Home>Homework Answsers>Nursing Homework Help 1. The Nurse Cares For The Client Diagnosed As Being In

Home>Homework Answsers>Nursing homework help 1
The nurse cares for the client diagnosed as being in the manic phase of bipolar disorder
Which behavior indicates to the nurse the client condition is improving? a
The client offers suggestions to other clients on the unit b
The client begins to write a book about life c
The client sits and eats with other clients on unit d
The client talks with other clients a group meeting 2
The health care provider orders a continuous intravenous aminophylline infusion for a two year old client
It is most important for the nurse to intervene for which situation? a
The client heart rate is 100 bpm b
The clients blood pressure is 100/60 mmHg c
The clients serum theophylline level is 25 mcg/mL d
The client is sleepy 3
The nurse teaches the client about the schedule cardiac catheterization
Which statement, if made by the client to the nurse, indicates that the teaching was effective? a
‘I understand that there is little or no risk associated with this procedure
‘ b
‘I may experience a little pounding sensation in my chest during the procedure
‘ c
‘I will be in and out of the procedure room in about 30 minutes
‘ d
‘I will be able to walk in the hall soon after the procedure is completed
‘ 4
During the second stage of labor, the client’s partner asks the nurse, ‘Can I go get a cup of coffee from the cafeteria?’ Which response by the nurse is best? a
‘I will get you a cup of coffee
‘ b
‘It would be best if you stayed here at this time
‘ c
‘Ask your partner if it is acceptable to leave
‘ d
‘Why do you want to leave the room?’ 5
The nurse discovers that client lying face down on the floor
Which action does the nurse take first? a
Assess the patency of the client’s airway b
Determine whether the client is responsive c
Check the client’s carotid pulse d
Reposition the client onto the back 6
A nurse works 3 weeks at a 100-bed suburban hospital after working several months at a 40-bed rural hospital
The nurse prefers the total client care delivery system that was used at the rural hospital, rather then the team leading system of client care that is used at the suburban hospital
Which action does the nurse take? a
Works with in the system at the hospital to change the type of client care delivery b
Discuss his thoughts about the type of client care delivery system with the nurses supervisor c
Asks the nurses peers why this type of client care delivery system is used d
Suggests a change in the type of client care delivery system to the director of nursing 7
The nurse cares for the client diagnosed with a left traumatic below knee amputation (BKA) with a tourniquet in place
The client also has a tear from the perineum to the rectum
Which action is the nurse take first? a
Apply anti-shock trousers b
Assesses the clients level of consciousness c
Remove the tourniquet d
Check the client’s blood pressure and pulse 8
During morning rounds, the client diagnosed with schizophrenia tells the nurse, ‘I know you are conspiring with my spouse to keep me locked away
‘ Which statement by the nurse is the most appropriate? a
‘What makes you think your spouse is trying to hide your existence?’ b
‘Are you saying that you think your spouse doesn’t love you?’ c
‘I can see that you are frightened about being here but I am a nurse in a hospital
‘ d
‘I’m not conspiring with your spouse
I first met your spouse when you are admitted to the hospital
‘ 9
During a routine prenatal visit, the nurse auscultates the fetal heart rate (FHR)
If the fetal position is left sacrum posterior (LSP), at which site does the nurse expect to find the fetal heart (FHT)? a
Below umbilicus, on the mothers right b
Below umbilicus, on the mothers left c
Above umbilicus, on the mothers left d
Above umbilicus, on the mothers right 10
The nurse makes environmental rounds on the client care unit
Which problem does the nurse addressed first? a
A wheel of the medication cart is broken b
The needle disposal unit in unoccupied room is full c
The call light and occupied isolation room is broken d
The ice machine and the visitors lounge is leaking water on the floor 11
The nurse observes a nursing assistive personnel (NAP) enter the room of the client diagnosed with tuberculosis (TB) to provide morning care
Which observation, if you made by the nurse, does not require an intervention? a
The NAP enters the room while wearing goggles and a hair covering b
That NAP enters the room while wearing a mask and sterile gloves c
The NAP enters the room while wearing a gown and clean gloves d
The NAP enters the room while wearing a particulate respirator and a gown 12
The nurse teaches the client about ferrous sulfate
Which statement by the client indicates to the nurse that the client understands the education? a
‘I should take this medication when I take my antacid
‘ b
‘I should take this medication with orange juice
‘ c
‘I should increase my intake of foods that contain calcium
‘ d
‘I should take this medication at bedtime
‘ 13
