wearing tight-fitting clothes.' 'I should avoid rinsing the area with the saline solution.'
'I should avoid rinsing the area with the saline solution.'
Which are neurological manifestations of hyperthyroidism? Select all that apply. One, some, or all responses may be correct. Fatigue Diaphoresis Blurred vision Exophthalmos Shallow respirations
Blurred vision Exophthalmos
A client with schizophrenia who is receiving an antipsychotic medication begins to exhibit a shuffling gait and tremors. The primary health care provider prescribes the anticholinergic medication benztropine, 2 mg daily. The nurse should inquire about which symptom when assessing the client? Constipation Hypertension Increased salivation Excessive perspiration
Constipation
A client who takes rifampin tells the nurse, 'My urine looks orange.' Which action would the nurse take? Explain that this is expected. Check the liver enzymes. Ask the provider to order a urinalysis. Ask what foods were eaten.
Explain that this is expected.
A client is diagnosed with hyperthyroidism and is treated with I-131. Before discharge the nurse teaches the client to observe for signs and symptoms of therapy-induced hypothyroidism. Which signs and symptoms would be included in the teaching? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Fatigue Dry skin Insomnia Intolerance to heat Progressive weight gain
Fatigue Dry skin Progressive weight gain
Which parameter monitoring would be the nurse's priority while caring for a client with hypothyroidism? Pulse rate Blood pressure Respiratory rate Body temperature
Respiratory rate
The nurse is educating the client newly diagnosed with type 2 diabetes on oral antidiabetic medications. Which instruction would the nurse include in the teaching plan? Select all that apply. One, some, or all responses may be correct The client should obtain a finger-stick blood glucose reading before each meal. The client does not need to follow a specific diet until insulin is required. The teaching plan should include signs and symptoms of hypoglycemia. The teaching plan should include how to administer regular insulin. The teaching plan should include sick day rules.
The client should obtain a finger-stick blood glucose reading before each meal. The teaching plan should include signs and symptoms of hypoglycemia. The teaching plan should include sick day rules.
Which client is at risk for developing type 2 diabetes mellitus (DM)? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected 15-year-old male who plays video games 6 hours per day 36-year-old female with a history of gestational diabetes 47-year-old male who weighs 250 pounds and is 5' 9' tall 28-year-old female with polycystic ovarian syndrome (POS) 60-year-old male of Native American descent who abuses alcohol
15-year-old male who plays video games 6 hours per day 36-year-old female with a history of gestational diabetes 47-year-old male who weighs 250 pounds and is 5' 9' tall 28-year-old female with polycystic ovarian syndrome (POS) 60-year-old male of Native American descent who abuses alcohol
Which outcome indicates range-of-motion exercises have been effective for a child with juvenile idiopathic arthritis (JIA)? The knees are more mobile. The pedal pulses become stronger. Subcutaneous nodules at the joints recede. The child states that the pain is diminished.
The knees are more mobile.
The nurse is teaching positioning techniques to a client who developed degenerative joint disease of the vertebral column. In addition to suggesting that the client keep the spine straight and cross the arm over the chest, which instruction would the nurse provide? Use the overbed table to pull the upper body up to assist with turning. Bend the top knee to the side to which the client is turning. Cross the ankles while turning and keep both legs straight. Flex the bottom knee to the side to which the client wishes to turn.
Bend the top knee to the side to which the client is turning.
An adolescent complains of breast pain. Which antigonadotropic herb may alleviate breast pain by decreasing prolactin levels? Catnip Black haw Bugleweed Chaste tree fruit
Bugleweed
The nurse is caring for a client with tertiary syphilis. Which body system would the nurse monitor most closely? Respiratory Reproductive Integumentary Cardiovascular
Cardiovascular
Which medication will cause a heightened skin reaction to sunlight? Lithium Sertraline Methylphenidate Chlorpromazine
Chlorpromazine
A client has been on a hunger strike for 5 days. During this time, which hormones provide glucose as energy through catabolism? Select all that apply. One, some, or all responses may be correct. Cortisol Prolactin Glucagon Calcitonin Aldosterone
Cortisol Glucagon
While assessing the skin of an older adult, the nurse observes that the skin has a dry and uneven color. Which change is responsible for this condition? Decreased subcutaneous fat Decreased extracellular water Decreased proliferation capacity Decreased activity of sebaceous glands
Decreased activity of sebaceous glands
When a client experiences increased serum cortisone levels, which physiological response would the nurse consider when caring for the client? Accelerated wound healing Blocked gluconeogenesis in the liver Decreased pituitary secretion of adrenocorticotropic hormone (ACTH) Impaired tolerance of stressful situations
Decreased pituitary secretion of adrenocorticotropic hormone (ACTH)
What developmental findings does the nurse expect to observe in a 5- year-old child? Select all that apply. Some correct answers were not selected Enjoys imitative play Engages in ritualistic games Makes up rules for a new game Plays near others quietly but not with them
Enjoys imitative play Makes up rules for a new game
Why would the nurse monitor a client with a diagnosis of Cushing syndrome for symptoms of diabetes mellitus? Cortical hormones stimulate rapid weight loss. Tissue catabolism results in a negative nitrogen balance. Glucocorticoids accelerate the process of gluconeogenesis. Excessive adrenocorticotropic hormone (ACTH) secretion damages pancreatic tissue.
