Identify the nursing action that is most appropriate when the nurse assesses a small amount of clear, watery fluid oozing from the nose of a client who received a blow to the head in a barroom fight
a. Encourage the client to blow his nose to clear the sinuses.
b. Use a dipstick to test the drainage for glucose.
c. Keep the client's head flat.
d. Ask the client about what type of object he was struck with.
B
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A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family?
a. Nuclear b. Blended c. Alternate d. Extended
During a nursing assessment, an older adult tells the nurse about increasing loss of balance. Further assessment indicates musculoskeletal changes
Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance? a. Exercise with light weights. b. Stand on one foot at a time while sup-ported. c. Train with the use of sit-ups. d. Work out in a swimming pool.
A listening model such as GRRRR (Greeting, Respectful Listening, Review, Recommend or Request More Information, and Reward) is especially helpful in organizations where disruptive behavior, toxic environments, and power struggles interfere with listening. What portion of the model is being used when the speaker summarizes the information conveyed to make sure the message was understood correctly?
A) Greeting B) Respectful Listening C) Review D) Recommend or Request More Information
A nurse practitioner uses cognitive therapy with depressed clients. The nurse asks clients to keep a daily record of dysfunctional thoughts
Which of the following are appropriate nursing replies to a client questioning the purpose of this exercise? Select all that apply. A. "The purpose of this exercise is to identify automatic thoughts." B. "The purpose of this exercise is to identify rational alternatives." C. "The purpose of this exercise is to modify cognitive errors." D. "The purpose of this exercise is to eliminate irrational beliefs." E. "The purpose of this exercise is to monitor thoughts related to self-esteem."