Second Half Theory
Help!
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| show | More people choosing to live alone
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| show | Homelessness
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| show | The client’s ability to understand and manage his own personal dietary needs
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| show | The structure is flexible enough to adapt to crises.
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| 10 Initially, the nurse should begin by doing what in completing a client’s family assessment? | show 🗑
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| 10 Post discharge, the client is returning to their home environment. In assisting the client with that, specifically in implementing family-centered care, the nurse: | show 🗑
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| show | Inquire as to family members who may be able to assist with the care
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| 10 The optimum goal of effective communication within the family, according to the nurse observing the family members and their interaction, is: | show 🗑
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| show | Support systems are likely to be different than those of younger age-groups.
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| 10 In assessing the roles and power structure of a client’s nuclear family, the nurse should specifically ask the client: | show 🗑
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| 10 Needing assistance with daily living activities, an older adult with two grown children is being discharged home. Although both children live nearby, the daughter is expressing concern about handling her parent’s physical needs.nurse’s ini. resp is to: | show 🗑
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| show | Spouses are the most frequent abusers
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| 10 The primary goal of family-centered nursing is to: | show 🗑
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| 10 A nurse who is sensitive to the care of families recognizes that the term ‘family’ is primarily defined: | show 🗑
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| show | “There is no proof that working will harm your baby.”
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| 10 The greatest risk to a child of adolescent parents comes from the: | show 🗑
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| show | “What do you do for relaxation now that your mom lives with you?”
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| show | Providing her with contacts at the neighborhood food bank
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| 10 The nurse recognizes that the presence of an alcohol-abusing parent places a child at greatest risk for: | show 🗑
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| show | Trust the nurse
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| 10 When caring for a terminally ill client, the nurse must also assess the family, because the primary benefit will be: | show 🗑
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| 10 When attempting to meet the needs of the family, the nurse recognizes the central concept of the theory of family developmental stages is that: | show 🗑
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| 10 The nurse can primarily affect the effectiveness of a family’s ability to cope with stress by encouraging: | show 🗑
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| show | Amenorrhea and nausea
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| 13 To determine how the client, who is a single parent of three children, will be able to cope with the current pregnancy, the nurse should ask the client: | show 🗑
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| show | Decreased strength of abdominal muscles
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| show | “Have you recently been experiencing menopausal symptoms?”
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| 13 The nurse, trying to promote positive health habits regarding stress management is aware of the external influences on young and middle adult clients. With this knowledge, the nurse recognizes that an effective strategy for this age-group is: | show 🗑
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| show | Ignore physical symptoms
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| show | Automobile safety
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| show | Lifestyle and leisure activities
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| show | Changed sexual behavior habits
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| 13 The nurse is performing a physical examination on a 58-year-old adult client. The nurse will most likely find that the client of this age is experiencing which one of the following physiological changes related to normal aging? | show 🗑
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| 13 The nurse is alert to stressors that may have an influence on the young adult client. One example of a common stressor for this age-group is: | show 🗑
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| 13 A client who works in a dry cleaning establishment comes to the clinic for a regular check-up. Based on this information, the nurse assesses the client for: | show 🗑
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| 13 The nurse is completing a physical exam for a 45-year-old client who has come to the family practice office. In evaluating the observations made during the examination, the nurse recognizes that an expected finding for a client in this age-group is: | show 🗑
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| show | The realization that a female earns 25% less than her male co-worker
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| show | Personal lifestyle assessment
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| 13 Research has shown that certain postpartum factors negatively affect a woman’s general health status after pregnancy. Which of the following women has the greatest risk factor for poor postpartum health? | show 🗑
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| show | Having a discussion with the father in which he identifies the signs and symptoms of postpartum depression
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| 13 Which of the following young adults is at greatest risk for experiencing death or injury? | show 🗑
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| 13 The most serious risk for death for a young adult living in rural poverty is: | show 🗑
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| 13 During a routine physical ass. a 27 y.o. client acknowledges suspension of his driver’s license because arrest for driving under influence of alcohol. This admission should prompt the nurse to discuss which of the following in detail with the client? | show 🗑
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| show | Are particularly common in young adults
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| 13 Which of the following lifestyle choices poses the greatest risk for chronic illness to the young adult? | show 🗑
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| 13 Which of the following client responses shows the best understanding regarding the management of risk factors for chronic illness among young adults? | show 🗑
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| show | Alcohol and tobacco use
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| show | “I’ve never smoked and I drink only occasionally.”
