Term 1 of 143
Which misconception is common in clients in pain?
Positive air pressure holds the airway open.
As one grow older, their stress decreases
"I will get addicted to pain medications."
A) indirect measure of protein and fat stores
Term 2 of 143
When discussing his problem, a client tells the nurse that he is always doing small, petty jobs for
everyone and he is not happy about it. Because of this, he is feeling stressed and has been
getting into fights with his wife. What should the
nurse suggest to help the client overcome this problem?
take control of the situation
"Most adults need between seven and nine hours, but everyone is different."
the disease is present but the client is not experiencing symptoms
a person 15 years of age
Term 3 of 143
A sedative-hypnotic has been prescribed to help a client sleep. What should the nurse teach the
client about this medication?
"What part of your dinner would you like to eat first?"
30-45 minutes, most days of the week
it loses its effectiveness after one or two weeks
Eat foods high in folic acid
,Term 4 of 143
A client is interested in losing 15 pounds, and she informs the nurse she is counting her calorie
intake each day. The client has a goal of losing one pound a week until she reaches her goal. The
client asks the nurse how many calories she should decrease daily to lose a pound a week. What
is the nurse's best response?
500
25.1
Hypersomnia
500 Calories/day
Term 5 of 143
A hospitalized client has been NPO with only intravenous fluid intake for a prolonged period.
What assessments might indicate protein-calorie malnutrition?
Local adaption syndrome
maintain a calm and quiet environment free from noise
Exercising two hours of bedtime can hinder ability to sleep within
pour wound healing, apathy, edema
Term 6 of 143
Which of the following guidelines does the nurse apply to discussion of sleep patterns with older
adult clients?
"How does your body feel when you are upset?"
"You'll need to eat more calories and to make sure you eat a balanced diet high in
nutrients."
total sleep time decreases as clients age
A response to changes in the normal balanced state
,Term 7 of 143
A patient who is being seen at a physicians office states that he has "bad headaches all the time."
Diagnostic tests are normal. What is this type of response to stress called?
Psychosomatic disorder
Prolonged stress from caring for a family member at home
Pain Assessment in Advanced Dementia (PAINAD)
Stage of exhaustion
Term 8 of 143
A client in the emergency department is diagnosed with a myocardial infarction (heart attack). The
client describes pain
in his left arm and shoulder. What name is given to this type of pain?
Chronic pain has far-reaching effects on the client
visceral pain
Endorphins
referred pain
Term 9 of 143
The nurse is testing the blood glucose levels of a client with a history of diabetes. The nurse has
performed hand
hygiene, checked the order, informed the client and turned on the monitor. After removing a test
strip from the vial, the nurse should do which of the following?
Intensity
Test results for dyslipidemia
Post signs for quiet and turn down hall lights during formal quiet times.
Confirm that the strip and the meter share the same code.
, Term 10 of 143
The nurse talks with a client who states, "My primary care provider wants me to try a TENS unit for
my pain. How can
electricity decrease my pain?" Which of the following responses is most appropriate?
"Babies at that age cry at night, think nothing of it"
Boredom and depression may affect an older person's perception of pain.
"The mild electrical impulses block the pain signal before it can reach the brain."
1) Teach all clients to use a pain rating scale.
2) Determine a pain-rating goal with each client.
3 ) Manipulate factors that affect the pain experience.
Term 11 of 143
A nurse is discussing infant care with a woman who just had a baby girl. What type of nutrition
would the nurse
recommend for the infant?
30-45 minutes, most days of the week
breast-feeding or formula with iron
"What part of your dinner would you like to eat first?"
"increase fluids and high-fiber foods, and use a mild laxative."
Term 12 of 143
A student is preparing for her first patient care assignment. She wakes up at 4:00 a.m. with a
pounding pulse and diarrhea. What type of adaptive response to stress is she experiencing?
avoid sedatives for sleeping
trigeminal neuralgia
Mind-body interaction
Carbohydrates, protein, and lipids
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