9. When teaching a client how to control hypertension, the nurse…

Question Answered step-by-step 9. When teaching a client how to control hypertension, the nurse… 9. When teaching a client how to control hypertension, the nurse must recognize that:Lifestyle modifications are indicated for all clients with hypertensionIt is not necessary to limit salt intake if taking a diuretic medicationIf overweight, the client must achieve a normal weight in order to lower blood pressure.All clients with high blood pressure requires medication and health teaching. 10. When the nurse enters the client’s room and asks “how are you doing today? The client responds by saying “feeling a little nervous”. The nurse’s initial response would be”You do look a little stressed, take some deep breaths”What do you think is making you nervous?Why are you feeling nervous?Can I give you a back rub to relax you? 11. Which statement best reflects the principle common to all theories of health, wellness and illness?Many variables influence a person’s perceptions of healthPeople are able to control factors that affect healthHealth is synonymous with a sense of well beingBeing able to meet the demands of one’s role is necessary for health. 12. When assessing the pattern of a client’s anxiety, the nurse should ask which of the following?What word would you use to describe your anxiety?How long have you been experiencing feelings of anxiety?How would you rate your anxiety level on a scale of 1 -10?Are there times when you do not feel anxious? 13. Of the “eight commonly issues”, in the process of providing care to individuals and families living with a life-limiting illness. Which of these issues relate to “actives of daily living, transportation dependents, and telephone access?Disease managementPhysicalPsychologicalPractical 14. From a palliative care approach there are several trajectories of dying. In which of the following trajectory does the family member feel that “the decline is gradual with small changes and on a good day. They wonder if the person is getting better?Slow decliningSudden deathStuttering declineSteady decline 15. Which of the following would the nurse recommend to a client to reduce a fever?Lower room temperatureReduce physical activityBathe with ice waterRestrict fluid intake 16. Which of the following indicate that a client is febrile?Enhanced appetiteMoist mucous membranesPhotosensitivityDry skin 17. Which of the following is a sign of local infectionWarm skinFeverPale skinChills 18. Superinfections are an adverse event commonly to all antibiotic therapy. Which of the followingbestdescribe superinfections?A bacterial infection that is resistant to multiple drugs and are difficult to treatAn initial infection that is so overwhelming it requires multiple antibiotics for successful treatment.Infections requiring high dose antibiotic therapy and poor immunityThe overgrowth of normal flora or opportunistic organisms is secondary to another infection. 19. You are preparing visitors to function safely when interacting with a family member who is on contact isolation. The teaching should include Which of the following?Remove the gown before the gloves when exiting the roomGloves are worn when touching the clientAvoid sitting on any chairs when in the roomYou must wear a mask in the room. 20. The nurse is caring for an elderly recovering from an acute illness. Which interventions should the nurse implement to reduce the client’s risk of developing a healthcare-associated infection? Select all that applyPalpate intravenous site for redness and tenderness dailyRecommend placement of an indwelling foley catheter.Perform hand hygiene before entering the client’s roomCoach the client to deep breaths and cough frequentlyTeach the client to restrict fluids throughout the day. 21. What is methicillin-resistant staphylococcus aureus (MRSA) colonization?When the staphylococcus bacteria invade the tissues and cause symptomsWhen bacteria can be cultured from an individual who has an infectionWhen a person carries MRSA but has no symptoms of illnessWhen illness suggestive of MRSA is present but no bacteria can be isolated. 22. The PN performs nursing interventions to break the chain of infection. Which of fhe follwoing links is broken when the PN empties suction and drainage containers ar the end of each shift or according to agency policy?ReservoirPortal of exitMode of transmissionPortal of entry 23. The 48-year client was recently diagnosed with Type 11 diabetes. The nurse is doing health teaching and noted that Mr. B had very low motivations, and feels that he cannot be deal with this new problem. Which of the following learning domains would be most appropriate for the client?Cognitive domainPsychomotor domainAffective DomainInterpersonal domain. 24. Nurse practitioners working in a rural community health center are developing teaching strategies for clients with complex treatment requirements. Which of the following action of the nurse best represents utilizing the humanist theory of learning?Developing teaching methods that are targeted to learning styles.Praising the learners for modeling the correct behaviorsFacilitating learners by serving primarily as a resource or mentorAllowing for practice and demonstration time prior to evaluating. 