Terms in this set (140)
A 3-year-old child is being admitted to a medical division for d. The use of the clarifying question or comment allows the nurse to gain an understanding
vomiting, diarrhea, and dehydration. During the admission of a patient's comment. When used properly, this technique can avert possible
interview, the nurse should implement which communication misconceptions that could lead to an inappropriate nursing diagnosis. The reflective
techniques to elicit the most information from the parents? question technique involves repeating what the person has said or describing the person's
a. The use of reflective questions feelings. Open-ended questions encourage free verbalization and expression of what the
b. The use of closed questions parents believe to be true. Assertive behavior is the ability to stand up for yourself and
c. The use of assertive questions others using open, honest, and direct communication
d. The use of clarifying questions
A 55-year-old client has just undergone surgery for a knee medications listed on the client's medication administration record (MAR)
replacement. He asks the nurse if he can shave because his face
is itching from the stubble. What information is a priority for the
nurse to verify prior to shaving the client?
client's allergies to soap since shaving cream is contraindicated
in the hospital
the last time shaving was performed because clients can only
shave twice weekly in the hospital medications listed on the
client's medication administration record (MAR)
cultural views and attitudes toward facial hair and grooming
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, Fundamentals of nursing exam 1
The 55-year-old client who is newly diagnosed with "Osteoarthritis is painful and very common as you age."
osteoarthritis of the hips asks the nurse why it hurts when
walking. What is the nurse's best response?
"Osteoarthritis is painful and very common as you age."
"You have lost the padding in your joints and the friction causes
pain."
"If you recently fell, you might have a fractured hip." "Because
you lose muscle tone with age, it hurts to walk."
Based on an established plan of care, a nurse turns a client every Ans:
two hours. What part of the nursing process is the nurse using?
C
A)
Assessing
B)
Planning
C)
Implementing
D)
Evaluating
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, Fundamentals of nursing exam 1
A client 80 years of age experienced dysphagia (impaired Ans:
swallowing) in the weeks following a recent stroke, but his care
team wishes to now begin introducing minced and pureed food. A
How should the nurse best position the client?
Feedback:
A)
Fowler's position optimizes cardiac function and respiratory function in addition to being
Fowler's the best position for eating. The client's risk of aspiration would be extreme in a supine
position. Low-Fowler's and semi-Fowler's are synonymous, and this position does not aid
B) swallowing as much as a high-Fowler's position.
Low-Fowler's
C)
Protective supine
D)
Semi-Fowler's
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, Fundamentals of nursing exam 1
A client age 50 years reports to a primary care unit with an open Ans:
wound due to a fall in the bathroom. Which of the following
nursing actions represents caring skills? A
A)
The nurse cleans the wound and applies a dressing to it.
B)
The nurse inspects and examines the wound for swelling.
C)
The nurse tells the client to use caution while on slippery
surfaces.
D)
The nurse informs the client that the wound is small and will
heal easily.
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