Lamar State College-Port Arthur

A client with terminal breast cancer is being cared for by a long-time friend who is a physician. The client has identified her sister as the agent in her health care power of attorney. The client loses decision-making capacity, and the sister tells the nurse, "A different physician will be caring for my sister now. I've dismissed her friend." In response, the nurse should: You Selected:  abide by the wishes of the sister who holds the durable power of attorney. Correct response:  abide...

HEALTH PROMOTION Question 1 See full question 20s An adolescent with well-controlled type 1 diabetes has assumed complete management of his disease and wants to participate in gymnastics after school. To ensure safe participation, the nurse should instruct him to adjust his therapeutic regimen by: You Selected:  increasing his morning dosage of intermediate-acting insulin. Correct response:  eating a snack before each gymnastics practice. Explanation: Remediation: Question 2 See full quest...

CLINICAL DECISION MAKING/ CLINICAL JUDGEMENT Question 1 See full question 37s After learning that a roommate is HIV-positive, a client asks a nurse about moving to another room on the psychiatric unit because he no longer feels "safe." What should the nurse do first? You Selected:  Ask the client to describe his fears. Correct response:  Ask the client to describe his fears. Explanation: Remediation: Question 2 See full question 1m 3s A client is admitted to the psychiatric unit exhibiti...

Question 1 See full question 1m 36s The physician orders dextrose 5% in water, 1,000 ml to be infused over 8 hours. The I.V. tubing delivers 15 drops/ml. The nurse should run the I.V. infusion at a rate of: You Selected:  32 drops/minute. Correct response:  32 drops/minute. Explanation: Remediation: Question 2 See full question 45s A physician orders a loop diuretic for a client. When administering this drug, the nurse anticipates that the client may develop which electrolyte imbalance? Yo...

Question 1 See full question 4s In working with a rape victim, which intervention is most important? You Selected:  telling the client that the rapist will eventually be caught, put on trial, and jailed Correct response:  periodically reminding the client that she did not deserve and did not cause the rape Explanation: Remediation: Add a Note Question 2 See full question 2s When preparing discharge instructions for a client after an abdominal hysterectomy, the nurse should first: You Selec...

A nurse should encourage a client with a wound to consume foods high in vitamin C because this vitamin: You Selected:  enhances protein synthesis. Correct response:  enhances protein synthesis. Explanation: Remediation: Question 2 See full question 55s A painter who recently fractured his tibia worries about his finances because he can't work. To treat his anxiety, his physician orders buspirone, 5 mg by mouth three times per day. Which drugs interact with buspirone? You Selected:  Mon...

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 ...

TISSUE INTEGRITY Question 1 A client has been receiving an I.V. solution. What is an appropriate expected outcome for this client? Question 2 See full question 33s A client has been diagnosed with right-sided heart failure. The nurse should assess the client further for: Question 3 See full question 13s What is the expected outcome of thrombolytic drug therapy for stroke? Question 4 See full question 18s A client with right sided hemiparesis has limited mobility. Which action should t...

PRIORITIZATION AND DELEGATION Question 1 What is the priority nursing measure for a client with von Willebrand’s disease who is having epistaxis? You Selected: • Apply pressure to the nose Correct response: • Apply pressure to the nose Explanation: Remediation: Question 2 See full question 1m 12s Which nursing intervention is a priority for a child with hemophilia, who has fallen, and has an acutely bruised leg? You Selected: • Heating pad and administration ...

ELIMINATION Question 1 The nurse is assessing a client who has benign prostatic hypertrophy (BPH). The nurse should ask the client if he has: Question 2 See full question 8s When preparing to administer a tap water enema, in which position should the nurse place the client? Question 3 See full question 15s A client has stress incontinence. Which data from the client's history contributes to the client's incontinence? Question 4 See full question 19s An elderly client asks the nurse ...