COMMUNICATION
Question 1
A nurse hears a staff member giving incorrect information to the family of a client newly diagnosed with diabetes mellitus who is being discharged to home. The nurse wants to make sure the f
...
COMMUNICATION
Question 1
A nurse hears a staff member giving incorrect information to the family of a client newly diagnosed with diabetes mellitus who is being discharged to home. The nurse wants to make sure the family has the proper information before the client is discharged. What should she do?
Question 2 See full question 1m 32s
The son of a client with Alzheimer's disease excitedly tells the nurse, "Mom was singing one of her favorite old songs. I think she is getting her memory back!" What response by the nurse is mostappropriate?
Question 3 See full question 20s
To approach a deaf client, what should the nurse do first?
Question 4 See full question 9m 41s
A client tells a nurse that he drinks heavily in the evenings and would like to stop. The nurse suggests that he attend Alcoholics Anonymous, but he says, “I went to one men’s meeting and all they did was swear and brag about how drunk they got.” Which response would be best for the nurse to make?
Question 5 See full question 1m 26s
An adult is dying from metastatic lung cancer, and all treatments have been discontinued. The client’s breathing pattern is labored, with gurgling sounds. The client’s spouse asks the nurse, “Can you do something to help with the breathing?” Which is the nurse’s best response in this situation?
Question 6 See full question 37s
A nurse is caring for a client who speaks only French. The client’s granddaughter is bilingual and assists with translating, but the nurse needs to provide the client with discharge instructions. Which of the following would be the best option for the nurse and the client?
Question 7 See full question 19s
A nurse administers digoxin 0.125 mg to a client at 1400 instead of the prescribed dose of digoxin 0.25 mg. Which of the following statements should the nurse record in the medical record?
Question 8 See full question 19s
A nurse observes a second nurse documenting a peripheral blood glucose level that the second nurse did not actually collect from a client with diabetes. What is the priority action by the nurse observing this situation?
Question 9 See full question 16s
Communication is very important when preparing a client for a mastectomy. What are primary issues for the nurse to discuss?
Question 10 See full question 37s
A client with stage IV pancreatic cancer is admitted to hospice. The spouse breaks down crying, stating “I just don’t know what I will do if he dies!” Which is the best response by the nurse?
Question 1 See full question 3m 24s
A client states, "I have abdominal pain." Which assessment question would best determine the client's need for pain medication?
Question 2 See full question 1m 17s
A charge nurse is making shift assignments when a staff nurse requests to not be assigned to a particular child because of the quantity of time the child requires. The charge nurse knows that the child and family have bonded with the staff nurse. What should the charge nurse do next?
Question 3 See full question 39s
During family teaching, the daughter of a client with dementia mentions to the nurse that her mother distorts things. The nurse understands that the daughter needs further teaching about dementia when she makes which statement?
Question 4 See full question 1m 8s
A client undergoes cystoscopy with bladder biopsy. After the procedure, which assessment is mostappropriate for the nurse to make?
Question 5 See full question 46s
When caring for a client who has just had a total laryngectomy, the nurse should plan to:
Question 6 See full question 27s
A nurse on a night shift entered an elderly client’s room during a scheduled check and discovered the client on the floor beside her bed after falling when trying to ambulate to the washroom. After assessing and assisting the client back to bed, the nurse has completed an incident report. What is the primary purpose of this particular type of documentation?
Question 7 See full question 10m 45s
The nurse should utilize SBAR communication (Situation, Background, Assessment, Recommendation) during which of the following clinical situations?
Question 8 See full question 1m 6s
A client is being admitted to the hospital following an inadvertent overdose with oxycodone. He reveals that he has chronic back pain that resulted from an injury on a construction site. He states, “I know I took too much oxycodone at once, but I cannot live with this pain without them. You cannot take them away from me.” Which response by the nurse is most appropriate?
Question 9 See full question 26s
The nurse is trying to establish a trusting relationship with a client experiencing pain. When the client asks for pain medication, the nurse notes that it is not time to give the medication. What is the best action by the nurse to facilitate a trusting relationship?
Question 10 See full question 30s
A client is admitted to the preoperative clinic for a breast biopsy. Which information would the nurse enter into the medical record as objective data?
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