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| 13 Which of the following lifestyle choices poses the greatest risk for chronic illness to the young adult? | show 🗑
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| 13 Which of the following client responses shows the best understanding regarding the management of risk factors for chronic illness among young adults? | show 🗑
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| 13 Which of the following client responses shows the best understanding regarding the management of risk factors for acquiring a sexually transmitted disease (STD) among young adults? | show 🗑
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| 13 Which of the following statements made by a 27-year-old client shows the greatest need for further nursing assessment regarding the potential use of illegal drugs? | show 🗑
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| show | “We’ve read over the literature, and I’ll be able to recognize any signs of depression in my wife.”
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| 13 Which of the following questions asked by the nurse best assesses for the signs of pregnancy most likely observed in the second trimester? | show 🗑
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| show | “I run at least three times a week; it seems to help me stay relaxed.”
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| 13 Which of the following client statements, made by a young adult regarding health promotion habits, reflects a need for further client education by the nurse? | show 🗑
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| show | “Do you have a skin-moisturizing routine?”
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| 13 Which of the following nursing assessment questions is best directed toward determining the presence of an occupational hazard-related condition specific for a client working in a dry cleaning establishment? | show 🗑
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| show | “What is the most stressful part of your daily job?”
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| 13 Which of the following statements concerning health promotion habits made by a young adult best reflects an understanding regarding the primary cause of death and injury among that age group? | show 🗑
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| 14 A nurse is performing a physical examination on an older-adult client in an assisted living facility. On completion of the examination, the nurse compares the results to findings expected for individuals age-group. expected finding for this client is: | show 🗑
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| show | Accumulation of plaque on arterial walls
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| 14 In reviewing changes in the older adult, the nurse recognizes that which of the following statements related to cognitive functioning in the older client is true? | show 🗑
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| show | It usually progresses gradually with a deterioration of function
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| 14 Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult? | show 🗑
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| show | Are actively involved in their community
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| show | “Continue to exercise your joints regularly to your tolerance level.”
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| show | “Feel free to ask your physician why you are receiving the medications that are prescribed for you.”
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| show | Refusing assistance with certain activities
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| 14 In performing a physical assessment for an older adult, the nurse anticipates finding which of the following normal physiological changes of aging? | show 🗑
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| 14 There are factors that influence the musculoskeletal system associated with aging. The nurse recognizes that with age: | show 🗑
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| show | Are capable of taking charge of their own lives
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| show | Therapeutic medications may alter sexual function
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| 14 The nurse is presenting an information session on nutritional guidelines at a senior living center. Incorporated into the discussion are the recommendations for nutritional intake for individuals of this age-group, which include a reduction in: | show 🗑
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| 14 The nurse is presenting an information session on nutritional guidelines at a senior living center. Which of the following foods meets the recommended nutritional guidelines for older adults? | show 🗑
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| show | Occurrences at twilight or darkness
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| show | “Any difficulty driving at night?”
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| 14 Which of the following responses by an older-adult client is most reflective of a need for further education by the nurse regarding the physiological changes associated with the older adult? | show 🗑
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| 14 Which of the following statements made by a family member of a client recently diagnosed with Alzheimer’s disease is most reflective of an understanding of this disease process? | show 🗑
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| show | Encourage the client to use a compartmentalized pill storage container for his daily medications.
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| 14 An assisted living facility has provided its clients with an educational program on safe administration of prescribed medications. Which statement made by an older-adult client reflects the best understanding safe self-administration of medications? | show 🗑
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| show | “I take all the pills ordered once a day at bedtime, so I’m less likely to forget them.”
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| show | “As I age I’ve found its harder to do the things I love doing, but I guess it will all be over soon enough.”
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| show | “I walk 1 mile everyday to strengthen my bones.”
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| show | “I eat everything, but just a little a bit of things like sweets.”
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| show | “When I entertain, I serve healthy foods like veggies and low-fat dip.”
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| show | “It’s so nice not to have to worry about an unwanted pregnancy.”
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| 14 Of the following options, which is the greatest barrier to providing quality health care to the older-adult client? | show 🗑
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| 14 The nurse is preparing an educational program for members of the local senior center. Which of the following topics would present the greatest learning challenge for this developmental group? | show 🗑
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| show | The topic or information is valued by the learner
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| show | “I love rye bread. It’s good to know its high in fiber.”
