The ability to receive and interpret stimuli is a priority for what human need? - Answers Safety
A patient voices an understanding of instructions about furosemide (Lasix) when he makes
which statement? - Answers "If I notice ringing in my ears, I will call the doctor."
The nurse is surveying the assisted living facility regarding safety features for patients with
sensory deficits. Which are the most appropriate accommodations? - Answers Fire and smoke
alarms with sound and flashing lights
The nurse is teaching a family about sensory alterations. The nurse needs to provide additional
teaching if a family member makes which statement? - Answers "My cousin has autism, and I
am going to hug him more so he understands how much I care."
Which nursing diagnoses for patients with sensory perceptual variances may be included in a
plan of care? (Select all that apply.) - Answers Impaired mobility, Altered nutrition that is less
than body requirements, Risk for injury
A community health nurse is preparing a course on protecting cognitive function. Which
population group should the nurse target for teaching? - Answers Older male adults with
diabetes
A 90-year-old patient is admitted to the hospital. Shortly after admission, the family notices that
the patient is exhibiting disorientation and agitation. When the family asks the nurse about the
behavior, the nurse states that the patient is at risk for developing which common complication
of hospitalization in older adults? - Answers Delirium
The nurse is reviewing the needs of a patient with cognitive impairment. What is the priority
concern the nurse should address? - Answers Supervising medication administration
A patient recently admitted to the hospital has been diagnosed with delirium. The family of the
patient asks the nurse to explain what delirium is. How should the nurse respond? - Answers
Delirium is reversible with treatment of the underlying cause.
The nurse is establishing a therapeutic environment for a patient admitted with dementia and
influenza. Which intervention would be important for the nurse to implement? - Answers Provide
a quiet environment in a private room.
Lack of mobility in a child may interfere with which developmental milestone? - Answers
Intellectual and psychomotor function
A nurse observes a patient walking in the hall. Which assessment is the nurse able to complete?
- Answers Gait and balance
Which nutrients are critical for the musculoskeletal development during infancy, childhood, and
, adolescence? - Answers Protein and calcium
The nurse is reviewing skin care for immobilized patients with an unlicensed assistive employee.
The nurse knows the employee understands the importance of skin care when making which
statement? - Answers "Proper care of the skin is important because the immobilized patient is
at high risk for breakdown."
Patients who are immobile often experience which emotions? (Select all that apply.) - Answers
Anxiety, Anger, and Helplessness
A woman fell while sweeping her driveway and sustained a tissue injury. She describes her
condition as an aching, throbbing back. Which term best describes this type of pain? - Answers
Nociceptive pain
A retired schoolteacher is interested in nondrug, mind-body therapies, self-management, and
alternative strategies to deal with joint discomfort from rheumatoid arthritis. Based on her
expressed wishes, which options should the nurse suggest for her plan of care? - Answers
Using music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery,
relaxation techniques, and pet therapy
Unless contraindicated, postoperative surgical patients should be given alternating doses of
acetaminophen and which medication throughout the postoperative course? - Answers
Nonsteroidal anti-inflammatory drug (NSAID)
Which is a priority for the nurse to include in a teaching plan for a patient who desires self-
management and alternative strategies for pain management? - Answers Body alignment and
superficial heat and cooling
The nurse in an acute care setting is caring for a patient experiencing pain and a pain
management plan of care has been implemented. What is the minimal interval of time and/or
instance when the nurse should reassess the patient's pain? (Select all that apply.) - Answers
With each new report of pain, Before and after administration of analgesics
Which findings during a female breast examination should the nurse report as suspicious for
breast cancer? - Answers A poorly defined, firm lump that is nontender and nonmovable
Upon entering the room, the nurse finds the patient, who has just had a mastectomy, crying.
When the nurse asks about her crying, the patient states, "I know I shouldn't cry because this
surgery may well save my life." What is the nurse's best response? - Answers "It is okay to cry;
mourning the loss of your breast is important for getting past this."
What priority intervention will the nurse employ to prevent injury to the patient with bone cancer?
- Answers Using a lift sheet when repositioning the patient
Which statement is important to include in the teaching for a patient who has received an