Which is the best response by the nurse when explaining to the client as to why the stethoscope is warmed up before placing it on the abdomen?
A. "I might hear a friction rub with a cold stethoscope."
B. "A nice nurse will put a warm stethoscope on your abdomen."
C. "A cold stethoscope may cause your abdominal muscles to contract."
D. "Warming up the stethoscope will help with the digestion of your food."
Answer: C
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A morbidly obese client is admitted to a community hospital that does not typically care for bariatric-sized clients. What action by the nurse is most appropriate?
a. Assess the client's readiness to make lifestyle changes. b. Ensure adequate staff when moving the client. c. Leave siderails down to prevent pressure ulcers. d. Reinforce the need to be sensitive to the client.
The nurse is beginning an assessment of a newly admitted patient. What are some recommended comprehensive assessment approaches the nurses can use? (Select all that apply.)
a. Functional Health Patterns b. Nursing Diagnosis c. Problem-Focused Approach d. Nursing Intervention Classification e. Nursing Outcome Classification
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
A. "My sister has the same diagnosis as you and she also hears voices." B. "I understand that the voices seem real to you, but I do not hear any voices." C. "Why not turn up the radio so that the voices are muted." D. "I wouldn't worry about these voices. The medication will make them disappear."
The nurse is concerned that a patient is at increased risk for developing cancer. What did the nurse assess to come to this conclusion?
A. Age 50, employed as a computer technician, uses the fitness center five times a week B. Age 52, plays tennis twice a week, no alcohol intake, occasionally smokes a cigarette C. Age 45, premenopausal, not planning to use hormone replacement therapy D. Age 51, spouse deceased, downsized from employment, history of back and leg pain