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| show | Discrimination based on an individual’s increasing age
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| show | “If I don’t value the older client, I will never be able to provide the care they are entitled too.”
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| 14 Which of the following statements made by a nurse best reflects an understanding of the adaptation required of nursing to assure quality nursing care for the older adult client? | show 🗑
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| show | “I use to run in marathons, but now I truly enjoy a 1 mile walk around the park.”
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| show | “I don’t think she will react very well to me making decisions for her.”
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| show | “What makes you think that this transfer to the nursing center will be permanent?”
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| 14 A nurse caring for older adults in an assistive living facility recognizes that a client’s quality of life needs are best determined by: | show 🗑
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| 14 A nurse is preparing to perform an assessment on an older adult client newly admitted to a nursing center. Which of the following statements made by the nurse best reflects the unique needs of this client regarding the assessment process? | show 🗑
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| 14 The nurse is preparing to present an educational program to residences of an assisted-living facility. Which teaching strategies would be most appropriate for the learning needs of this age-group? (Select all that apply.) | show 🗑
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| 17 The nurse uses nursing diagnoses after completion of the client assessment, because they: | show 🗑
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| show | Comparing data with normal health patterns
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| 17 Of the following statements, which one is an example of an appropriately written nursing diagnosis? | show 🗑
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| 17 Of the following statements, which one is an example of an appropriately written nursing diagnosis? | show 🗑
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| show | Total hip replacement
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| show | Impaired gas exchange
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| 17 The nurse recognizes that which one of the following statements is true with regard to the formulation of nursing diagnoses? | show 🗑
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| 17 A diagnostic error can influence the application of the nursing care plan. A likely source for a nursing diagnosis error is if the nurse: | show 🗑
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| 17 Identify the defining characteristics in the following nursing diagnosis: Altered speech related to recent neurological disturbance, as evidenced by inability to speak in complete sentences. | show 🗑
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| 17 The primary purpose of a nursing diagnosis, according to the nurses, is to: | show 🗑
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| 17 Which one of the following is an appropriate etiology for a nursing diagnosis? | show 🗑
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| show | Incisional pain
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| show | Diarrhea related to food intolerance
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| show | Chronic pain related to insufficient use of medication
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| 17 Based on the following information, what would the nurse identify as the most appropriate nursing diagnosis? The client has abnormal breath sounds, dyspnea, an intermittent cough, and variable respiratory rate. | show 🗑
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| 17 Which one of the following is a NANDA International nursing diagnosis label? | show 🗑
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| 17 When asked to define “Nursing Diagnosis” the nurse’s best response is: | show 🗑
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| show | Monitor for changes
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| show | Discuss the pre- and postprocedure care that will be provided.
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| 17 The nursing diagnosis of acute pain falls under which of the following comfort domain classifications? | show 🗑
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| 17 When asked to define the purpose of diagnostic reasoning, the best nursing response is: | show 🗑
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| show | “After assessing the client, compare their symptoms carefully to the defining characteristic of the nursing diagnosis in order to support or eliminate it as applicable.”
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| 17 client diagnosed type 2 diabetes mellitus asks nurse explain, “what the diagnosis means.” Which of the following rationales best supports the nurse’s determination that the client has knowledge deficit rather than readiness for enhanced knowledge? | show 🗑
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| show | “To provide for individualization of the nursing interventions”
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| 17 Which of the following assessment findings best supports the nursing diagnosis of pain in right knee joint related to degenerative process? | show 🗑
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| 17 Which of the following statements made by a nursing student regarding the cultural characteristics of pain requires immediate follow-up by the clinical instructor? | show 🗑
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| 17 Which of the following statements best reflects the nurse’s understanding of the primary nursing-related purpose of a concept map? | show 🗑
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| show | “Concept maps help me see the whole client, not just individual health problems.”
