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Viewing questions 31-45 out of questions
Questions # 31:

A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?

Options:

A.

Notify the physician.

B.

Clamp the chest tube.

C.

Replace the system.

D.

Document the finding.

Expert Solution
Questions # 32:

To improve overall health, the nurse should place highest priority on assisting a client to make lifestyle changes for which of the following habits?

Options:

A.

drinking a six-pack of beer each day

B.

eating an occasional chocolate bar

C.

exercising twice a week

D.

using relaxation exercises to deal with stress

Expert Solution
Questions # 33:

A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?

Options:

A.

Notify the physician immediately.

B.

Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.

C.

Wait 30 minutes and recheck the pulses.

D.

Document the finding.

Expert Solution
Questions # 34:

A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, “I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged.” The nurse recognizes that more teaching is needed about:

Options:

A.

the pathophysiology and acting out behaviors of schizophrenia.

B.

support groups that can help the parents release their feelings of frustration.

C.

the prolonged recovery time and depressive effects of medicines to prevent relapse.

D.

motivational techniques that are effective in clients with schizophrenia.

Expert Solution
Questions # 35:

The advanced directive in a client’s chart is dated August 12, 1998.The client’s daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:

Options:

A.

follow the 1998 version because it’s part of the legal chart.

B.

follow the 1998 version because the physician’s code order is based on it.

C.

follow the 2003 version, place it in the chart, and communicate the update appropriately.

D.

follow neither until clarified by the unitmanager.

Expert Solution
Questions # 36:

An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance. The nurse should:

Options:

A.

inform the client that because she is underage, she is at fault for attending a party where alcohol was served.

B.

ask the client if anyone witnessed the event because the client was intoxicated and might not remember correctly.

C.

inform the client that it was not her fault, and support the client through the physical examination.

D.

question whether the woman had consensual sex and now just feels guilty.

Expert Solution
Questions # 37:

A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?

Options:

A.

Adaptation Model

B.

Stimulus-Based Model

C.

Transaction-Based Model

D.

Selye’s Model of Stress

Expert Solution
Questions # 38:

A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:

Options:

A.

B.the physician in charge of the case is the only person allowed to decide whether organ donation can occur.

B.

C.the client’s legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.

C.

D.the organ procurement organization makes the decision regarding which organs to harvest.

Expert Solution
Questions # 39:

A corporate executive works 60–80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?

Options:

A.

structure

B.

relaxation technique

C.

time management

D.

regular exercise

Expert Solution
Questions # 40:

A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:

Options:

A.

review their own cultural beliefs and biases.

B.

respectfully request that the couple utilize only medically approved health care providers.

C.

realize that the clients have to learn their new country’s accepted medical practices.

D.

study family dynamics to understand the male and female gender roles in the clients’ culture.

Expert Solution
Questions # 41:

A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?

Options:

A.

Test all excreta for occult blood.

B.

Use a soft toothbrush or foam cleaner for oral hygiene.

C.

Implement reverse isolation.

D.

Avoid IM injections.

Expert Solution
Questions # 42:

At what point in the nurse-client relationship should termination first be addressed?

Options:

A.

in the working phase

B.

in the termination phase

C.

in the orientation phase

D.

when the client initially brings up the topic

Expert Solution
Questions # 43:

The client’s lab culture report is negative for a suspected infection. A test that can correctly identify those who do not have a given disease is:

Options:

A.

specific.

B.

sensitive.

C.

negative culture.

D.

marginal finding.

Expert Solution
Questions # 44:

Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:

Options:

A.

outbreak of Asian flu.

B.

Chemical exposure.

C.

bacterial pneumonia.

D.

allergic reaction.

Expert Solution
Questions # 45:

The nurse is teaching a client about the use of Rifampin for prophylaxis after an exposure to meningitis. What change in bodily functions should the nurse advise the client about?

Options:

A.

The client’s urine might turn blue.

B.

The client remains infectious to others for 48 hours.

C.

The client’s contact lenses might be stained orange.

D.

The client’s skin might take on a crimson glow.

Expert Solution
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