A nurse applies padded boots to maintain the foot in dorsiflexion on a client who is comatose. The nurse is protecting the client from
A) Decubitus ulcers
B) Pooling of blood
C) Blood pressure changes
D) Foot drop
Ans: D
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A young client experiences nausea and vomiting after eating peanut butter. Which additional symptom should indicate to the nurse that the client is experiencing an allergic reaction?
a. Hives b. Diarrhea c. Constipation d. Abdominal bloating
The nurse managers of a home health care office wish to maximize nurses' freedom to characterize and record client conditions and situations in the nurses' own terms. Which of the following documentation formats is most likely to promote this goal?
A) Narrative notes B) SOAP notes C) Focus charting D) Charting by exception
The person is hard to arouse during:
a. Stage 1 of NREM sleep b. REM sleep c. Insomnia d. Sleepwalking
An Asian-American client explains to the nurse that eating two specific foods will restore the balance of hot and cold and she will be cured. The nurse should:
1. Explain that foods cannot cure mental disorders 2. Arrange for the client to talk with the dietitian 3. Change the subject to focus on medication compliance 4. Reflect that cultural beliefs about illness die slowly