Questions And Answers Verified 100% Correct
A client's susceptibility to ulcerative colitis is most likely due
to which aspect in the clients hx? - ANSWER -Jewish
European ancestry
The nurse is caring for a client with a stroke resulting in
right-sided paresis and aphasia. The client attempts to use
the left hand for feeding and other self-care activities. The
spouse becomes frustrated and insists on doing everything
for the client. Based on this data, which nursing diagnosis
should the nurse document for this client? - ANSWER
disabled family coping r/t dissonant coping style of
significant person
In assessing cancer risk, the nurse identifies which woman
as being at greatest risk of developing breast cancer? -
ANSWER -a 50 year old whose mother had unilateral breast
cancer
A client has taken steroids for 12 years to help manage
COPD. When making a home visit, which nursing function is
of greatest importance to this clinet? Assess the clients... -
ANSWER -temperature
When preparing a client who has had a total laryngectomy for
discharge, what instruction is most important for the nurse
, to include in the discharge teaching? - ANSWER -Tell the
client to carry a medic alert card stating that he is a total
neck breather
Two days postoperative, a male client reports aching pain in
his left leg. The nurse assesses redness and warmth on the
lower left calf. What intervention should be most helpful to
this client? - ANSWER -Advise the client to remain in bed
with the leg elevated
The nurse notes that the only ECG for a 55-year-old male
client scheduled for surgery in two hours is dated two years
ago. The client reports that he has a history of "heart
trouble," but has no problems at present. Hospital protocol
requires that those over 50 years of age have a recent ECG
prior to surgery. What nursing action is best for the nurse to
implement? - ANSWER -Call for an ECG to be performed
immediately
The nurse is working with a 71-year-old obese client with
bilateral osteoarthritis (OA) of the hips. What
recommendation should the nurse make that is most
beneficial in protecting the client's joints? - ANSWER -Initiate
a weight reduction diet to achieve a healthy body weight
The nurse formulates the nursing diagnoses of, "urinary
retention r/t sensorimotor deficit" for a client with multiple
sclerosis. Which nursing intervention should the nurse
implement? - ANSWER -Teach the client techniques of
intermittent self-catheterization