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In |biologic |death, |there |is |an |absence |of |respirations |and: |- |correct |answer |-✔Heartbeat The |nurse |is |caring |for |a |client |who |has |been |confused |and |climbing |out |of |the |bed. |What |action |should |the |nurse |take |if |the |nurse |must |take |care |of |another |client |and |leave |the |room? |- |correct |answer |-✔Don't |leave |the |client |alone |and |request |that |another |nurse |sit |one-on-one |with |the |client The |nurse |is |caring |for |a |client |with |acute |blood |loss |from |a |duodenal |ulcer. |The |client |is |a |Jehovah's |Witness |and |refuses |to |consent |for |blood |administration |ordered |by |the |physician. What |action |by |the |nurse |is |appropriate? |- |correct |answer |-✔Respect |the |client's |wishes |and |continue |to |monitor |the |client's |condition A |middle |aged |client |informs |the |nurse |of |an |increasing |weight |gain. Which |screening |should |the |nurse |prepare |the |client |for |to |assess |for |potential |complications |of |the |weight |gain |- |correct |answer |-✔Glucose |level |to |screen |for |diabetes. What |trends |in |nursing |are |expected |to |influence |nursing |in |the |21st |century? |Select |all |that |apply. |- |correct |answer |-✔higher |client |acuity |in |hospital |and |long |term |settings shift |to |community |base |care advancements |in |technology | greater |life |expectancy The |nurses |came |for |several |patients |on |a |medical |unit. |Which |patient |would |the |nurse |identify |as |a |vulnerable |person? |- |correct |answer |-✔A |mentally |challenged |adult |admitted |for |surgery The |nurse |is |caring |for |a |group |of |clients. |What |fundamental |procedure |of |healthcare |should |the |nurse |include |in |the |care? |- |correct |answer |-✔Use |standard |precautions A |Muslim-Arab |female |client |is |in |the |clinic |for |a |gynecologic |procedure. The |client |does |not |directly |look |at |the |nurse |or |physician |in |the |eye |when |speaking. |What |does |the |nurse |interpret |this |behavior |to |mean? |- |correct |answer |-✔The |client |is |demonstrating |modesty
The |nurse |is |performing |passive |range |of |motion |exercises |for |a |client |who |is |immobile. |Which |response |by |the |nurse |is |best |when |the |client |states, |"Why |are |you |doing |this?" |- |correct |answer |-✔"It |will |prevent |joint |stiffness |and |muscle |atrophy." A |client |asked |the |nurse |why |so |many |wrinkles |have |developed |on |the |clients |face. |Which |response |by |the |nurse |is |the |best? |- |correct |answer |-✔Wrinkles |are |a |result |of |a |loss |of |elasticity. A |10-year-old |child |is |brought |to |the |school |nurse |with |a |black |eye, |after |being |involved |in |an |altercation |with |another |child. |What |statement |by |the |child |would |be |of |greatest |concern |to |the |nurse? |- |correct |answer |-✔"It |is |my |fault |my |parents |are |getting |a |divorce." A |nurse |is |assisting |an |older |adult |with |personal |hygiene. |Which |action |should |the |nurse |do |when |providing |skin |care |for |the |client? |- |correct |answer |-✔Use |oils |when |giving |a |bath. During |the |annual |physical |examination, |a |teenage |client |tells |the |nurse |about |feeling |anxious |as |well |as |frustrated |because |of |facial |acne. |Which |is |the |nurse's |best |response? |- |correct |answer |-✔"Let's |talk |about |how |to |care |for |your |skin." A |daughter |caring |for |an |aging |parent |in |her |home |needs |respite |care |from |the |responsibility |of |caring |for |a |frail |adult. Which |would |be |the |care |setting |of |choice |for |this |family? |- |correct |answer |-✔Senior |center Did |you |study? |- |correct |answer |-✔Yes The |LVN/LPN |would |like |to |work |for |a |home |health |agency. |Which |opportunity |is |best |for |this |nurse? |- |correct |answer |-✔Working |with |a |child |with |special |needs A |nurse |is |caring |for |an |older |adult |client |with |a |history |of |substance |abuse. |What |information |should |the |nurse |provide |to |the |client's |family |when |educating |them |on |substance |abuse |in |their |loved |one? |- |correct |answer |-✔"Substance |abuse |may |result |from |loneliness." A |client |with |hemiplegia |is |being |taught |how |to |dress |more |easily |and |independently. |How |would |the |nurse |demonstrate |this |skill |to |the |client? |- |correct |answer |-✔Place |clothing |on |the |affected |arm |or |leg |first. The |nurse |is |assisting |an |aging |client |with |nutritional |needs. |Which |fact |should |the |nurse |keep |in |mind |when |planning |meals |for |this |client? |- |correct |answer |-✔Older |adults |have |reduced |caloric |needs.