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| 17 A client expresses concern over a scheduled intravenous pyelogram by stating, “I don’t know what to expect.” Which of the following nursing diagnoses is most appropriate for this client need? | show 🗑
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| 17 Which of the following assessment findings best supports the nursing diagnosis of Pain in right knee joint related to degenerative process? | show 🗑
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| 17 Which of the following statements best reflects the nurse’s understanding of the primary nursing related purpose of a concept map? | show 🗑
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| 17 Which of the following statements made by the nurse reflects the best understanding of the usefulness of a concept mapping to client care? | show 🗑
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| show | -Evaluation of client outcomes in regards to nursing care
-Identification of patterns in client’s health assessment data
-Recognition of relationships among client’s health issues
-Planning specialized nursing interventions to meet a client’s health ne
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| 25 The client has been informed that he can be discharged once he can irrigate his colostomy independently. The client requests the nurse to observe his irrigation technique. Which of the following learning motives is the client displaying? | show 🗑
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| 25 An industrial nurse is planning to give an informative talk on hypertension to employees in honor of “heart month.” He plans teach individuals how to BP measurements. Which info. is imp. for him to ask planning committee before presentation? | show 🗑
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| show | Drinking 240 mL of fluid five or six times during the shift
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| show | Simple explanations and pictures
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| show | Telling
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| 25 A client, after being taught of the clinical manifestations of inflammation to enable early detection of a complication of a surgical wound states, “I will look at the wound 4xday and tell my surgeon if it looks red/swollen.” Her statement is ex. of: | show 🗑
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| 25 The client continues to ask questions about a surgical wound. The client states, “I think I would like help the first time I look at my wound.” This is an example of: | show 🗑
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| show | Willingness of the client to want to learn the injection sites
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| show | Timing
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| show | Client demonstrates the proper use of a walking cane
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| show | Stress management techniques for working parents
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| 25 The nurse is evaluating the responses of clients to teaching sessions. An example of an evaluation of a client’s attainment of a cognitive skill is: | show 🗑
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| show | “There’s no sense in showing me that now. I’m too sick right now.”
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| show | Keep teaching sessions short.
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| show | Activity intolerance related to pain
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| show | Computer-assisted instruction
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| 25 For a functionally illiterate client, the nurse particularly focuses on: | show 🗑
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| show | Interesting personal communication techniques
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| 25 While teaching the client about management of his heart disease, a nurse might use a strategy that is implemented to promote learning in the affective domain such as: | show 🗑
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| 25 The nurse is preparing to present a teaching session on skin protection for a group of older adults at a senior center. A principle that has been found to be most effective in teaching older adults is: | show 🗑
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| show | Arranging for family to be present during the discussion
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| 25 The nurse recognizes that the client’s teaching plan is most directly driven by: | show 🗑
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| show | Therapeutically affect the client’s health, wellness, and independence
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| 25 Which of the following teaching topics is an example of health maintenance and promotion and illness prevention? | show 🗑
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| 25 Which of the following teaching topics is an example of restoration of health? | show 🗑
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| show | Providing accurate, current, relevant information
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| 25 When a client newly diagnosed with type 2 diabetes mellitus assumes responsibility for checking her blood glucose level four times a day, this is an example of: | show 🗑
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| show | Cognitive learning
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| 25 Which of the following statement best reflects the nurse’s appropriate attention to a client’s need for self-efficacy? | show 🗑
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| show | Disbelief
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| show | Anger
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| 45 The nurse determines that the nursing diagnosis stress urinary incontinence related to decreased pelvic muscle tone is the most appropriate for an oriented adult female client. A therapeutic nursing intervention based on this diagnosis is to: | show 🗑
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| show | Empty the drainage bag at least every 8 hours.
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| show | Hematuria
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| 45 When obtaining a sterile urine specimen from an indwelling urinary catheter the nurse should: | show 🗑
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| 45 Immediately after an intravenous pyelogram (IVP) the nurse should observe the client for which of the following? | show 🗑
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| 45 A client with an excessive alcohol intake has a reduced amount of antidiuretic hormone (ADH). The nurse anticipates the client will exhibit: | show 🗑
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| show | “You will probably be given sedatives before the procedure.”
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| show | Rinse the perineum with warm water.
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| show | A feeling of pressure and voiding of small amounts
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| show | Collect the specimen after the initial stream of urine has passed.
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| show | Vitamin D
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| 45 In an assessment of a client with reflex incontinence the nurse expects to find that the client has: | show 🗑
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| 45 When calculating the daily intake and output, the nurse anticipates that the urinary output for an average adult should be: | show 🗑
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| show | The client voids in the toilet.
