NCLEX MED SURG

A hospice-care facility is providing care to a client in the terminal stage of renal disease. The primary health-care provider is explaining to a client how a hospice facility works. Which statement made by the client's caregiver indicates the need for correction?

"A hospice facility provides care to terminally ill clients."

A nurse measures a client's axillary temperature. Which action of the nurse would restore a sense of well-being in the client?

Assisting client to regown and position for comfort

The city health department provides home health services under the governance of a local unit of government. Which sources of funding support this agency? Select all that apply.

grants country revenues fees from limited resources

An adolescent with the diagnosis of anorexia nervosa is admitted to the psychiatric unit of a local hospital. What should the nurse include in the plan of care?

Provision of supervision during and after mealtimes

Which drug is contraindicated to use for extended periods to treat hypersensitivity reactions?

Dexamethasone

Which drug should be used with caution when a client has a history of peptic ulcers and is diagnosed with hypersensitivity?

Dexamethasone

The nurse visits a client's home twice a day to change the dressing on the client's diabetic foot. To which health care organization is the nurse most likely affiliated?

Home care

A nurse is assisting a health-care provider in providing palliative care to a client with lung cancer who has just undergone surgery. The provider instructs the nurse to assist the client with frequent position changes. Which complication is this intervention intended to prevent?

Ineffective airway clearance

A client who recently was diagnosed as having myelocytic leukemia discusses the diagnosis by referring to statistics, facts, and figures. The nurse determines that the client is using which defense mechanism?

Intellectualization

A client with chronic lung disease visited the clinic for a regular check-up. On assessment, the primary health-care provider determined that the client was in the terminal stage of the disease. Which type of health-care facility would provide the most appropriate care or services to the client at this time?

Palliative-care facility

A client is postoperative from open heart surgery. What should the nurse do to decrease or control the sensory and cognitive disturbances?

Plan for maximum periods of rest

Which health-care facility provides care to a client who is unable to perform activities of daily living (ADLs), when the caregiver is unavailable?

Respite-care facility

A nurse is caring for clients with various health problems. These problems include scarlet fever, otitis media, bacterial endocarditis, rheumatic fever, and glomerulonephritis. What common factor linking these diseases should the nurse consider?

Result from streptococcal infections that enter via the upper respiratory tract

A client reports non-refreshing sleep, cognitive difficulties, anxiety, depression, and a sensation of numbness or tingling in the upper extremities. Which intervention does the nurse anticipate will help manage the client's condition?

Teaching relaxation techniques and the basic principles of good sleep hygiene

A registered nurse is teaching a nursing student about health maintenance organizations (HMOs). Which of the nursing student's statements indicates a need for further teaching?

"HMO clients can be admitted to any hospital."

The registered nurse (RN) is caring for an older client who has been admitted to the hospital. The RN allocates several tasks to the unlicensed nursing personnel (UNP). In order to evaluate the understanding of the UNP, the RN asks the UNP to describe which tasks have been allocated. Which responses given by the UNP indicate effective understanding of the tasks? Select all that apply.

"I must assist the client with oral care." "I must give a sponge bath to the client every morning." "I must monitor the blood pressure of the client at regular intervals."

A registered nurse is teaching a nursing student about interventions for a client with nocturia who complains of fatigue. Which statement indicates the nursing student needs further learning?

"I'll advise the client to perform pelvic floor exercises."

A licensed practical nurse (LPN) is providing palliative care to a client who has undergone surgery as a measure to treat lung cancer. A registered nurse teaches the LPN the interventions that need to be performed if ineffective airway clearance related to the surgery develops in the client. Which statement by the nurse indicates a need for further teaching?

"I'll facilitate optimal breathing by placing the client in supine position."

The nurse manager is teaching the nursing team about funds allocated to health departments for personal health services by local, state, and federal governments. Which statement made by a member of the team would indicate effective learning? Select all that apply.

"The funds provide care for newborns." "The funds provide care for clients with tuberculosis." "The funds provide care for children with birth defects."

The nurse is providing care to a client from another culture who is involved in a motor vehicle accident. Which is the priority nursing action to provide culturally sensitive care for this client?

Asking the client and family if there is any special care related to their culture

A client who visited the hospital reports sneezing, excessive nasal secretions, and itching eyes. On assessment, the condition is diagnosed as anaphylactic hypersensitivity. Which cells act against this reaction?

B-cells

Which drug should be used with caution when a client has a history of heart disease and is diagnosed with hypersensitivity?

Epinephrine

Which statement regarding the Health Insurance Portability and Accountability Act is true?

It protects the confidentiality of all health information.

Which acid-base imbalance results in excretion of carbon dioxide by the lungs in a compensatory attempt to raise pH levels?

Metabolic acidosis

A client who underwent a tuberculin test 2 days ago reports itching after the test. Which hypersensitivity reaction should the nurse suspect in this client?

Type IV hypersensitivity

A licensed practical nurse is taking a continuing education course on culturally sensitive communication. Which behaviors exhibited by the nurse demonstrate cultural sensitivity? Select all that apply.

Understanding that a Russian client may use silence to indicate consensus between parties Letting a client of Chinese descent be silent for a while before replying to a question the nurse has posed