The nurse gives discharge instructions about home care for orchitis to the client
Which statement indicates to the nurse that teaching has been successful? a
‘I should make an appointment to have a circumcision
‘ b
‘It will help if I use a scrotal support
‘ c
‘I should restrict my athletic activities for about 6 weeks
‘ d
‘I need to stay in bed for at least 10 days
‘ 14
The nurse cares for the client having a left total hip arthroplasty period in which position does the nurse placed the client after surgery? a
Legs abducted with the toes pointing upward b
Legs adducted with a bed cradle in place c
Flat on the bed with a foot board in place d
Legs elevated on two pillows with the knees flexed 15
The adolescent receives 10 units of intermediate-acting insulin every morning at 0700
If the client requires the insulin dosage reduced, the nurse expects the client to present with which symptom? a
Declines lunch at 1200 b
Reports hunger at 0900 c
Experiences confusion at 1600 d
Becomes sleepy at 2100 16
The nurse discovers the client in the bathroom attempting self-harm
Which action does the nurse take first? a
Removes the client from the bathroom and escorts the client to the bedroom b
Stays with the client and continually monitors for self-destructive behaviors c
Initiates a discussion with the client concerning reasons for self-harm d
Distracts the client from trying to hurt self by talking about the family
17
The nurse admits a 2-month-old infant for surgical correction of hypospadias
Which assessment does the nurse complete? a
Check this scrotal sac and palpate the testes b
Inspect the position of the urinary meatus c
Obtained a urine sample for analysis d
Measure intake and output hourly 18
The patient of an 18 month old toddler ask the nurse, (Which toy is most appropriate for my child?) The nurse from recommend which toy? a
A story book b
A stuffed animal c
A colorful mobile d
A large yo-yo 19
The nurse cares for the client prior to cataract surgery
The nurse administers the preoperative medication
Ten minutes later, the nurse finds the client on the floor at the foot of the bed
Which action does the nurse takes initially? a
a
Notifies the healthcare provider, and receive new orders b
b
Complete accident report documenting the fall c
c
Stays with the client and calls for assistance d
d
Moves the client back onto the bed providing support to the cervical area 20
The nurse teaches the client what to expect during a cardiac catheterization
Which statement if made by the client, indicates further teaching is necessary? a
‘I may feel a fluttering sensation in my chest during the test
‘ b
‘I may kill chest pain during the test
‘ c
‘I may have chest pain for several days following the test
‘ d
‘I may have some pain at the catheter insertion site
‘ 21
The parents of the 18 month old toddler with a fractured femur visits with the child in the hospital
The parents say they must go home, the child screams, cries, and hits the parents
Which statement does the nurse suggest the parents tell the child? a
‘We will return in a little while
‘ b
‘We will come back at 1000 hours
‘ c
‘We will return when the sun comes up
‘ d
‘We will come back as soon as we can
‘ 22
The nurse supervises a nursing assistive personnel (NAP) caring for the client after abdominal surgery
Which observation requires an intervention by the nurse? a
a
The NAP massages the client’s leg using long, firm strokes b
b
The NAP massages the client arms using smooth, gentle strokes c
c
The NAP assist the client to put the joints through range of motion exercises d
d
The NAP positions the client side-lying and applies lotion to the back 23
The nurse cares for the client diagnosed with anorexia nervosa
Which goal is the highest priority initially? a
Stabilize the clients weight b
Encourage the client to gain insight about body image c
Maintain the clients fluid and electrolyte balance d
Increase the clients caloric intake 24
The nurse administers medications to the client diagnosed with bipolar disorder
The client approaches the nurse and begins to throw things
Which action does the nurse take? a
Get another nurse to assist with the client b
Give the client the medications, so the client will calm down c
Admonishes the client, and suggested the client collect self d
Sits down and asks the client what is bothering the client 25
The nurse prepares to assess the blood pressure of the six year old child following an accident
A blood pressure cuff of appropriate size is unavailable
Which action does the nurse take? a
Uses another site appropriate for the size of the bailable cost to obtaining reading b
Wait until proper equipment is available before proceeding to check the blood pressure c
Use a smaller blood pressure cuff and checked to reading in both arms d
Uses a larger cost, and add 10 mm Hg to the systolic reading 26
The healthcare provider orders tobramycin for a 3-year-old child
The nurse enters the clients room to administer the medication and discovers that the child does not have an identification bracelet
Which action by the nurse is the most appropriate? a
Ask a coworker to identify the child before giving the medication b