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| show | Special skin care is a priority
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| show | Inflating the balloon to test it before catheter insertion
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| show | 775 mL
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| 45 The nurse caring for a client in an extended care facility should provide which intervention in a bladder retraining program? | show 🗑
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| 45 A 3-year-old child is visiting the pediatric clinic. The nurse suspects that the child has a urinary tract infection. An appropriate method for the nurse to implement in order to obtain a urine specimen from the child is to: | show 🗑
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| 45 A urine sample is obtained from the client for a routine urinalysis. Upon reviewing the results of the test, the nurse notes that an expected finding of the urinalysis is: | show 🗑
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| 45 The client is experiencing urinary retention, and the health care provider is contacted. The nurse anticipates a medication that will be ordered to promote emptying of the bladder is: | show 🗑
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| 45 Which of the following actions by the nurse would indicate the need for remedial education in the removal of an indwelling catheter? | show 🗑
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| 45 A condom catheter is to be used for an adult male client in the extended care facility. In the application of the condom catheter, the nurse employs appropriate technique when: | show 🗑
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| 45 Urinary elimination may be altered with different pathophysiological conditions. For the client with diabetes mellitus, the nurse anticipates that an initial urinary sign or symptom will be: | show 🗑
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| show | Anemia
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| show | “I’m tested regularly for anemia.”
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| 45 Which of the following clients is at greatest risk for developing a renal infection? | show 🗑
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| 45 Which of the following clients will most benefit from client/parent education regarding the prevention of renal infections via proper hygiene habits? | show 🗑
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| 45 The nurse is interviewing a client with a history of benign prostatic hypertrophy (BPH). In light of this diagnosis, the nurse should include information regarding which of the following in order to assess the chronic effects of this renal disorder? | show 🗑
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| 45 Which of the following statements made by a client with benign prostatic hypertrophy (BPH) during an admissions interview reflects the best understanding of the long-term effects of this condition? | show 🗑
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| 45 Which of the following statements made by a client with benign prostatic hypertrophy (BPH) during an admissions interview reflects the best understanding of the long-term effects of this condition? | show 🗑
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| 45 The nurse realizes that a postsurgical client who underwent a left knee replacement is most likely to experience which of the following urinary complications? | show 🗑
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| 45 The nurse recognizes that a client recovering from anesthesia required for surgical repair of a fractured ulna is likely to experience difficulty urinating primarily because of: | show 🗑
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| 45 A 70-year-old client is discussing his recent difficulty in initiating his flow of urine while on a cross-country bus tour with a senior citizens’ group. Which of the following assessment questions is directed toward the most likely cause of problem? | show 🗑
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| show | Asking the cognizant client to report each time he or she urinates
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| 45 nurse caring for older adult who is recovering hip replacemen. The client shares w/nurse that he has been using urinal “a lot but I feel like my bladder isn’t empty.” Which of following by nurse shows best understandingappropriate initial intervention | show 🗑
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| 45 The nurse is discussing signs and symptoms of both upper and lower urinary tract infections with a client who has a history of both. Which of the following statements by the client reflects the best understanding of the differing symptomatology? | show 🗑
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| 45 The nurse is discussing urinary elimination alterations with a group of middle-age adults. The nurse appropriately shares with the group that whereas men experience urinary frequency as a result of prostate enlargement, the female: | show 🗑
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| show | The inability to stand in order to facilitate urination
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| show | “I drink 8 ounces of cranberry juice a day to discourage bacterial growth in my bladder.”
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| 45 The nurse is caring for a 23-year-old male client who is in the ICU with second and third degree burns over 40 percent of his body. One of the first symptoms that the client is having organ failure is that the urine output is less than: | show 🗑
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| 45 The nurse knows that which of the following clients is most at risk for a bone fracture: | show 🗑
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| show | Are you having any burning or pain when you urinate?
