exploring reflecting restating focusing
The nurse is caring for a 10-year-old client who states, “I am really good at soccer because I practice every day.” According to Erikson’s eight stages of development, which psychosocial crisis does this statement reflect?
initiative vs. guilt industry vs. inferiority generativity vs. self-absorption autonomy vs. shame and doubt
A client is admitted with possible appendicitis. Which finding by the nurse would be expected in assessment of this client?
a positive psoas sign a positive Murphy’s sign a positive Homan’s sign a positive Chadwick’s sign
The wife of a client with colorectal cancer (CRC) is talking to the nurse about prevention and screening of the disease. Which statement should the nurse make to the wife?
“A diet low in fat and high in fiber can help lower the risk, along with eating more fruit such as oranges.” “When an adult turns 40 years of age, a colonoscopy should be done to screen for CRC, regardless of family history.” “Those with average risk at age 50 and up should have a…
The nurse is performing a neurological assessment on a client. She asks the client to smile, close both eyes, and frown. Which cranial nerve (CN) is the nurse testing?
CN V CN VII CN VIII CN XI
The nurse is caring for a client with dementia who tends to wander. Which of the following actions can help with this behavior? Select all that apply.
providing frequent toileting or incontinence care as needed assessing client for pain and treat with appropriate medications reorienting the client and use validation therapy, as appropriate allowing the client to sit in a recliner at the nurses’ station for close monitoring using chemical or physical restraints to prevent the client from exiting the bed
The nurse is preparing to teach about poisonous snake bites to community members at the local recreational department. What information should the nurse provide regarding prehospital care? Select all that apply.
Attempt to kill or capture the snake for identification purposes. Apply ice to the wound and elevate the affected extremity to the level of the heart. Immobilize the affected extremity with a splint and maintain the extremity at the level of the heart. Move the person to a safe area away from the snake and…
A client in restraints is assigned to a newly graduated nurse. The nurse understands that which of the following are true regarding restraints? Select all that apply.
Restraints can be chemical, mechanical, or physical. Children under 9 years of age have a 30-minute time limit in restraints. Bed rails are a form of restraint if used to prevent the client from leaving the bed. Restraints must be assessed every 2 hours for proper application and continued need. Once released, the client may…
The nurse is precepting a student nurse on the postsurgical floor. The student nurse needs to draw a potassium level. Which of the following statements by the student nurse is correct regarding blood draws from venous catheters?
“I can obtain the sample from the short peripheral catheter if I flush it well.” “I should flush with 10 to 20 mL of sterile normal saline after drawing blood from any catheter.” “Drawing blood from a central venous line is less risky than sticking the client if he is afraid of needles.” “I should…