• A client being treated for hypertension returns to the community clinic for
follow up. The client says, "I know these pills are important, but I just can't
take these water pills anymore. I drive a truck for a living, and I can't be
stopping every 20 minutes to go to the bathroom." Which of these is the best
nursing diagnosis?
A) Noncompliance related to medication side effects
B)Knowledge deficit related to misunderstanding of disease state
C)Defensive coping related to chronic illness
D) Altered health maintenance related to occupation
The correct answer is A: Noncompliance related to medication side effects
• When teaching effective stress management techniques to a client 1 hour
before surgery, which of the following should the nurse recommend?
A) Biofeedback
B)Deep breathing
C)Distraction
D) Imagery
,The correct answer is B: Deep breathing
• When observing 4 year-old children playing in the hospital playroom,
what activity would the nurse expect to see the children participating in?
A) Competitive board games with older children
B)Playing with their own toys along side with other children
C)Playing alone with hand held computer games
D) Playing cooperatively with other preschoolers
The correct answer is D: Playing cooperatively with other preschoolers
• The nurse is assessing a 4 month-old infant. Which motor skill would
the nurse anticipate finding?
A) Hold a rattle
B)Bang two blocks
,C)Drink from a cup
D) Wave "bye-bye"
The correct answer is A: Hold a rattle
• When teaching a 10 year-old child about their impending heart
surgery, which form of explanation meets the developmental needs of
this age child?
A) Provide a verbal explanation just prior to the surgery
B)Provide the child with a booklet to read about the surgery
C)Introduce the child to another child who had heart surgery 3 days ago
D) Explain the surgery using a model of the heart
The correct answer is D: Explain the surgery using a model of the heart
• The parents of a child who has suddenly been hospitalized for an acute
illness state that they should have taken the child to the pediatrician earlier.
Which approach by the nurse is best when dealing with the parents'
comments?
, A) Focus on the child's needs and recovery
B)Explain the cause of the child's illness
C)Acknowledge that early care would have been better
D) Accept their feelings without judgment
The correct answer is D: Accept their feelings without judgment
• When caring for a client with total parenteral nutrition (TPN), what is the
most important action on the part of the nurse?
A) Record the number of stools per day
B)Maintain strict intake and output records
C)Sterile technique for dressing change at IV site
D) Monitor for cardiac arrhythmias
The correct answer is C: Sterile technique for dressing change at IV site
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSMERIT. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.50. You're not tied to anything after your purchase.