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| 45 The nurse is caring for a 56-year-old female client with renal failure who regularly undergoes peritoneal dialysis. The nurse understands that this client is most at risk for: | show 🗑
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| show | Kidney transplant
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| show | Stress response
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| 45 A 73 yo Parkinson’s syndrome prescribed levodopa when other therapies failed. client is alarmed that her urine has become dark brown and is concern. The nurse explains to the client that one of the side effects of this medication is that it may cause: | show 🗑
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| 45 A 34-year-old diabetic female client had a spontaneous vaginal birth of a 37-week 6.2 kg infant. The nurse caring for the client post-partum understands that due to the traumatic birth the client is at increased risk for: | show 🗑
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| show | Renal pelvis
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| show | 74 yo diagnosed with parkinsonism 5 yr ago, 62 yo Alzheimer’s disease diagnosed 8 years ago, 34-year-old mother of two diagnosed with multiple sclerosis 8 yr ago, 73 yodiagnosed benign prostatic hyperplasia (BPH) 6 yr , 69 yo diagnosed type 2 diabetes 9
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| 45 The nurse is caring for a client with type 1 diabetes who has been diagnosed with end-stage renal disease (ESRD). The nurse regularly assesses the client for which of the following? (Select all that apply.) | show 🗑
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| show | Chills and fever, Nausea and vomiting, Frequency or urgency, Cloudy or blood-tinged urine, Burning or pain when voiding
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| show | An enlarged prostate gland, Poorly controlled blood glucose, Drinking a cup of tea before bed, Taking his diuretic too close to bedtime
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| 46 Which of the following would the nurse expect as a normal change in the bowel elimination as a person ages? | show 🗑
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| show | Electrolyte and fluid loss
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| 46 A 50-year-old male client is having a screening colonoscopy. The nurse instructs the client that: | show 🗑
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| show | A 1-inch sample of formed stool is needed
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| show | Poached eggs and rice
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| 46 The client has been admitted to an acute care unit with a diagnosis of biliary disease. The nurse suspects that the feces will appear: | show 🗑
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| show | Whole grains
🗑
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| 46 The client is taking medications to promote defecation. Which of the following instructions should be included by the nurse in the teaching plan for this client? | show 🗑
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| show | Lower the height of the enema container
🗑
|
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| 46 A nurse who is caring for postoperative clients on a surgical unit knows that for 24 to 48 hours postoperatively, clients who have undergone general anesthesia may experience: | show 🗑
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| show | Constipation
🗑
|
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| 46 The client is to receive a Kayexalate enema. The nurse recognizes that this is used to: | show 🗑
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| 46 The appropriate amount of fluid to prepare for an enema to be given to an average-size school-age child is: | show 🗑
|
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| 46 A client has undergone intestinal surgery and now has an incontinent ostomy. The use of which of the following products by the client indicates that the discharge learning goals have been achieved? | show 🗑
|
||||
| show | Mark the tube where it exits the nose.
🗑
|
||||
| show | Whole wheat bread
🗑
|
||||
| 46 The nurse arteriosclerosis and the effects on body older adult. Although commonly recognized effect on cardiovascular system, nurse should include which of following statements regarding its effect on gastrointestinal system to complete discussion? | show 🗑
|
||||
| 46 Which of the following statements made by an older adult reflects the best understanding of the role of fiber regarding bowel patterns? | show 🗑
|
||||
| show | “The more fiber there is in my diet, the less risk I have of developing polyps.”
🗑
|
||||
| 46 The nurse is discussing food allergies with a group of mothers whose children are allergy prone. Which of the following statements made by the nurse best describes lactose intolerance? | show 🗑
|
||||
| show | “My child gets diarrhea from dairy products because she can’t digest lactose.”
🗑
|
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| 46 adult client reports nurse that she experiencing constipation recently & interested any suggestions regarding dietary changes she might make. Which of the following suggestions provided by the nurse is most likely to minimize the client’s complaint? | show 🗑
|
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| 46 client who is 2 days' postoperative reports feeling “constipated” to nurse. client has good bowel sounds quadx4 tolerated liquids pain is being controlled with an opioid analgesic. Which of the following interventions should the nurse try initially? | show 🗑
|
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| 46 Which of the following statements by a client reporthusband who recently experienced a cerebral vascular accident. She tells the home care nurse that she has been very anxious lately about all the added responsibilities. She adds that she has not been | show 🗑
|
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| 46 client is caring husband who recently experienced CVA She tells home care nurse she has been very anxious lately about all added responsibilities. | show 🗑
|
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| show | “You may be depressed; emotional depression can cause constipation.”
🗑
|
||||
| 46 A 70-year-old client is discussing his recent difficulty with having regular bowel movements while on a cross-country bus tour with a senior citizens’ group. Which of the following assessment questions is ... | show 🗑
|
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| show | The need to defecate in an unfamiliar, awkward position
🗑
|
||||
| show | “What medications are you currently on?”