Glucocorticoids accelerate the process of gluconeogenesis.
Which question would the nurse leader consider while assessing the degree of conflict resolution related to the quality of decisions? How creative are the resulting plans? How eager are people to work together? How much understanding has been formed? How much mutual respect and cooperation has been developed?
How creative are the resulting plans?
After a surgical procedure for cancer of the pancreas with removal of the stomach, the head of the pancreas, the distal end of the duodenum, and the spleen, which symptom exhibited by the client requires immediate attention by the nurse? Jaundice Indigestion Weight loss Hyperglycemia
Hyperglycemia
An Rh-negative client has a spontaneous abortion at the end of the second trimester and is prescribed Rho(D) immune globulin. The client asks the nurse, 'Why do I need this medication?' Which information would the nurse consider before answering the client's question? It will expand the woman's antibody pool. It will prevent the woman from producing antibodies. The woman's production of immune bodies will be accelerated. The activity of the mother's Rh-negative antibodies will be suppressed.
It will prevent the woman from producing antibodies.
Which effect does the parathyroid hormone have on bones? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Increased bone breakdown Increased serum calcium levels Increased sodium and phosphorus excretion Increased absorption of calcium and phosphorus Increased net release of calcium and phosphorus
Increased bone breakdown Increased serum calcium levels Increased net release of calcium and phosphorus
Which statement is accurate regarding the effects of parathyroid hormone on bones for the maintenance of calcium balance? Increases bicarbonate and sodium excretion Enhances absorption of calcium and phosphorous Increases reabsorption of calcium and magnesium Increases net release of calcium into extracellular fluid
Increases net release of calcium into extracellular fluid
Which clinic manifestations would the nurse expect to find in a client who has acute human immunodeficiency virus (HIV) infection? Select all that apply. One, some, or all responses may be correct. Malaise Confusion Constipation Swollen lymph glands Oropharyngeal candidiasis
Malaise Swollen lymph glands
Which action is appropriate to include in the plan of care for a client who just had a subtotal thyroidectomy? Monitor for hypoglycemia. Observe for signs of tetany. Place a sandbag under the neck. Teach the need to support the head.
Observe for signs of tetany.
Which carcinoma is the most common type of thyroid cancer and is most often found in younger women? Papillary carcinoma Follicular carcinoma Medullary carcinoma Anaplastic carcinoma
Papillary carcinoma
A client is admitted to the hospital with a tentative diagnosis of pneumonia. The client has a high fever and is short of breath. Education related to prevention of pneumonia, oxygen via nasal cannula, an intravenous antibiotic, and blood and sputum specimen for culture and sensitivity (C&S) are prescribed. In which order should these interventions be implemented? Provide oxygen via nasal cannula. Administer prescribed antibiotic. Obtain blood specimens for C&S. Provide education about prevention of pneumonia.