Ask the parents at the child’s bedside to state their child’s name c
Hold the medication until an identification bracelet can be obtained from the admitting office d
Ask the child to save the child’s first and last name 27
The nurse changes the dressing on a client two days after a bowel resection
After opening a sterile pack and putting on the sterile gloves at the clients bedside, the nurse notes the dressing needed for the dressing change are missing
Which action does the nurse take next? a
Remove the gloves, obtained the missing dressings, and replaces the clubs to continue with the procedure b
Closes the pack, obtained the missing dressing and new gloves, and reopen the pack to continue with procedure c
Presses the call light, ask the nurse assistive personnel to bring the missing dressings to the clients room, and then continues with the procedure d
Remains in place at the clients bedside while the nursing assistive personnel obtains the missing dressings, and then continues with the procedure 28
29
The client receives parenteral nutrition (PN) via the internal jugular vein
Which action does the nurse take if the next container of PN solution is not available when it is needed? a
Slows down the PN infusion until the new solution is available b
Hangs a container of 0
9% NaCl until the new solution is available c
Hangs a container of 10% D/W until the new solution is available d
Uses a heparin lock until the new solution is available 29
The nurse cares for the client with a history of chronic alcohol abuse, nutritional problems, and confabulation
In planning for the clients nursing care, which action is the first priority of the nurse? a
Restrict visitors to minimize environmental stimuli b
Provide a high-calorie, high- protein diet as ordered c
Start a intravenous line of D5W with thiamine as ordered d
Monitor behaviors for documentation of confabulation 30
The nurse cares for the school- aged Child diagnosed with cystic fibrosis (CF)
The healthcare provider orders aerosol therapy
The nurse knows which is the expected outcome? a
The child’s appetite improves b
The child displays no evidence of infection c
The child manages respiratory secretions without difficulty d
The child’s activity level increases 31
Which situation suggests a nurse is addicted to the use of alcohol or habit-forming medications? a
The nurse questions a client’s medication order left by a healthcare provider b
The nurse volunteers to ‘Float’ to another unit at the hospital c
The nurse cannot be found on the unit for half an hour during the assigned shift d
The nurse questions a client about paying before administering a narcotic analgesic 32
The nurse assesses the intravenous (IV) site on the left forearm of the child
Which finding causes the nurse to rule out the occurrence of infiltration of the IV? a
The fluid in that IV tubing becomes pink tinged when the tubing is pinched b
The end of the needle can be palpated in the vein in the left forearm c
The amount of fluid infused through the IV site is a half- hour behind schedule d
The skin on the left arm distal to the IV insertion site is cool and dry 33
The nurse cares for the client diagnosed with a left tibia fracture
The client has a long – leg walking cast applied
Several hours later, the client states, ‘I can’t feel my toes
‘ It is most important for the nurse to take a which action? a
Ask the client to wiggle the toes b
Observe the foot for edema c
Assess the clients femoral pulse d
Check the skin temperature of the foot 34
The charge nurse notes that during a staff meeting designed to discuss client care concerns, a nurse that is a non- native speaker of English remains silent
Which action does the charge nurse take? a
Require all the nurses at the meeting to verbalize their thoughts about the topic under discussion b
Allow extra time during the meeting for questions and summarize the discussion of the group c
Take the none-native nurse a side after the meeting and restate the major conclusions of the discussion d
Check with the non-native nurse before the conclusion of the discussion to see if the discussion topics were understood 35
The nurse cares for the client with a chest tube attach to a three-chamber water sealed drainage system
While attempting to get out of bed, the client accidentally disconnect the chest tube from the water-seal drainage system
Which action does the nurse take first? a
Inserts the end of the chest tube in a container of sterile saline solution b
Clamps the chest tube near the water- seal drainage system c
Applies a dressing to the chest tube insertion site d
Obtains a new water- seal drainage system 36
The nurse teaches the client, scheduled for a total right hip arthroplasty, preoperatively
Teaching includes postoperative exercises
Which exercise, if perform by the client, indicates further teaching is necessary? a
The client performs straight leg lifts b
The client performs plantar and dorsiflexion exercises c
The client demonstrates quadriceps and gluteal setting d
The client demonstrate active range of motion exercises of the ankle 37
