A nurse is collecting data about a client's skeletal system. The nurse should be in which of the following positions to screen the client for scoliosis?
A. Standing beside the client, who is lying on the examination table
B. Facing the client, who is sitting in a chair
C. Standing behind the client, who is bent over at the waist
D. Standing on either side of the client while the client leans back
Home
Subjects
Expert solutions
Create
Log in
Sign up
Upgrade to remove ads
Only ₩37,125/year
Review terms and definitions
Focus your studying with a path
Take a practice test
Get faster at matching termsHow do you want to study today?
Flashcards
Learn
Test
Match
Terms in this set (20)
a nurse in an ambulatory care clinic is caring for a client who had a mastectomy 6 months ago. the client tells the nurse that she has not had much desire for sexual relations since her surgery, stating, "my body is so different now" which of the following responses should the nurse make
"i'm interested in finding out more about how your body feels to you"
a nurse is caring for a group of clients on a medical surgical unit. which of the following clients are at risk for body image disturbances
a. a 30 year old male client following laparoscopic appendectomy
b. 45 year old female client following mastectomy
c. 20 year old female client left above the knee
amputation
d. a 65 year old male client following cardiac catheterization
e. 55 year old male client following stroke with right sided hemiplegia
BCE
a nurse is caring for a client who is 3 days postoperative following a below the knee amputation as a result of a motor vehicle crash. which of the following client statements indicates to the nurse that the client has a distorted body image?
" i dont even want to look at my leg. you can check the dressing"
a nurse is caring for a client who is recovering from a myocardial infarction and a cardiac catheterization. the client states, "i am concerned that things might be a little, you know, different with my wife when i get home" which of the following statements should the nurse make
"it sounds like you are concerned about sexual functioning. lets discuss your concerns"
a nurse is teaching a group of clients how to care for their colostomies. which of the following statements should alert the nurse that one of the clients is having an issue with self concept
ill never be able to care for this at home. can't you just send a nurse to the house?
a nurse is caring for a client who has terminal lung cancer. the nurse observes the clients family assisting with all adl's. which of the following rationales for self care should the nurse communicate to the family.
the clients sense of loss can be lessened through retaining control of certain areas of her life
a nurse is caring for a client who has stage IV lung cancer and is three days postoperative following a wedge resection. the client states, "i told you myself that I would go through with the surgery and quit smoking, if i could just live long enough to attend my daughters wedding. based on kubler-ross' model, which stage of grief is the client experiencing
a. anger
b. denial
c. bargaining
d. acceptance
C. bargaining
a nurse is consoling the partner of a client who is just expired after a long battle with liver cancer. the partner is displaying grief and states, "I hate him for leaving me" which of the following statements by the nurse successfully facilitate mourning for the grieving partner? select all
a. would you like me to contact the chaplain to come speak with you
b. you will feel better soon. you have been expecting this for a while now.
c. lets talk about your children and how they are going to react
d. you know, it is quite normal to feel anger toward your husband at this time
e. tell me more about
how you are feeling
ADE
dont give false reassurance
a nurse is caring for a client who has a terminal illness. death is expected within 24 hours. the clients family is at the bedside and asks the nurse about anticipated findings at this time. which of the following findings should the nurse include in the discussion?
a. regular breathing patterns
b. warm extremities
c. increased urine
output
d. decreased muscle tone
D
muscle relaxation is an expected finding when a client is approaching death
a nurse is assisting with a newly licensed nurse with postmortem care of a client. the family wishes to view the body. which of the following statements by the newly licensed nurse indicate an understanding of the procedure? select all
a. i will remove the dentures from the body
b. i
will make sure the body is lying completely flat
c. i will apply fresh linens and place a clean gown on the body
d. i will remove all equipment from the bedside
e. i will dim the lights in the room
CDE
keep dentures in so the face looks as natural as possible
the body shouldn't be completely flat. pillow under head and shoulders up to prevent discoloration of the face.
a nurse is caring for a client that states, "i have to check with my wife and see if she thinks i am ready to go home" the nurse replies, "how do you feel about going home today?" which clarifying technique is the nurse using to enhance communication with the client
reflecting
which of the following actions should the nurse take when using the communication technique of active listening
a. use an open posture
b. write down
what the client says to avoid forgetting details
c. establish and maintain eye contact
d. nod in agreement with the client throughout the conversation
e. respond positively when giving feedback
ACE
a nurse is caring for client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. which of the following statements should the nurse make
"your daily routines will be different when you get home"
"tell me about your support system you will have when you leave the hospital"
"let me tell you about my friend with a colostomy who also enjoys swimming"
which of the following strategies should a nurse use to establish a helping relationship with a client
encourage the client to communicate his thoughts and feelings
a nurse is caring for a school-age child who is sitting in a chair. to facilitate effective communication, which of the following actions should the nurse take
sit at eye level with the child
a nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. the nurse understands that this clients choice is an example of
a. fidelity
b. autonomy
c. justice
d. nonmaleficence
b. autonomy
a nurse offers pain meds to a client who is post op prior to ambulation. the nurse understands that this aspect of care delivery is an example of which of the following ethical principles
a. fidelity
b. autonomy
c. justice
d. beneficence
D. beneficence - promotes good for others
a nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. when the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principles
a. fidelity
b. autonomy
c. justice
d. nonmaleficence
C. Justice (fairness)
a nurse questions a medication prescription as too extreme in light of the clients advanced age and unstable status. he nurse understands that this action is an example of which of the following ethical principles
a. fidelity
b. autonomy
c. justice
d. nonmaleficence
D. nonmaleficence- do no harm
a nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. which of the following situations should the students identify as an ethical dilemma
a. a nurse on a med-surg unit demonstrates signs of chemical impairment
b. a nurse overhears another nurse telling an older adult client that if he does not stay in bed she will have to apply restraints
c. a family has conflicting feelings about the initiation of enteral tube feedings for their
father who is terminally ill.
d. a client who is terminally ill hesitates to name her spouse on her durable power of attorney form
C- enteral tube feeding is an ethical decision
caring for someone while under the influence is a legal issue.
a nurse who threatens a patient is a legal issue.
home health care decision on a clients behalf is a legal issue as well.
Sets found in the same folder
Foundations ATI 3, 34, 36, 42 Review
85 terms
Shamus239
Complimentary and Integrative Health
40 terms
junior_bubba
Loss, Death, and Grief
21 terms
junior_bubba
Sexual Health
52 terms
junior_bubba
Other sets by this creatorFCN Child with Endocrine Dysfunction
23 terms
junior_bubba
FCN The Child with Gastrointestinal Dysf…
84 terms
junior_bubba
Immunizations
6 terms
junior_bubba
Chapter 15- Health Promotion of the Adolescent and…
24 terms
junior_bubba
Other Quizlet setsPharmacology Quiz 2
100 terms
C_T_D
mongols
36 terms
Beachgirl222
Ag EOC Dairy Foods Marketing CDE 2013
25 terms
nutmayg
set
45 terms
jessica5711
Related questionsQUESTION
A fixed-interval, 60-second schedule delivers a reinforcer:
14 answers
QUESTION
How did revolts against the Roman catholic church affect northern European society?
15 answers
QUESTION
What happens when HCl is added to flask 1?
2 answers
QUESTION
'A man has to look after himself- and his family'
15 answers