Provide oxygen via nasal cannula Obtain blood specimens for C&S Administer prescribed antibiotic Provide education about prevention of pneumonia
To determine the effectiveness of therapy, which behavior would the nurse assess for in a client with generalized anxiety disorder? Participating in activities Learning how to avoid anxiety Taking medications as prescribed Recognizing when anxiety is developing
Recognizing when anxiety is developing
Which interventions would the nurse suggest after a home assessment for fall risk in the older adult? Select all that apply. One, some, or all responses may be correct. Dimming lighting to avoid squinting Securing rugs to prevent movement Removing excessive pieces of furniture Wearing corrective lenses for distance vision Performing exercises to strengthen lower extremities
Securing rugs to prevent movement Removing excessive pieces of furniture Wearing corrective lenses for distance vision Performing exercises to strengthen lower extremities
Which test would the nurse monitor when determining whether a client's newly transplanted kidney works effectively? Renal scan Serum creatinine 24-hour urine output White blood cell (WBC) count
Serum creatinine
The nurse is caring for a client who underwent a total thyroidectomy. Which assessment finding would lead the nurse to notify the rapid response team? Stridor Hoarseness Bradycardia Hypocalcemia
Stridor
Which is an appropriate teaching goal for a client who is newly diagnosed as having type 2 diabetes? To perform foot care weekly To administer insulin as prescribed To test urine for both sugar and acetone To identify symptoms of hypoglycemia or hyperglycemia
To identify symptoms of hypoglycemia or hyperglycemia
While hospitalized, a client with diabetes is observed picking at calluses on the feet. Which intervention would the nurse implement immediately? Warn the client of the danger of infection. Suggest that the client wear white cotton socks. Teach the client the importance of effective foot care. Check the client's shoes for their fit in the area of the calluses.
Teach the client the importance of effective foot care.
The nurse is developing a nursing diagnosis for a client after surgery. The nurse documents the 'related to' factor as first-time surgery. Which assessment activity enabled the nurse to derive this conclusion? The nurse notes nonverbal signs of discomfort. The nurse observes the client's position in bed. The nurse asks the client to explain the surgery. The nurse asks the client to rate the severity of pain.
The nurse asks the client to explain the surgery.
Which equipment would the nurse include when setting up emergency equipment at the bedside of a client in the immediate postoperative period after a thyroidectomy? Crash cart with bed board Tracheostomy set and oxygen Ampule of sodium bicarbonate Airway and nonrebreather mask
Tracheostomy set and oxygen
A female client who is scheduled for a thyroidectomy is concerned that the surgery will interfere with her ability to become pregnant. Which response by the nurse is appropriate? 'As long as medication is continued, ovulation will occur. 'Hyperthyroidism can cause abortions and fetal anomalies. 'Pregnancy is not advisable for the client with a thyroidectomy. 'Pregnancy affects metabolism and will require decreased thyroid hormone.'
'As long as medication is continued, ovulation will occur.'
The nurse is teaching a client regarding preventive measures for genital tract infections. Which statement made by the client indicates the need for further education? Select all that apply. One, some, or all responses may be correct 'I should take frequent bubble baths.' 'I should decrease the use of dietary sugar.' 'I should choose hosiery with a nylon crotch.' 'I should use colored and scented toilet tissues.' 'I should limit the time spent in damp exercise clothes.'
'I should take frequent bubble baths. 'I should choose hosiery with a nylon crotch.' 'I should use colored and scented toilet tissues.'
The nurse is educating a client with hypothyroidism about the use of levothyroxine. Which information would the nurse provide? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Take dose same time each day. Refrain from switching brands. Have regular bloodwork drawn. Hold medication for pulse >60 beats per minute. Report weight loss more than 3 pounds.
Take dose same time each day. Refrain from switching brands. Have regular bloodwork drawn.
A client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. Two days after surgery, which intervention is appropriate when preparing the client to eat dinner? Checking the client's serum glucose level Assisting the client out of bed into a chair Placing the client in the high-Fowler position Ensuring the client's residual limb is elevated
Checking the client's serum glucose level
A client is newly diagnosed with diabetes. The nurse would instruct the client to monitor for which indication of hypoglycemia? Kussmaul respirations Bradycardia Confusion Anorexia
Confusion
Which manifestations of surgically induced hypothyroidism might the client exhibit after a thyroidectomy? Select all that apply. One, some, or all responses may be correct. Fatigue Dry skin Insomnia Excitability Weight loss Intolerance to heat
Fatigue Dry skin
Which theory of leadership is the registered nurse applying when providing feedback to nurse practitioners, using the extinction approach to handle negative behaviors? Hierarchy of needs Transactional theories Transformational theories Organizational behavior modification (OB Mod) theory
Organizational behavior modification (OB Mod) theory
Which hormones are secreted by the client's hypothalamus? Select all that apply. One, some, or all responses may be correct. Growth hormone Follicle-stimulating hormone Prolactin-inhibiting hormone Corticotropin-releasing hormone Melanocyte-stimulating hormone
Prolactin-inhibiting hormone Corticotropin-releasing hormone
A client with a diagnosis of schizophrenia, paranoid type, has been receiving a phenothiazine medication. When the psychiatric daycare center plans a fishing trip, it will be important for the nurse to take which action? Provide the client with sunscreen. Caution the client to limit exertion during the trip. Give the client an extra dose of medication to take after lunch. Take the client's blood pressure before allowing participation in the outing.
