1. A 20-year-old female client with a noticeable body odor has refused to shower for the last 3 days. She states, "I have been told that it is harmful to bathe during my period." Which action should the nurse take first? A. Accept and document the client's wish to refrain from bathing. B. Offer to give the client a bed bath, avoiding the perineal area. C. Obtain written brochures about menstruation to give to the client. D. Teach the importance of personal hygiene during menstruatio...

While interviewing a client, the nurse takes notes to assist with accurate documentation later. Which statement is most accurate regarding note-taking during an interview? A. The nurse’ ability to directly observe the client’s nonverbal communication is limited with note taking. B. Taking notes during an interview is a legal obligation of the examining nurse. C. The client’s comfort level is increased when the nurse breaks eye contact to take note to take note. D. The interview process...

A nurse teaches the patient about the gate control theory. Which statementmade by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relievepain? “Meditation controls pain by blocking pain impulses from coming a. through the gate.” “Meditation alters the chemical composition of pain neuroregulators, b. which closes the gate.” “Meditation will help me sleep through the pain because it opens the ...

1. At 34- weeks gestation, a primigravida is assessed at her bimonthly clinic visist,. Which assessment 2. finding is important for the nurse to report to the hcp? D. Weight gain of 7 pounds 3. A newborn infant is receiving immunization prior to discharge. Which action should the nurse implement? D. Obtain signed consent from the mother for administration of hepatitis B vaccine 4. A multiparous woman at 38-weeks gestation with a history of rapid progression of labor is admitted for ind...

QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority? A) Advise the client to take frequent sips of water. B) Instruct the client to avoid driving during initial therapy. C) Consult a dietitian for a calorie-controlled diet plan. D) Recommend that the client exercise regularly. Answer: B - The greatest risk to this client is injury resulting from drows...

• A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved. a. Number of staff induced injury b. Client satisfaction survey c. Health care-associated infection rate. d. Rate of needle-stick injuries by nurse. • The nurse is preparing to assist a newly admitted client with personal hygiene measures. The client...the client’s gag reflex. Which a...

• A male client approaches the nurse with an angry expression on his face and raises his voice, saying, “My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his temper one more time with me, I am going to punch him out!” the nurse recognizes that the client is using which defense mechanism? a. Denial b. Projection c. Rationalization d. Splitting • A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining...

A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement? A. Report the client’s serum lithium level to the HCP. B. Encourage the client to suck on hard candy to relieve the symptoms. C. No action is needed since polydipsia is a common side effect. D. Tell the client that drinking from the faucet is not allo...