The nurse cares for the client receiving peritoneal dialysis
Which finding, if observed by the nurse during the procedure, indicate a malfunction in the system? a
There is a leak of fluid onto the dressing in the bed b
The client reports rectal pain on infusion of the dialysate c
More dialysate is returned then was infused d
The clients blood pressure decreases 38
The client scheduled for a vaginal hysterectomy tells the nurse, ‘I want to read my medical record
‘ Which action does the nurse take? a
Asks the clients health care provider if the client can read the medical record
b
Relays the clients request to read medical medical record to the nurses supervisor c
Gives the medical record to the client, and remains with the client while the client reads it d
Tells the client the medical record is the property of the hospital 39
The nurse cares for a client diagnosed with primary adrenocorticol insufficiency
The nurse expects to observe which laboratory finding? a
Decreased sodium and glucose; increased potassium b
Decrease sodium and potassium; increased glucose c
Increased sodium and potassium; decreased glucose d
Increased sodium and glucose; decreased potassium 40
The nurse works with the client who has a history of alcoholism
Which statement, if made by the client to the nurse, indicates that the client has gained some insight into alcoholism? a
‘I know I can stop drinking if I put my mind to it
‘ b
‘For the sake of my family, I will never drink again
‘ c
‘I know this is a lifelong problem, and I’ll need continued support
‘ d
‘I know that Alcoholics Anonymous (AA) is available in case the problem gets worse
‘ 41
The parent arrives from overseas to visit
The child discovers the parent depressed, disheveled, and suspicious of family members
The nurse include which nursing order in the care plan? a
Encourage family involvement in clients treatment
b
Involve the local international community and the clients care c
Set limits on family visits until the client is stable d
Assign the client to structured group activity 42
The home health nurse changes dressings four times a week for the client diagnosed with stage III pressure ulcer
The hospital admitting nurse notes that the dressing was not applied as ordered
Which action is most important for the nurse to take? a
Contact the nursing supervisor in the hospital to report the discrepancy b
Contact the home health nurse who has been caring for the client to report the discrepancy c
Contact the home health supervisor to report the discrepancy d
Document the discrepancy between what was ordered and the condition of the dressing 43
The nurse gives a client morphine 10mg intramuscularly (IM)
After administering the medication, the nurse notes the order for morphine was deleted by the healthcare provider the previous day and replaced with an order of hydromorphone 4mg IM
Which documentation is best? a
‘Morphine 10mg given IM into left ventrogluteal area for report of a domino pain
Healthcare provider notified
‘ b
‘Morphine 10 mg given IM for reports the pain
Hydromorphone 4 mg IM ordered
Incident report completed
‘ c
‘Morphine 10 mg given IM for reports of abdominal pain instead of hydromorphone 4mg IM
Incident reported to healthcare provider
‘ d
‘Morphine given for report of incisional pain
Vital signs unchanged
Client resting resting comfortably
States pain is relieved
‘ 44
45
The spouse of the 60 – year – old client brings the client to the clinic
The spouse states that during the last week the client has become confused and has been drinking large quantities of water
Lab values indicate: blood glucose 1,215 mg/dL (67
43 mmol/L), see osomolality 400 mOsmol/kg H2O (400 mmol/kg H2O), potassium 4
5 mEq/L (4
5 mmol/L), sodium 145 mEq/L (145 mmol/L), and serum negative for ketones
The nurse expects the healthcare provider to initially order which treatment? a
0
45% NaCl IV and isophane insulin IV b
D5 0
9% NaCl IV and isophane insulin SQ c
D5W IV and regular insulin SQ d
0
9% NaCl IV and regular insulin IV 45
The parents bring their 9-month-old child to the clinic
Which observation by the nurse indicates a delay in development? a
The child begins to cry when the nurse approaches b
The child can sit unsupported c
The child uses a Palmer grasp to hold objects d
The child can clap the hand when asked to do so 46
An hour and a half after admission to the nursery, the nurse observe spontaneous jerky movements of the lambs and infant born to a mother with just station on diabetes mellitus (GDM)
Based on these signs, which condition does the nurse expect in the infant? a
Hyperbilirubinemia b
Cold stress c
Hypoglycemia d
Neurological impairment 47
The nurse cares for the client with an above-knee (AKA) amputation performed four days ago
The nurse teaches the client about care of the residual limb prior to being fitted with a temporary prosthesis
Which intervention is most important for the nurse to include an instruction? a
Expose the residual limb to air 30 minutes daily b
Elevate the residual limb on pillows at night c
Wrap the residual limb with an elastic bandage during the day d