🗑
|
||||
| 46 Which of the following statements made by a nurse discussing the effect of an antibiotic on the gastrointestinal system reflects the best understanding of the possible occurrence of diarrhea? | show 🗑
|
||||
| show | “How long have you been taking a bulk laxative?”
🗑
|
||||
| show | Determine if the client has been eating sufficiently, especially fiber-rich foods
🗑
|
||||
| show | Perineal and rectal skin breakdown
🗑
|
||||
| 46 The nurse is providing ancillary personnel with instructions regarding the proper methods to implement when caring for a client with a Clostridium difficile infection. Which of the following practices will have the greatest impact on containment... | show 🗑
|
||||
| 46 Which of the following clients is at greatest risk for serious complications when using the Valsalva maneuver to expel feces? | show 🗑
|
||||
| 46 The mother of an 18-month-old male client shares with the nurse that she is trying to get her child to tell her when he needs to have a bowel movement. Which of the following statements is the most appropriate response from the nurse? | show 🗑
|
||||
| show | Local or regional anesthetic often has little or no effect on bowel activity
🗑
|
||||
| show | A GI bleed from the aspirin therapy
🗑
|
||||
| 46 The nurse is counseling a 65-year-old female client on her use of mineral oil as a laxative. One of the most important things that the nurse can share with the client is how mineral oil... | show 🗑
|
||||
| show | Consuming more low-carbohydrate fiber-rich foods like broccoli, raspberries, blackberries, and asparagus
🗑
|
||||
| 46 The nurse knows that the client receiving enteral feedings is at risk for diarrhea. One of the measures that the nurse can take to minimize the risk for diarrhea in this client is: | show 🗑
|
||||
| 46 Upon auscultation of the client’s abdomen, the nurse hears hyperactive bowel sounds (greater than 35 per minute). The nurse knows that this can indicate which of the following? | show 🗑
|
||||
| show | Kept warm
🗑
|
||||
| 44 While doing a nutritional assessment of a low-income family, the community health nurse determines the family’s diet is inadequate in protein content. The nurse suggests which of the following foods to ... | show 🗑
|
||||
| 44 A client is suspected of having a fat-soluble vitamin deficiency. To assist the client with this deficiency, the nurse informs the client that: | show 🗑
|
||||
| show | Wheat products
🗑
|
||||
| show | Self-imposed starvation
🗑
|
||||
| 44 A client is pregnant for the third time. In regard to her nutritional status, she should: | show 🗑
|
||||
| show | Ginger ale
🗑
|
||||
| show | Reduction in fat with smaller, more frequent meals
🗑
|
||||
| show | Check to see that the tube is properly placed.
🗑
|
||||
| show | Maintain a consistent infusion rate.
🗑
|
||||
| show | “The tube will feel uncomfortable and may make you gag at times when I am inserting it”
🗑
|
||||
| show | Eggs
🗑
|
||||
| 44 According to the food guide pyramid, vegetables should be included in the average adult’s diet aWhen providing nutritional guidance, the nurse shares with the mother of an 8-year-old client that children of this age need s: | show 🗑
|
||||
| show | Maintain a sufficient intake of protein and vitamins A and C
🗑
|
||||
| 44 When assisting the client who practices Islam or Judaism with meal planning, the nurse knows that both religions share an avoidance of: | show 🗑
|
||||
| show | Custard
🗑
|
||||
| show | Decrease the administration rate
🗑
|
||||
| 44 A client is diagnosed with a peptic ulcer and has come to the primary health care provider for a follow-up visit. The client asks the nurse what foods are safe to add to his diet. An appropriate response by the nurse is to inform the client that ... | show 🗑
|
||||
| show | Cheerios
🗑
|
||||
| show | Boys require additional iron.
🗑
|
||||
| 44 The client is assessed by the nurse as having a high risk for aspiration. The nursing diagnosis identified for the client is feeding self-care deficit related to unilateral weakness. An appropriate technique for the nurse to use when assisting... | show 🗑
|
||||
| show | Measure the pH of the secretions aspirated
🗑
|
||||
| 44 For the client who is receiving parenteral nutrition via a central venous catheter, the nurse recognizes that a priority is to: | show 🗑
|
||||
| show | Increase the feedings by 50 mL/day
🗑
|
||||
| 44 The nurse is aware that there are medications that are taken that alter the client’s taste and may influence the dietary intake. In reviewing the medications taken by the clients on the unit, the nurse will consult with the nutritionist to develop... | show 🗑
|
||||
| show | Ground beef
🗑
|
||||
| show | “It’s a good thing that I really enjoy salads and whole wheat breads.”
