QUESTIONS AND ANSWERS
A56middle-
aged56woman56who56enjoys56being56a56teacher56and56mentor56feels56that56she56should56pass56down
56her56legacy56of56knowledge56and56skills56to56the56younger56generation.56According56to56Erikson,56sh
e56is56involved56in56what56developmental56stage?56-56CORRECT56ANSWER56-Generativity.
A56client56has56a56nursing56diagnosis56of,56"Spiritual56distress56related56to56a56loss56of56hope,56second
ary56to56impending56death."56What56intervention56is56best56for56the56nurse56to56implement56when56c
aring56for56this56client?56-56CORRECT56ANSWER56-
Assist56and56support56the56client56in56establishing56short-term56goals.
How56should56the56nurse56handle56linens56that56are56soiled56with56incontinent56feces?56-
56CORRECT56ANSWER56-
Place56the56soiled56linens56in56a56pillow56case56and56deposit56them56in56the56dirty56linen56hamper.
The56nurse56removes56the56dressing56on56a56client's56heel56that56is56covering56a56pressure56sore56one
-inch56in56diameter56and56finds56that56there56is56straw-
colored56drainage56seeping56from56the56wound.56What56description56of56this56finding56should56the56n
urse56include56in56the56client's56record?56-56CORRECT56ANSWER56-One-
inch56pressure56sore56draining56serous56fluid.
Which56statement56correctly56identifies56a56written56learning56objective56for56a56client56with56peri
pheral56vascular56disease?56-56CORRECT56ANSWER56-
Upon56discharge,56the56client56will56list56three56ways56to56protect56the56feet56from56injury.
A56female56nurse56who56sometimes56tries56to56save56time56by56putting56medications56in56her56unifor
m56pocket56to56deliver56to56clients,56confides56that56after56arriving56home56she56found56a56hydrocod
one56(Vicodin)56tablet56in56her56pocket.56Which56possible56outcome56of56this56situation56should56be56t
he56nurse's56greatest56concern?56-56CORRECT56ANSWER56-Accused56of56diversion.
A56low-sodium,56low-protein56diet56is56prescribed56for56a5645-year-
,old56client56with56renal56insufficiency56and56hypertension,56who56gained56356pounds56in56the56last5
6month.56The56nurse56determines56that56the56client56has56been
, noncompliant56with56the56diet,56based56on56which56report56from56the5624-
hour56dietary56recall?56(Select56all56that56apply.)56-56CORRECT56ANSWER56-
Snack56of56potato56chips,56and56diet56soda.
Lunch56of56tuna56fish56sandwich,56carrot56sticks,56fresh56fruit,56and56coff
ee.56Breakfast56of56eggs,56bacon,56toast,56and56coffee.
Bedtime56snack56of56crackers56and56milk.
Which56statement56is56an56example56of56a56correctly56written56nursing56diagnosis56statement?56-
56CORRECT56ANSWER
-Ineffective56coping56related56to56response56to56positive56biopsy56test56results.
A56client56is56demonstrating56a56positive56Chvostek's56sign.56What56action56should56the56nurse56take?
56-56CORRECT56ANSWER56-Ask56the56client56about56numbness56or56tingling56in56the56hands.
A56client56who56has56moderate,56persistent,56chronic56neuropathic56pain56due56to56diabetic56neuropa
thy56takes56gabapentin56(Neurontin)56and56ibuprofen56(Motrin,56Advil)56daily.56If56Step56256of56the56W
orld56Health56Organization56(WHO)56pain56relief56ladder56is56prescribed,56which56drug56protocol56sho
uld56be56implemented?56-56CORRECT56ANSWER56-Continue56gabapentin.
While56preparing56to56insert56a56rectal56suppository56in56a56male56adult56client,56the56nurse56observes
56that56the56client56is56holding56his56breath56while56bearing56down.56What56action56should56the56nurs
e56implement?56-56CORRECT56ANSWER56-
56Instruct56the56client56to56take56slow56deep56breaths56and56stop56bearing56down.
What56is56the56rationale56for56using56the56nursing56process56in56planning56care56for56clients?56-
56CORRECT56ANSWER56-
As56a56tool56to56organize56thinking56and56clinical56decision56making56about56clients'56healthcare56need
s.
Before56administering56a56client's56medication,56the56nurse56assesses56a56change56in56the56client's56c
ondition56and56decides56to56withhold56the56medication56until56consulting56with56the56healthcare56pro
vider.56After56consultation5 6 with56the56healthcare56provider,56the56dose56of56the56medication56is56ch
anged56and56the56nurse56administers56the56newly56prescribed56dose56an56hour56later56than56the56ori
ginally56scheduled56time.56What56action56should56the56nurse56implement56in56response56to56this56situ
ation?56-56CORRECT56ANSWER56-Document56the56events56that56occurred56in56the56nurses'56notes.