The client states the reason they have an allergy to codeine is because when she takes it, the medication makes her nauseous. It is an important role of the nurse to respond in the following manner:

Tell the client they are wrong

Ask the client why they think that way

Ignore the comment and proceed with the teaching plan

Explain to the client the difference between medication intolerance and allergy

Answer and Explanation

The Correct Answer is D

A. Tell the client they are wrong: Telling the client they are wrong is dismissive and does not foster a therapeutic relationship.
B. Ask the client why they think that way: Asking the client why they think that way may provide insight, but it does not clarify the difference between an allergy and an intolerance.
C. Ignore the comment and proceed with the teaching plan: Ignoring the comment is not appropriate as it fails to address the client’s concern and provide necessary education.
D. Explain to the client the difference between medication intolerance and allergy: This response provides education and clarifies the difference, helping the client understand their reaction to the medication.

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Correct Answer is B

Explanation

A. Dizziness: Dizziness is a subjective symptom reported by the client.
B. Facial droop: Objective data is information that can be directly observed or measured by the healthcare professional. It's independent of the client's interpretation or feelings. A facial droop is an observable and measurable sign, making it objective data.
C. Numbness: Numbness is a subjective symptom reported by the client.
D. Fatigue: Fatigue is a subjective symptom reported by the client.

A. The client will be able to lift more than 50 pounds after abdominal surgery on post op day 1 B. The client will be able to describe ALL the sign and symptoms of COPD C. The client will be able to tolerate 50% of his meal at lunch D. The client states his wound is improving E. Correct answer: C

Correct Answer is C

Explanation

A. The client will be able to lift more than 50 pounds after abdominal surgery on post-op day 1. This goal is not realistic or safe for a client post-abdominal surgery on day 1.

B. The client will be able to describe ALL the signs and symptoms of COPD. This goal is not realistic or specific enough to be measurable and achievable.

C. The client will be able to tolerate 50% of his meal at lunch. This goal is Specific, Measurable, Achievable, Relevant, and Time-bound (SMART).

D. The client states his wound is improving. This goal is not measurable or specific.

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The client states the reason they have an allergy to codeine is because when she takes it, the medication makes her nauseous. It is an important role of the nurse to respond in the following manner:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider objective data?

Correct Answer is B

Explanation

Determine which of the following goals is a SMART goal

Correct Answer is C

Explanation

The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

A nurse is responding to a call light of a newly diagnosed diabetic. The client states she is ready for learning. The nurse recognizes this as which learning domain?

The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

The nurse can safely assign which task to an unlicensed assistive personnel (UAP) for a patient who is stable after a myocardial infarction?

A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the S step?

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?

A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?