1. Which question by the nurse would best assess congruence of mood and affect?
a. What is going on with your behavior?
b. You appear anxious. Can you tell me what you’re feeling?
c. I know you are angry, so l will call the doctor for an order for medication.
d. I think your actions are not appropriate for this situation.
2. Which question by the nurse would best assess the quality of a client’s pain?
a. Can you point to the location of the pain?
b. Can you rate it on a 0-10 scale?
C. What does the pain feel like?
d. Is the pain Sharp or dull?
3. Which factors will a nurse consider when selecting an appropriate pain scale as part of a plan of cre. (Select all that apply)
a. The client’s primary language
b. The client’s age
c. The client’s developmental level
d. The client’s ability to read.
1) b - You appear anxious. Can you tell me what you are feeling ?
2) d - is the pain sharp or dull
3) clients age , clients developmental ability, clients ability to read
1. Which question by the nurse would best assess congruence of mood and affect? a....
1. Which assessment by the nurse would most effectively assess cognition? a. The client’s ability to follow complex instructions. b. The client’s ability to touch the nose with the pointer finger. c. The client’s ability to differentiate a sharp and dull sensation d. The client’s ability to stand on one foot 2. Which action by the client would be most effective in evaluating language during a cognitive assessment? a. Write the name of one animal...
. Which assessment would best assess a client’s musculoskeletal coordination? a. A sharp/ dull sensation assessment on the hands b. Rapidly tapping the tip of the thumb to each individual finger c. Bilateral hand grip d. A push/ pull test utilizing the feet 2. Which assessment would most accurately evaluate the client’s gait? a. Rising from the chair b. Standing on one foot c. Walking in a straight line d. Passive range...
1. A nurse is completing a focused assessment evaluating bowel function. Which assessment by the nurse is considered objective data? a. The client passes flatus while the nurse is in the room. b. The client notes ‘’ I get really bloated when l eat beans c. The client recalls the amount of fruits and vegetables they eat in a day d. The client states they have a bowel movement everyday 2. A nurse is completing the...
1. A nurse is observing an elderly client walk down a hallway and up a flight of stairs. What is the nurse assessing? a. Gait b. Balance c. Activity tolerance d. All of the above 2. A nurse is assessing the cognitive function of an elder. Which assessment will provide the most through and objective data? a. Ask the client to state their name, where they are now, and the date. b. Administer the...
1. A nurse is assessing the client’s ability to perform basic activities of daily living (BADL). Which statement by the nurse is the most appropriate during the assessment? a. Does someone help you with your grocery and household shopping? b. Can you show me how you organize your medication? c. How much assistance is needed when you get dressed? d. Can you balance your checkbook or pay bills by yourself? 2. A nurse is assessing the...
The nurse assess the popliteal pulse by lightly palpating which location A. Behind the knee B. The inner aspect of the ankle below and slightly behind the medial malleolus C. the dorsum of the foot between the extensor of the 1st and 2nd toe D. outer aspect of the ankle below and slightly behind the lateral malleolus The Glasgow coma scale is used to grade neurological responses to which three parameters. A. eye opening, verbal, motor response B. Verbal response...
A nurse on a medical-surgical unit is assigning tasks to assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? a. Changing the appliance on a new colostomy b. Demonstrating how to use an incentive spirometer c. Performing indwelling urinary catheter care d. Measuring the depth of a stage-3 pressure ulcer. A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse take to promote the client’s...
13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics of hypoglycemia? Select all that apply. a. the onset of symptoms/signs is sudden b. characterized by feeling slugginess c. affected by increased emotion d. triggered by missing a regular meal e. associated with a lack of insulin 14. The nurse who has admitted a client with diabetic ketoacidosis should look for what assessment findings that are consistent with this diagnosis? (Select all that apply.)...
13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics of hypoglycemia? Select all that apply. a. the onset of symptoms/signs is sudden b. characterized by feeling slugginess c. affected by increased emotion d. triggered by missing a regular meal e. associated with a lack of insulin 14. The nurse who has admitted a client with diabetic ketoacidosis should look for what assessment findings that are consistent with this diagnosis? (Select all that apply.)...
Which of the following would the nurse expect to assess in a patient receiving a narcotic for pain relief? Select one: o a. Dilation of the pupils b. Diarrhea c. Orthostatic hypotension d. Tachypnea O Question 16 Not yet answered Points out of 1.00 Remove flag Pharmacologic responses can be elicited only by Select one: a. drug that is free and unbound. O b. drug that is distributed in muscle. O c. drug bound to plasma albumin and transported to...