Provide the client with sunscreen.
Which are physiologic symptoms assessed in a client with sleep deprivation? Select all that apply. One, some, or all responses may be correct. Ptosis and blurred vision Agitation and hyperactivity Confusion and disorientation Increased sensitivity to pain Decreased auditory alertness
Ptosis and blurred vision Decreased auditory alertness
Which symptoms would the nurse include when teaching a client to recognize symptoms of hypoglycemia? Select all that apply. One, some, or all responses may be correct. Rapid heartbeat Emotional changes Abdominal crampingNausea and vomiting Weakness and fatigue Numbness of fingers, toes, or mouth
Rapid heartbeat Emotional changes Numbness of fingers, toes, or mouth
The parents inform the nurse that their preschooler's teachers often complain about the child's bullying behavior in school. The parents were surprised by the feedback because the child is well behaved at home. Which would the nurse conclude to be the probable cause of this discrepancy? The parents are lying about the child being well behaved. The parents are inconsistent in their disciplining methods. The child's parents do not spend enough time with the child. The child is scared of the parents and displaces anger on others.
The child is scared of the parents and displaces anger on others.
Which goals are appropriate when caring for a client with hyperplasia of pituitary tissue? Select all that apply. One, some, or all responses may be correct. To alleviate headache To replace lost sodium To eliminate visual disturbances To check the urine specific gravity To return hormone levels to normal
To alleviate headache To eliminate visual disturbances To return hormone levels to normal
After a teaching session, the nurse evaluates the client's understanding of hypoparathyroidism. Which statement made by the client indicates the need for further education? 'I should eat an orange a day.' 'I should include yogurt in my diet.' 'I should perform mild exercises daily.' 'I should sit outside in the sun.'
'I should include yogurt in my diet.'
A child is prescribed 1.2 mL of digoxin twice a day. The medication label reads "Digoxin 0.125 mg/mL." What is the total amount of medication, in milligrams, the child takes each day? Record your answer using one decimal place, including a leading zero if applicable.
0.3mg Rationale1.2 mL + 1.2 mL = 2.4 mL. Each milliliter contains 0.125 mg, so 2.4 mL × 0.125 mg = 0.3 mg.
Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The nurse advises the client to anticipate pain relief will begin within which period of time? 1 to 3 minutes 4 to 5 seconds 30 to 45 seconds 10 to 15 minutes
1 to 3 minutes
Which intervention by the nurse is an important aspect of client- centered care according to the survey conducted by the Picker Institute? Informing the client after scheduling appointments Asking the client if the family would be involved in his or her care Ensuring that all client health care needs are met until discharge Asking the client to contact any of the health care personnel for assistance
Asking the client if the family would be involved in his or her care
Which hormone levels peak during a client's sleep? Select all that apply. One, some, or all responses may be correct Cortisol Calcitonin Thyrotropin Progesterone Growth hormone
Cortisol Thyrotropin Growth hormone
Which type of medication-induced hormonal imbalance is likely to be observed in a client undergoing treatment with demeclocycline? Acromegaly Diabetes mellitus Diabetes insipidus Cushing syndrome
Diabetes insipidus
Hydramnios is diagnosed in a primigravida at 35 weeks' gestation. For which condition would the nurse assess the newborn? Cardiac defect Kidney disorder Diabetes mellitus Esophageal atresia
Esophageal atresia
The nurse develops a teaching plan for a client with diabetes who has been diagnosed with lower extremity arterial disease (LEAD). Which measures would the nurse include to increase arterial blood flow to the extremities? Exercises that promote muscular activity Meticulous care of minor skin breakdown Elevation of the legs above the level of the heart Soaking the feet in hot water each day
Exercises that promote muscular activity
A client is diagnosed with Cushing syndrome. The nurse would monitor the client for which cardiovascular complication? Chest pain Tachycardia Hypertension Atrial fibrillation
Hypertension
Which clinical manifestation is observed in a client with adrenal insufficiency? Fatigue Salt craving Weight loss Hyponatremia
Hyponatremia
During preoperative teaching for a thyroidectomy, which specific instruction about postoperative care would the nurse provide the client? Cough and deep breathe every hour. Perform range-of-motion exercises of the head and neck. Support the head with the hands when changing position. Apply gentle pressure against the incision when swallowing.