🗑
|
||||
| 44 A nurse is discussing high-nutrient-density food selections with a client recovering from extensive partial-thickness burns. Which of the following statements by the nurse reflects the best understanding of this dietary concept? | show 🗑
|
||||
| show | A 40-year-old who has partial-thickness burns over 15% of his body
🗑
|
||||
| show | “The extra carbohydrates will be utilized for energy so that your protein can be saved for repair of your skin.”
🗑
|
||||
| show | “Foods that contain vitamins A, C, and E as well as beta-carotene seem to combat the effects of free radicals.”
🗑
|
||||
| 44 The nurse is discussing vitamin supplements with a client who is an amateur body builder. Which of the following statements by the nurse shows the greatest understanding concerning the risk for hypervitaminosis? | show 🗑
|
||||
| show | “My husband and I both have food allergies, but she won’t be allergic to my breast milk.”
🗑
|
||||
| 44 The nurse and the mother of an infant are discussing the introduction of solid foods into her child’s diet. Which of the following statements made by the mother reflects the best understanding of the most appropriate manner to introduce new foods? | show 🗑
|
||||
| show | “Its very common for toddlers to be picky eaters; try offering her food frequently, and offer high-nutrient-density snacks such as the cheese she likes”
🗑
|
||||
| show | “As long as I drink whenever I’m thirsty, I think I’ll be well hydrated.”
🗑
|
||||
| show | “What happens when you eat peanuts?”
🗑
|
||||
| show | "Let me share information about high-nutrient-density foods to help you make choices."
🗑
|
||||
| 44 A 41-year-old female client has been dieting to lose weight. Which of the following statements indicates that the client needs additional teaching regarding a healthy weight-loss plan? | show 🗑
|
||||
| show | 4 to 5 months
🗑
|
||||
| show | 5.5 ounces
🗑
|
||||
| 44 Which of the following statements by a new mother indicates that the nurse needs to provide additional teaching before the client is discharged home with her infant? | show 🗑
|
||||
| 44 One easy way that parents of teenagers can ensure that they are getting enough iodine in their diets to support the increased thyroid activity during adolescence is to: | show 🗑
|
||||
| 44 A 68-year-old female client tells the home care nurse that she is worried about her 70-year-old husband because he does not eat as much as he used to when he was younger. Which of the following is the best response from the nurse? | show 🗑
|
||||
| 44 The nurse is counseling a 64-year-old client that it is important to eat plenty of fruits and vegetables, but the client should avoid which of the following because it can inhibit the absorption of some drugs? | show 🗑
|
||||
| show | Vegetable beef soup
🗑
|
||||
| 44 The nurse caring for a 55-year-old male client knows that due to his religious beliefs he is most likely a vegetarian. Which of the following religions encourage vegetarianism? | show 🗑
|
||||
| show | Delay in swallowing food
2.
Easily triggered gag reflex
3.
Absence of a gag reflex
4.
Uncoordinated speech
5. pocketing food
🗑
|
||||
| 44 Which of the following clients has an identified factor that is affecting the client's energy requirements? (Select all that apply.) | show 🗑
|
||||
| 44 Besides being pivotal in the growth, maintenance, and repair of body tissue, protein plays a significant role in the body’s ability to: (Select all that apply.) | show 🗑
|
||||
| show | Good source of antibodies
2.
Convenient source of nutrition
3.
Economical source of nutrients
4.
Minimal digestive system upsets
5.
Less risk related to food allergies
🗑
|
||||
| 44 Which of the following factors are believed to contribute to the prevalence of overweight children seen in America today? (Select all that apply.) | show 🗑
|
||||
| Older adults are at an increased risk for dehydration from a variety of risk factors that include a decreased thirst drive. Which of the following should a nurse include in a discussion with members of a senior center regarding the signs... | show 🗑
|
||||
| show | Living on a Social Security income check
2.
Did not graduate from high school
3.
Is easily tired by activity
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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mdoss81