A nurse mistakenly gave a client who was NPO a morning breakfast tray. After realizing the mistake, the nurse notified the physician as well as the client; explained the consequences of this mistake, which included a delay in the client's scheduled procedure; and documented the situation in the client's medical record. What did this nurse demonstrate?

Altruism

Human dignity

Social justice

Integrity

Answer and Explanation

The Correct Answer is D

In this situation, the nurse demonstrated integrity. After realizing the mistake of giving a client who was NPO a morning breakfast tray, the nurse took responsibility for the mistake by notifying the physician and the client, explaining the consequences of the mistake, and documenting the situation in the client's medical record. The other options (Altruism, Human dignity, and Social justice) are not directly related to this situation.

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Correct Answer is B

Explanation

The nursing diagnosis was "Risk for Deficient Fluid Volume" related to excessive ﬂuid loss, secondary to diarrhea and vomiting. The goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days, indicating that the problem has been resolved. Therefore, the nurse should document that the problem has been resolved and the goal has been met.

A. "These exercises prevent thrombophlebitis." B. "The doctor ordered the exercises." C. "These exercises help prevent pneumonia." D. "All surgical clients must do these exercises." E. The correct answer and explanation is:

Correct Answer is C

Explanation

Turning, deep breathing, and coughing exercises are important for clients recovering from surgery as they help prevent the development of pneumonia. After surgery, clients may have difficulty taking deep breaths and coughing due to pain or discomfort. This can lead to the accumulation of mucus in the lungs, increasing the risk of pneumonia. By performing these exercises, clients can help clear their lungs and reduce their risk of developing this complication. While these exercises may also help prevent other complications such as thrombophlebitis, the primary reason for performing them is to prevent pneumonia.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client recovering from surgery asks the nurse why turning, deep breathing, and coughing exercises need to be done. How should the nurse respond?

Correct Answer is C

Explanation

Which one of the following roles of the home health care nurse illustrates the role of coordinator of services?

A group of nurses is researching how care providers of Stage l/m Alzheimer's clients use prior coping skills in dealing with their current situation. Which qualitative research tradition are these nurses using?

A nurse is assessing a client who has a fever, an infection of a ﬂank incision, and is in severe pain. Which type of pulse rate would the client most likely exhibit?

The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?

A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." One of the following statements demonstrates that the nurse appropriately evaluated this goal.

A client is prescribed a diuretic for swelling of the lower extremities. The nurse should teach the client about the eﬀect of the medication on the client's urinary output.

An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?

A client is experiencing hypoxia. The nursing diagnosis that would be appropriate is: