1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept?

1. Assesses for cultural influences affecting health care

2. Ensures that all the clients basic needs are met

3. Tells the client and family about all upcoming tests

4. Thoroughly orients the client and family to the room

7. A student nurse asks the faculty to explain best practices when communicating with a person from the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is most accurate?

a. Avoid embarrassing the client by asking questions. b. Dont make assumptions about their health needs.

c. Most LGBTQ people do not want to share information.

d. No differences exist in communicating with this population.

2. A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention should the nurse implement first?

a. Measure intake and output every 4 hours. b. Apply oxygen by mask or nasal cannula.

c. Increase the IV flow rate to 250 mL/hr.

d. Place the client in a high-Fowlers position.

4. A nurse assesses a client who is prescribed a medication that inhibits angiotensin I from converting into angiotensin II (angiotensin-converting enzyme [ACE] inhibitor). For which expected therapeutic effect should the nurse assess?

1. Blood pressure decrease from 180/72 mm Hg to 144/50 mm Hg

2. Daily weight increase from 55 kg to 57 kg

3. Heart rate decrease from 100 beats/min to 82 beats/min

4. Respiratory rate increase from 12 breaths/min to 15 breaths/min

5. A nurse is assessing clients on a medical-surgical unit. Which adult client should the nurse identify as being at greatest risk for insensible water loss?

1. Client taking furosemide (Lasix) b. Anxious client who has tachypnea

c. Client who is on fluid restrictions

d. Client who is constipated with abdominal pain