Inspect the residual limb daily 48
To ensure a safe hospital environment for a 2-year-old toddler, which intervention does the nurse implement? a
Arranges for one of the parents to stay with the client b
Pads the rails of the clients crib c
Places the client and they use bed d
Remove equipment from the bedside table 49
The nurse cares for the client diagnosed with a loss of ability to use language following a stroke
Which action does the nurse take? a
Involve the family members as translators b
Utilize both verbal and nonverbal communication c
Write out all information on an erasable board d
Focus efforts on reducing the clients frustration when communicating 50
The nurse assesses the client who has a chest tube and a three-chamber water-seal drainage system connected dissection
Which occurrence requires an intervention by the nurse? a
The collection container contains 100 mL of serosanguineous fluid b
There is continuous bubbling in the section control chamber c
There is continuous bubbling in the water-seal chamber d
The fluid in the chest tube fluctuates with the clients respirations 51
The clients adult children bring their 70-year-old parent, in the early stages of Alzheimer’s disease, to the medical clinic
Which symptom does the nurse expect the client to exhibit? a
The client walks with a slow, staggering gate b
The client cannot remember what the client had for breakfast that morning c
The client reports generalized body aches d
The client cannot remember the clients children’s names 52
The nurse takes care of the client admitted to rule out epilepsy
Which action is the highest priority for the nurse? a
Protect the client from injury b
Accurately document any seizures the client might have c
Monitor the client from medication side effects d
Provide for client assessment and teaching 53
The nurse observes cardiopulmonary resuscitation (CPR) Being performed on an 8-months-old client
The nurse intervenes if which observation is made by the nurse? a
The client’s nose and mouth are covered by the rescuers mouth b
The clients neck is hyperextended c
The depth of chest compressions is about 1 1/2 inches deep d
The rate of chest compressions is 100 per minute 54
The client at 32 weeks gestation visits the healthcare provider
While the nurse palpates the woman’s abdomen, the woman suddenly says, ‘I feel dizzy
I feel as if I’m going to faint
‘ The nurse identifies which condition causes the clients response? a
Maternal anxiety causing peripheral vasoconstriction b
Postural hypotension resulting from a change of position c
Inappropriate Leopold’s maneuvers compressing blood flow to the fetus d
Hypotensive syndrome causing a reduction in cardiac output 55
The nurse teaches the client newly diagnosed with type I diabetes
Which statement by the nurse best explains the rationale for rotating injection sites for this client? a
‘You may damage the tissues causing erratic absorption of insulin if you don’t rotate sites
‘ b
‘You may develop an infection if you use the same area too frequently c
‘You may damage to the superficial nerves in the skin and lose sensation if you use the same area to frequently
‘ d
‘your thighs will eventually becomes sore if you don’t change injection sites
‘ 56
The nurse performs a venipuncture using an intravenous (IV) catheter for a client scheduled for surgery
Which technique does the nurse use? a
Pierces the skin and the vein in one swift motion b
Inserts the catheter through the skin and the 30° angle c
Releases the tourniquet after cleaning the skin alcohol d
Insert the catheter through the skin with the devil down 57
The nurse cares for the adolescent scheduled for surgery to repair extensive facial scarring sustained any motor vehicle accident
The nurse assesses the clients understanding of the operation
Which response, if made by the client to the nurse, indicated the client has the capacity for abstract thinking? a
‘When I was in the hospital right after the accident, the nurse who took care of me showed me what the skin graft with look like on a doll
‘ b
‘The first thing I am going to do when I finish with this operation is begin saving for my own car
‘ c
‘I’m scared that my face will look worse after the surgery than it does now
This operation sounds horrible
‘ d
d
‘The healthcare provider talked to me about the different techniques involved and the risk of the skin graft being rejected
‘ 58
The new patient holds the two week old neonate E erect with the feet touching the table top
The baby responds by flexing and extending the legs
The parent says to the nurse, ‘look my baby is trying to walk!’ Which response, if made by the nurse to the parent, is best? a
‘Your baby is demonstrating the dance or step reflex
It will be replaced by deliberate movement in about 2 to 3 weeks
‘ b
‘Your baby won’t start to walk until the baby is about a year old
The baby is just performing random movements
‘ c
‘Your baby is advanced for two weeks of age
This type of movement is not usually seen into the baby is two months old
‘ d
‘Your baby is not trying to walk
That is physically impossible at this age