25. A client must learn to use an inhaler. Which learning domains would more likely help the client acquire this skill?AffectiveBehavioralPsychomotorCognitive.:development of our mental skills and the acquisition of knowledge 26. When developing a teaching plan, the step of the nursing process is utilized, in which step of the nursing process is teaching strategies identified?AssessmentImplementationEvaluationPlanning 27. A nurse caring for a client documents information regarding healthcare in the medical record. When would it be appropriate to share the medical record without the client’s permission?Sharing information among the client’s health care personnelSharing the client’s health condition with the client’s immediate familySharing the client’s health condition with his insurance companySharing information with personnel involved in research at the hospital 28. Documentation arranged in chronological order, from the time the nurse starts the shift until the nurse enters the documentation the client record is an example of Which of the following?Problem oriented recordingSource oriented recordingPlan careNarrative charting 29. Based on a CNO documentation practice standards and organization policies, the nurse would document the client’s daily dressing change and safety precautions in theProgress notesFlowsheetKardexMAR 30. Which of the following is the best example of accurate nursing documentation according to the college of nurse guidelines?3:00 a.m. Mr. Jones seems to be sleeping well0745 Enema given with good results19:30 Perspiring profusely, gown wet, beads of perspiration on the brow.4:00 p.m. Winces with pain when turned to left side and supine. 31. Which of the following statement belongs to the “R” of DAR focus charting?(DAR= data, assessment & response).Reposition and turn q 2 hoursGive prune juice ar bedtime instead of breakfastFatigue-related to prolonged immobilityReported decreased abdominal pain 32. A nitroglycerin transdermal patch was prescribed for the client’s angina pain. Which of the following should the nurse include in the client teaching?Before strenuous exercise, apply another half patchRemove the patch at bedtime to prevent tolerance to the drugUsed patches should be disposed of in the toiletThere is no side effect as the drug is delivered slowly 33. Which of the following is correct regarding subcutaneous injections?Hold the skin taut at the site of injection to compress the subcutaneous tissueAspiration is not necessary, as it is rare to inject into a blood vesselReturn to the room in 1 hour to check if the client has pain at the injection siteWhen administering a subcutaneous injection to an obese client inject a needle at a 45-degree angle 34. The nurse is planning to instruct the client about the use of acetylsalicylic acid for arthritis, inflammation, and fever. Which of the following should be included when teaching the client about this medication?Sedation is a common side effect of this drugTake this mediation on an empty stomach.Report any dizziness or fatigue to the nurseConstipation can result from overuse of this analgesic 35. The nurse is administering an intradermal injection to the client. Which of the following gauge needle is most appropriate?22 gauge20 gauge27 gauge23 gauge 36. According to the college of nurses of Ontario(CNO) medication practice standard, a nurse must consider the principle of authority when administering medication. The nurse understands that this principle refers to:Reporting medication errors immediately to the nursing supervisor or physician.Follow up with a prescriber when a medication order is unclear, incomplete, or inappropriate for a client.Administering medications to a client using knowledge, skills, and judgmentCompleting a comprehensive assessment of the client prior to preparing medications for a client 37. The nurse noted that there are no Tylenol # 3 tablets in the narcotic drawer, and the client has scheduled Tylenol#3 that is due. The nurse decides to give the client one plain Tylenol tablet along with one 30 mg Codeine tablet. Which medication “Right” was violated?Right PatientRight DoseRight DrugRight Route 38. Before administering an ordered medication, the nurse checks the name band for the client’s name against the MAR, what should the nurse’s next action?Initial the MAR that the medication will be givenEducated the client regarding the medication to be given along with side effects.Double-check the client’s identification using a second methodsAdminister the medication as ordered 39. The client has a diagnosed with bowel cancer. Over the past months, the morphine dose has slowly increased as the client states that the pain has increased. Which of the following describes the effect of the client’s response to the opioid analgesic?Physical dependencePain thresholdDrug toleranceAddiction 40. The nurse caring for an adult client who is being discharged from the hospital with a prescription for penicillin. Which of the following should the nurse include in discharge teaching?Use a backup method of birth control if using oral contraceptivesTake the medication until all symptoms of infection are relievedFruit juice will help to increase the absorption of this medicationDairy products may interfere with the absorption of this medication Health Science Science Nursing PNUR 250 Share QuestionEmailCopy link Comments (0)