The |nurse |overhears |an |oldest |adult |client |saying |to |another |client |"I |feel |depressed |because |I |have |so |many |regrets |about |my |life." |Which |activity |can |the |nurse |provide |to |help |this |client |gain |a |positive |perspective? |- |correct |answer |-✔Encourage |reminiscence. An |84-year-old |client |diagnosed |with |a |terminal |brain |tumor |is |admitted |to |the |healthcare |facility |following |an |epileptic |seizure. |Which |nursing |consideration |should |the |nurse |implement |when |providing |end-of-life |care |for |the |client? |- |correct |answer |-✔Encourage |the |client |to |assume |a |position |other |than |supine The |nurse |is |placing |a restraint |on |an |older |adult |client |who |is |on |bed |rest |but |regularly |attempts |to |get |out |of |bed |to |go |to |the |bathroom. |Which |is |a |guideline |when |using |restraints? |- |correct |answer |- ✔Generally, |a |physician's |order |is |required |to |apply |restraints. An |older |client |has |just |experienced |the |loss |of |a |spouse. |How |can |the |nurse |best |help |this |client |overcome |the |depression? |- |correct |answer |-✔Explore |with |the |client |her |beliefs |about |religion |and |spirituality. The |nurse |is |using |therapeutic |communication techniques |when |counseling |residents |of |an |assisted-living |facility. Which |guideline |is |recommended |for |this |process? |- |correct |answer |-✔Place |older |clients |in |double |rooms |to |encourage |social |interaction. The |nurse |is |visiting |an |older |adult |client |in |the |home |for |a |dressing |change. |When |the |nurse |arrives, |she |finds |the |client |on |the |floor, |unresponsive. |What |is |the |priority |action |by |the |nurse? |- |correct |answer |-✔Establish |a |patent |airway A |family |member |caring |for |a |client |at |home |informs |the |nurse |that |caring |for |the |client |is |exhausting |because |the |client |is |unable |to |be |left |alone. |Which |suggestion |can |the |nurse |offer |to |alleviate |the |risk |of |caregiver |burnout? |- |correct |answer |-✔Make |a |referral |for |respite |care. An |older |adult |client |in |a |healthcare |facility |develops |a |large |sacral |pressure |wound. |Which |outcome |does |the |nurse |anticipate |will |occur |from |this |incident? |- |correct |answer |-✔The |facility |will |not |be |reimbursed |for |care. The |nursing |student |will |be |conducting |clinical |at |a |variety |of |clinical |settings. |What |would |the |student |expect |at |an |extended |care |facility? |- |correct |answer |-✔A |patient |recovering |from |surgical |repair |for |a |joint |replacement |receiving |physical |therapy |three |times |per |day A |client |arrives |in |the |ambulatory |care |unit |to |have |a |procedure |performed |and |informs |the |nurse, |"I |have |pain." |Which |is |the |priority |action |by |the |nurse? |- |correct |answer |-✔Ask |the |client |to |rate |their |pain |using |a |numeric |scale.
A |family |member |caring |for |a |client |who |is |receiving |home |hospice |expresses |concern |to |the |nurse |regarding |the |client's |decrease |in |appetite. |Which |response |by |the |nurse |is |best? |- |correct |answer |-✔"The |client |will |benefit |from |low |oral |intake |during |this |stage." Which |nonpharmacologic |methods |can |the |nurse |use |to |help |manage |pain |in |the |client |receiving |hospice |services? |- |correct |answer |-✔Provide |relaxation |therapy. Which |statements |are |true |regarding |hospice |care |in |the |home? |Select |all |that |apply. |- |correct |answer |-✔The |client |will |have |relief |of |distressing |symptoms. The |client |will |receive |expert |care |and |a |protective |environment. The |client |and |family |will |not |be |abandoned. The |LVN/LP |has |been |assigned |to |assist |the |RN |with |obtaining |vital |signs |in |the |triage |area |in |a |busy |Emergency |Department |(ED). |Which |client |presenting |to |the |ED |would |the |nurse |triage |first? |- |correct |answer |-✔A |client |having |an |asthma |attack What |should |the |nurse |consider |as |having |the |psychosocial |priority |for |maintaining |the |independence |of |the |older |client? |- |correct |answer |-✔Sustain |optimal |health, |social |responsibilities, |and |financial |stability. A |couple |with |young |children asks |the |nurse |about |the |factors that |contribute |to |a |strong family |unit. |What |information should |the |nurse |provide |to |the parents? |- |correct |answer |-✔Both |parents |need |to |be |involved |in |childrearing activities. The |nurse |is |preparing |to |transition |a |client |from |the |acute |care |facility |to |home |with |assistance |from |home |health |services. |Which |action |is |important |for |the |nurse |to |do |to |take |to |ensure |safe |and |appropriate |follow-up |care? |- |correct |answer |-✔Communicate |with |the |home |health |nurse |prior |to |discharge.