1. The nurse is caring for a client following an appendectomy. The client
reports nausea and complains of surgical site pain at a 6 on a 0 to 10
scale. The client's employer is present in the room and states he is
paying for the insurance and wants to know what pain medication has
been prescribed by the physician. Which of the following is the
appropriate nurse response?
A. Answer any questions the employer may have as he pays for the
insurance.
B. Tell the employer his question is inappropriate and that the
information is none of his business.
C. Explain to the employer that you cannot release private information
and ask the employer to step out while you conduct your assessment of
the client.
D. Ask the employer to leave and wait until the client returns home to
visit. ~CORRECT ANSWER~✓✓C. Explain to the employer that you
cannot release private information and ask the employer to step out
while you conduct your assessment of the client.
2. The nurse is caring for a client with a history of advanced chronic
obstructive pulmonary disease (COPD). The client had conventional
gallbladder surgery 2 days previously. Which intervention has priority
for preventing respiratory complications?
, A. Incentive spirometry every 4 hours.
B. Coughing and deep breathing four times daily.
C. Getting the client out of bed 4 times daily as ordered by the
physician.
D. Giving oxygen at 4 L/minute according to the physician's order.
~CORRECT ANSWER~✓✓C. Getting the client out of bed 4 times daily
as ordered by the physician
3. A nurse is developing a care plan for a client with acute mania. Place
the following behaviors in the order in which they occur as the client
develops acute mania. Use all of the options.
A. Delusions of grandeur.
B. Relevant, calm speech patterns.
C. Highly productive and competitive in work and leisure activities.
D. Easily irritated.
E. Poor judgment and impulse control. ~CORRECT ANSWER~✓✓
4. When educating a pregnant client about home safety, which of the
following information is appropriate for the nurse to include in the
teaching plan? Select all that apply.
A. When taking a shower, place a non-skid mat on the floor of the tub or
shower.
B. Avoid climbing stairs.
reports nausea and complains of surgical site pain at a 6 on a 0 to 10
scale. The client's employer is present in the room and states he is
paying for the insurance and wants to know what pain medication has
been prescribed by the physician. Which of the following is the
appropriate nurse response?
A. Answer any questions the employer may have as he pays for the
insurance.
B. Tell the employer his question is inappropriate and that the
information is none of his business.
C. Explain to the employer that you cannot release private information
and ask the employer to step out while you conduct your assessment of
the client.
D. Ask the employer to leave and wait until the client returns home to
visit. ~CORRECT ANSWER~✓✓C. Explain to the employer that you
cannot release private information and ask the employer to step out
while you conduct your assessment of the client.
2. The nurse is caring for a client with a history of advanced chronic
obstructive pulmonary disease (COPD). The client had conventional
gallbladder surgery 2 days previously. Which intervention has priority
for preventing respiratory complications?
, A. Incentive spirometry every 4 hours.
B. Coughing and deep breathing four times daily.
C. Getting the client out of bed 4 times daily as ordered by the
physician.
D. Giving oxygen at 4 L/minute according to the physician's order.
~CORRECT ANSWER~✓✓C. Getting the client out of bed 4 times daily
as ordered by the physician
3. A nurse is developing a care plan for a client with acute mania. Place
the following behaviors in the order in which they occur as the client
develops acute mania. Use all of the options.
A. Delusions of grandeur.
B. Relevant, calm speech patterns.
C. Highly productive and competitive in work and leisure activities.
D. Easily irritated.
E. Poor judgment and impulse control. ~CORRECT ANSWER~✓✓
4. When educating a pregnant client about home safety, which of the
following information is appropriate for the nurse to include in the
teaching plan? Select all that apply.
A. When taking a shower, place a non-skid mat on the floor of the tub or
shower.
B. Avoid climbing stairs.
