In completing an assessment on an assigned client, the nurse obtains important
information for planning nursing care. Which of the following client needs should take
priority?
A: an impending divorce.
B: a nutritional deficit.
C: difficulty breathing.
D: financial problems.
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C: difficulty breathing
a nurse prepares to contact a patients physician about a change in the patients
condition put the following statements in the correct order using SBAR (situation,
background, assessment, recommendation) communication.
1. she is a 53 year-old female who was admitted 2 days ago with pneumonia and was
started on kevofloxacin at 5pm yesterday she states she has a poors appetite her
,weight has remained stable over the past 2 days
2. the patient reported feeling very nauseated after her does of levofloxacin an hour
ago
3. is is possible to make a change in antibiotics or could we give her a nutritional
supplement before her medication
4. the patient started to complain of nausea yesterday evening and has vomited
several times during the night
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1- situation
2- background
3- assessment
4- recommendation
As part of a faith community nursing program in her church, a nurse is developing a
health promotion program on breast self-examination for the women's group. Which
statement made by one of the participants is related to the individual's perception of
susceptibility to an illness?
1. "I have a door hanging tag in my bathroom to remind me to do my breast self-
examination monthly."
2. "Since my mother had breast cancer, I know that I am at increased risk for
developing breast cancer."
3. "Since I am only 25 years of age, the risk of breast cancer for me is very low."
4. "I participate every year in our local walk/run to raise money for breast cancer
research."
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2. since my mother had breast cancer i know that i am at increased risk for
developing breast cancer
,the nurse spend time with a patient and family reviewing a dressing change
procedure for the patients wound the patients spouse demonstrates how to change
the dressing the nurse is acting in which professional role?
1. educator
2. advocate
3. caregiver
4. communicator
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1. educator
which of the following is an advantage of using alcohol-based gel
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it takes less time to use than washing with soap and water
a nurse is conducting a home visit with a new mom and her three children while in the
home the nurse weighs each family member and reviews their 3-day food diary she
checks the moms blood pressure and encourages the mom to take the children for a
15-30 minute walk every day the nurse is addressing which level of need according to
maslow?
1. physiological
2. safety and security
3. love and belonging
4. self-actualization
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, 1. physiological
a nurse is taking an adult clients temperature rectally which of the following actions
should the nurse take
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insert the probe about 2.5cm (1 inch) into the clients anus
when taking care of patients a nurse routinely asks whether they take any vitamins or
herbal medications encourages family members to bring in music that the patient likes
to help the patient relax and frequently prays with her patients if that is important to
them the nurse is practicing which model?
1. holistic
2. health belief
3. transtheoretical
4. health promotion
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1. holistic
a nurse is caring for a patient with end-stage lung disease the patient wants to go
home on oxygen and be comfortable the family wants the patient to have a new
surgical procedure the nurse explains the risk and benefits of the surgery to the family
and discusses the patients wishes with them the nurse is acting as the patients?
1. educator
2. advocate
information for planning nursing care. Which of the following client needs should take
priority?
A: an impending divorce.
B: a nutritional deficit.
C: difficulty breathing.
D: financial problems.
Give this one a try later!
C: difficulty breathing
a nurse prepares to contact a patients physician about a change in the patients
condition put the following statements in the correct order using SBAR (situation,
background, assessment, recommendation) communication.
1. she is a 53 year-old female who was admitted 2 days ago with pneumonia and was
started on kevofloxacin at 5pm yesterday she states she has a poors appetite her
,weight has remained stable over the past 2 days
2. the patient reported feeling very nauseated after her does of levofloxacin an hour
ago
3. is is possible to make a change in antibiotics or could we give her a nutritional
supplement before her medication
4. the patient started to complain of nausea yesterday evening and has vomited
several times during the night
Give this one a try later!
1- situation
2- background
3- assessment
4- recommendation
As part of a faith community nursing program in her church, a nurse is developing a
health promotion program on breast self-examination for the women's group. Which
statement made by one of the participants is related to the individual's perception of
susceptibility to an illness?
1. "I have a door hanging tag in my bathroom to remind me to do my breast self-
examination monthly."
2. "Since my mother had breast cancer, I know that I am at increased risk for
developing breast cancer."
3. "Since I am only 25 years of age, the risk of breast cancer for me is very low."
4. "I participate every year in our local walk/run to raise money for breast cancer
research."
Give this one a try later!
2. since my mother had breast cancer i know that i am at increased risk for
developing breast cancer
,the nurse spend time with a patient and family reviewing a dressing change
procedure for the patients wound the patients spouse demonstrates how to change
the dressing the nurse is acting in which professional role?
1. educator
2. advocate
3. caregiver
4. communicator
Give this one a try later!
1. educator
which of the following is an advantage of using alcohol-based gel
Give this one a try later!
it takes less time to use than washing with soap and water
a nurse is conducting a home visit with a new mom and her three children while in the
home the nurse weighs each family member and reviews their 3-day food diary she
checks the moms blood pressure and encourages the mom to take the children for a
15-30 minute walk every day the nurse is addressing which level of need according to
maslow?
1. physiological
2. safety and security
3. love and belonging
4. self-actualization
Give this one a try later!
, 1. physiological
a nurse is taking an adult clients temperature rectally which of the following actions
should the nurse take
Give this one a try later!
insert the probe about 2.5cm (1 inch) into the clients anus
when taking care of patients a nurse routinely asks whether they take any vitamins or
herbal medications encourages family members to bring in music that the patient likes
to help the patient relax and frequently prays with her patients if that is important to
them the nurse is practicing which model?
1. holistic
2. health belief
3. transtheoretical
4. health promotion
Give this one a try later!
1. holistic
a nurse is caring for a patient with end-stage lung disease the patient wants to go
home on oxygen and be comfortable the family wants the patient to have a new
surgical procedure the nurse explains the risk and benefits of the surgery to the family
and discusses the patients wishes with them the nurse is acting as the patients?
1. educator
2. advocate