‘ 59
The nurse teaches the school age to how to use crutches correctly
Which action by the client requires intervention by the nurse? a
The client rest win the client become short of breath or diaphoretic when walking b
The tips of the crutches rest 8 to 10 inches in front into the side of the clients toes when the client stands c
The clients arms are flexed when the client rests the hands on the hand pieces of the crutches d
The clients weight is supported by the foam-rubber pad on the under arm peace 60
The nurse cares for the client diagnosed with a severe head injury
In planning care for this client, the nurse understands that which priority is highest? a
a
Turn the client every 2 hours b
Maintain an intravenous intake of 125 mL per hour c
Put all joints through a range of motion every 4 hours d
Perform skincare every 2 hours 61
The client returns to the room after a subtotal thyroidectomy
The nurse is most concerned if a which observation is made? a
The client is having difficulty speaking b
There is a moderate amount of serosanguineous drainage on the neck dressing c
The nasogastric (NG) tube attached to intermittent section is draining a moderate amount of translucent fluid d
The client reports moderate pain at incision site 62
The 39 year old primipara come to the hospital at 29 weeks gestation and report symptoms of preterm labor
Which assessment by the nurse is most helpful in confirming this diagnosis? a
Regular contractions are noted on a monitor tracing b
The client says the water broke this morning c
The presenting part is engaged d
The client reports intermittent lower abdominal pain 63
To auscultate for breath sounds in the middle lobe of the long, the nurse places the stethoscope in which location? (picture) a
4th or 5th intercostal place on the right side 64
The nurse cares for a woman diagnosed with toxic shock syndrome
Which action does the nurse take first? a
X-a
Teaches the client to use pads rather than tampons during the menstrual period b
b
Sits with the client and let her know that she is not alone c
c
Administers ciprofloxacin 400 mg q 12 hours via IV infusion over 60 minutes d
d
Administers 0
9% NaCl at hundred and 150 mL/hr into the clients right forearm 65
The client diagnosed with Alzheimer’s disease wanders around the unit disturbing other clients
The clients gate is steady
Which action by the nurse is most appropriate? a
Remind the client to stay in the room b
Escort the client back to the clients room c
Restraining the client in an armchair in the hall d
Allow the client to assist the staff in distributing the clean linen 66
The nurse teaches the client how to perform self monitoring blood glucose (SMBG) by using a blood glucose monitor
Which action, if performed by the client, indicates the teaching was successful? a
The client washes the hand in cool water before the procedure b
The client elevates the hand on a pillow before the procedure c
The client sticks the center of the proximal phalanx d
The client allows a large drop of blood to touch the test strip 67
The nurse cares for the client diagnosed with septic shock syndrome
An initial nursing assessment of this client would most likely reveal which symptoms? a
Dysrhythmias and edema b
Fever and hypotension c
Increased urinary output and dehydration d
Nystagmus and photophobia 68
The nurse cares for the client is experiencing third trimester bleeding, consisting of dark red spotting
The client is not reporting uterine pain and tenderness
The nurse realizes that these symptoms are indicative of which situation? a
a
Abruptio placentae b
b
Placenta previa c
c
Missed abortion d
d
Hdatidiform mole 69
The nurse teaches a client receiving amitriptyline
Which statement, is made by the client to the nurse, indicates an adequate understanding of amitriptyline? a
a
‘When I start to feel better, I can adjust my dosage of amitriptyline
‘ b
b
‘Amitriptyline works best when taken in the morning before breakfast
‘ c
c
‘It maybe 3 to 4 weeks before I’ll see a change due to amitriptyline
‘ d
d
‘I can’t eat food such as age cheese, beer, red wine, and yogurt
‘ 70
The nurse cares for the client diagnosed with a dramatic amputation of the left leg during automobile accident
The client frequently presses the call light without reason and makes angry remarks to the nursing staff
Which statement best explains the reason for the clients behavior? a
a
The client is behaving rebelliously because the client is in a structured setting b
b
The client is using attention-getting behaviors because the client is unhappy c
c
The client’s physical needs are not being met d
d
The client is responding to the change in body image 71
Before discharge, the nurse teaches the client who underwent surgery for an ileal conduit
Which instruction, if provided by the nurse to the client, is most important? a
a
‘Dilate the stoma every day with your little finger
‘ b
b
‘Drink at least 2000 mL of fluid every day
‘ c
c
‘Change the appliance several times each day to prevent odors
‘ d
d
‘Abstain from sexual intercourse for two weeks while the incision heals
‘ 72
During the admissi