The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping eﬀectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:

Myocardial Infarction.

Atelectasis.

Fluid volume deficit.

Fluid volume excess.

Answer and Explanation

The Correct Answer is D

Heart failure is a condition in which the heart is unable to pump blood eﬀectively, leading to a buildup of ﬂuid in the body. This can result in edema (swelling) and ﬂuid accumulation in the lungs, causing coarse crackles when breathing. The term for this condition is ﬂuid volume excess, which refers to an excessive amount of ﬂuid in the body.

Myocardial infarction is a heart attack, atelectasis is a collapse of lung tissue, and ﬂuid volume deficit refers to a lack of ﬂuid in the body.

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Correct Answer is B

Explanation

According to Kubler-Ross's stages of grieving, denial is the first stage. It is a defense mechanism that helps individuals cope with the overwhelming emotions associated with loss. In this case, the client is refusing to believe that the loss of her husband is happening and is likely experiencing denial as a way to cope with her grief

A. Review the action of insulin therapy. B. Ask the client to perform a return demonstration of insulin injection. C. Explore the client's feelings about dietary modifications. D. Have the client practice blood-glucose monitoring using a glucometer.

Correct Answer is C

Explanation

To focus on aﬀective learning with this client, the nurse should explore the client's feelings about dietary modifications. Aﬀective learning involves the development of values, attitudes, and emotions. By exploring the client's feelings about dietary modifications, the nurse can help the client understand and accept the changes that are necessary for managing their condition.

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The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping eﬀectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is taking care of a client who just lost her husband to a terminal illness. The client is refusing to believe that the loss is happening. Which of Kubler-Ross's stages of grieving is the client experiencing?

Correct Answer is B

Explanation

A nurse is providing care for a client who has recently been diagnosed with type 1 diabetes mellitus. To focus on aﬀective learning with this client, the nurse should use which of the following interventions?

Correct Answer is C

Explanation

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?

A nurse is taking care of an adult client who throws a temper tantrum because he does not get his own way. Which defense mechanism is the adult client displaying?

A nurse is educating a preoperative client on how to eﬀectively deep breathe. Which instruction would be included?

When planning interventions to promote a client's appetite, which of the following would be included in the client's plan?

A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?

The client who has sleep apnoea reports falling asleep while driving, almost being involved in an accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?

A client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counselling practice and work full-time. The nurse should realize that this client is demonstrating which aspect of values clarification?