When the client sits about 5 feet away from the nurse during the assessment interview, the nurse interprets that the client views the nurse as a:
A. Safe person to interact with
B. New friend
C. Stranger
D. Peer
Ans: C. Stranger
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A client with a colostomy is concerned with the odor that is left on the ostomy appliance and believes it may be caused by some of the medication that they take
What suggestion should the nurse provide to the client to determine if her medication is causing this problem? A) The client should abstain from her medications, reintroducing them one at a time to see which one is causing the odor. B) The client should abstain from taking any over-the-counter vitamin preparations because they are most likely the offending medication. C) The client can obtain a list of drugs from an ostomy association or appliance manufacturers. D) All colostomies have an offensive odor, and it is probably not the medication that is causing it.
A nurse is encouraging a client diagnosed with multiple sclerosis to engage in a regular exercise program. This recommendation is based on the knowledge that exercise will help the client manage: Select all that apply
1. Fatigue. 2. Muscle spasticity. 3. Constipation. 4. Infection exposure. 5. Obesity.
The nurse is caring for a woman who informs the nurse that she needs assistance to remove and clean her glass eye. What actions by the nurse are most appropriate to accomplish the task?
A) Apply pressure over the eye with your index finger and thumb under the eye. B) Pull up the upper lid and place your index finger under the glass edge. C) Pull the inner canthus toward the bridge of the nose and lift under the glass. D) Pull down on the lower lid and exert slight pressure below the lid.
The indicated time is 
A. 1555. B. 0350. C. 11:20 a.m. D. 11:20 p.m.