A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following should be the appropriate action by the nurse? A.Set limits for the relationship. B.Engage in affectionate interactions with the client. C.Promote the use of transference by the client. D.Instruct the client on how he […]

A client with a history of deep vein thrombosis (DVT) asks the nurse about the causes of this condition. What is the nurse’s best response?A.“DVT is caused by a bacterial infection in the blood vessels.” B.“The exact cause of DVT is unknown, but it can be triggered by injuries.” C.“DVT is primarily caused by atherosclerosis

A nurse is completing her physical assessment on her newly admitted patient. She is assessing the patient’s skin and documenting her findings. How should she document the following wound? A.Stage I Pressure Ulcer B.Stage II Pressure Ulcer C.Stage IV Pressure Ulcer D.Stage III Pressure Ulcer The Correct Answer and Explanation is: To accurately document a

A nurse preceptor is evaluating the performance of a newly licensed nurse. Which of the following actions by the newly licensed nurse requires intervention by the preceptor? A.Documents client tasks upon completion B.Starts a task then determines what supplies are needed C.Completes a client assessment while infusing an IV antibiotic over 30 min D.Returns to

A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that the suctioning has been effective? A.Thinning of mucous secretions B.Decreased peak inspiratory pressure C.Presence of a productive cough D.Flattening of the artificial airway cuff

A nurse is admitting a client to a medical-surgical unit.When performing medication reconciliation for the client, which of the following actions should the nurse take? A.Compare new prescriptions with the list of medications the client reports. B.Encourage the client to make his own list after he returns to his home. C.Include any adverse effects of

A nurse is admitting a client to a medical-surgical unit.When performing medication reconciliation for the client, which of the following actions should the nurse take?A.Include any adverse effects of the medications the client might develop. B.Compare new prescriptions with the list of medications the client reports. C.Exclude nutritional supplements from the list of medications the

Urine dipstick:pH 6.0 mg/dl. (4.6 to 8 mg/dL) Specific Gravity 1.022 (1.010 to 1.025) Leukocyte esterase negative (Negative) Nitrite negative (Negative) Protein trace negative (Negative) Glucose negative (Negative) Ketones none (None) Bilirubin none (None) Blood none (None) Which of the following statements should the nurse include in the client’s teaching? Select all that apply. A.“Try

Which of the following dressing types is most appropriate for the nurses to apply to a small skin tear in an older adult client? A.Nonadherent dressing B.Paste C.Moist, sterile gauze D.Duoderm The Correct Answer and Explanation is: Answer: A. Nonadherent dressing Explanation: When addressing a small skin tear in an older adult client, choosing the

A home health nurse is caring for a group of older adult clients. The nurse should initiate a referral to the Program of All-Inclusive Care for the Elderly (PACE) for which of the following clients? A.A client whose family requests hospital-based hospice care B.A client who requires transfer to a skilled care facility C.A client