Support the head with the hands when changing position.
Which topical immunomodulator is used to treat a client with atopic dermatitis? Mupirocin Tacrolimus Clindamycin Erythromyci
Tacrolimus
The nurse is assessing a client suspected of having hypersecretion of growth hormone. Which question would the nurse ask the client? 'Have you noticed thickening of your lips?' 'Do you experience excessive thirst?' 'Did you notice increase in frequency of urination?' 'Do you experience pain during sexual intercourse?'
'Have you noticed thickening of your lips?'
Which reason would the nurse document as 'nonadherence' for the client not adhering to the prescribed antibiotic therapy? 'I skipped some doses because I just don't like to take pills.' 'I left my pills in the bedroom and I forgot to take them with breakfast.' 'I saw all the side effects on television and decided to not take the pills.' 'I had to choose between getting my prescription filled and paying the heating bill.'
'I left my pills in the bedroom and I forgot to take them with breakfast.'
A client with diabetes is given instructions about foot care. Which statement made by the client shows effective learning? 'I will trim my toenails before bathing.' 'I will soak my feet daily for 1 hour. ''I will examine my feet using a mirror at least once a week. ''I will break in my new shoes over the course of several weeks.'
'I will break in my new shoes over the course of several weeks.'
A client experiencing thyrotoxic crisis tells the nurse, 'I know I'm going to die. I'm very sick.' Which is the best response by the nurse? 'You must feel very sick and frightened.' 'Tell me why you feel you are going to die.' 'I can understand how you feel, but people do not die from this problem.' 'If you would like, I will call your family and tell them to come to the hospital.'
'You must feel very sick and frightened.'
Which intervention would the nurse implement when caring for a client 24 hours after thyroidectomy? Check the sides of the operative site dressing and the back of neck. Support the head during mild range-of-motion (ROM) exercises. Encourage the client to ventilate feelings about the surgery. Advise the client that regular activities can be resumed immediately.
Check the sides of the operative site dressing and the back of neck.
During a home visit, the nurse finds that a healthy older adult person is actively practicing laughing therapy to maintain good health without pressure or insistence from family members. Which inference about the client would the nurse make from these findings? Not motivated Intrinsically motivated Extrinsically motivated with self-determination Extrinsically motivated without self-determination
Intrinsically motivated
Which diet choices by a client who has heart failure indicate that the nurse's teaching about diet has been effective? Select all that apply. One, some, or all responses may be correct. Lean steak Fruit salad Broiled chicken Smoked salmon Roasted potatoes Macaroni and cheese
Lean steak Fruit salad Broiled chicken Roasted potatoes
Which steps would the nurse take to measure the temperature of a 4- year-old child using an electronic infrared thermometer? Select all that apply. Pull the pinna up and out. Pull the pinna down and back. Avoid applying pressure to the ejection button. Obtain the temperature from client's right ear if the nurse is right-handed. Rapidly remove the probe from the ear canal.
Pull the pinna up and out Avoid applying pressure to the ejection button. Obtain the temperature from client's right ear if the nurse is right-handed.
Which assessment items need to be documented on a client in restraints? Select all that apply. One, some, or all responses may be correct. Pulse near the restrained area Temperature of the restrained area Convenience of restraining the client Skin integrity surrounding the restraint Behavior leading to the need for restraint
Pulse near the restrained area Temperature of the restrained area Skin integrity surrounding the restraint Behavior leading to the need for restraint
Which would the nurse conclude about a client when planning teaching strategies based on the results of a glycosylated hemoglobin measurement of 6%? The client is experiencing a rebound hyperglycemia. The client needs the insulin changed to a different type. The client has followed the treatment plan as prescribed. The client requires further teaching regarding nutritional guidelines.
The client has followed the treatment plan as prescribed.
A client is diagnosed with primary hypofunction of the adrenal gland. Which clinical manifestation is likely to be observed? Edema at extremities Uneven patches of pigment loss Reddish-purple stretch marks on the abdomen 'Buffalo hump' between shoulders on the back
Uneven patches of pigment loss
Which instruction would the nurse give a client returning to work as a carpenter after surgery for carpal tunnel syndrome of the right hand? 'Avoid carrying tools with the arms.' 'Learn to hammer with the left hand.' 'Do stretching exercises during breaks.' 'Avoid power tools such as drills or screwdrivers.'
'Do stretching exercises during breaks.'
