A nurse is caring for client who reports they are feeling stressed because they are unable to et demands at work and care for a family member who is ill. The nurse should identify that the client is experiencing which of the following self-concept stressors?

Body Image

Self-esteem

Role performance

Identity

Answer and Explanation

The Correct Answer is C

A. Body Image: Body image stressors relate to how a person perceives their physical self. This is not relevant to the scenario of work and family stress.

B. Self-esteem: Self-esteem stressors relate to a person’s sense of self-worth. While stress from work and family can affect self-esteem, the primary issue here is more related to role performance.

C. Role performance: Role performance stressors relate to how well an individual perceives they are fulfilling their roles in life, such as work, parenting, or caregiving. The client’s stress about balancing work and family responsibilities indicates a role performance issue. This is the correct answer.

D. Identity: Identity stressors involve a person’s sense of who they are. While stress from work and family can affect identity, the primary issue here is more specifically related to role performance.

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Correct Answer is B

Explanation

A. "I will need to empty my bladder regularly and completely." Regular and complete bladder emptying helps to flush bacteria from the urinary tract, reducing the risk of UTIs. This statement indicates correct understanding and does not need further teaching.

B. "I will need to wipe my perineal area from back to front after urination." Wiping from back to front can introduce bacteria from the rectal area into the urethra, increasing the risk of UTIs. The correct practice is to wipe from front to back. This statement indicates a need for further teaching.

C. "I need to drink 8 cups of liquid each day." Adequate fluid intake helps to dilute urine and flush out bacteria, reducing the risk of UTIs. This statement is correct and does not need further teaching.

D. "I will need to drink apple cider vinegar each day." Although apple cider vinegar is sometimes suggested as a home remedy, there is no strong evidence supporting its use in UTI prevention. However, this statement does not indicate a harmful practice and may not necessarily need further teaching unless it is replacing evidence-based methods. The key incorrect statement is related to wiping technique.

A. "Your colostomy will not produce formed stool." B. "You should expect your stoma to be a purple color." C. "The end of the stoma will be painful after this procedure." D. "You will have a stoma in your left lower abdomen."

Correct Answer is D

Explanation

A. "Your colostomy will not produce formed stool." A sigmoid colostomy is located in the lower part of the large intestine where stool is typically more formed. Therefore, this statement is incorrect and should not be included in the teaching.

B. "You should expect your stoma to be a purple color." A healthy stoma should be pink or red and moist. A purple, dusky, or dark color may indicate compromised blood flow to the stoma and is a sign of a medical emergency. This statement is incorrect.

C. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. Pain around the incision site may occur, but the stoma itself should not be painful. This statement is incorrect.

D. "You will have a stoma in your left lower abdomen." The sigmoid colon is located on the lower left side of the abdomen, so the stoma for a sigmoid colostomy is typically placed in this area. This statement is correct.

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A nurse is caring for client who reports they are feeling stressed because they are unable to et demands at work and care for a family member who is ill. The nurse should identify that the client is experiencing which of the following self-concept stressors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs). Which of the following client statements indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?

A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer?

A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of following statements should the nurse make?

A nurse is teaching a newly licensed nurse about the function of the large intestine. Which of the following information should the nurse include?

A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who needs a stool specimen collected. Which of the following actions should the nurse take when obtaining the specimen?