The nurse says to the client, "You become very anxious when we start talking about your drinking." Which of the following techniques is the nurse using?
A) Confronting behavior
B) Making an observation
C) Translating into feelings
D) Verbalizing the implied
B
Feedback: The nurse is stating what he or she sees; the client can validate it or reject it. The nurse is not confronting the behavior in this situation. The nurse is neither translating the message into feelings, nor verbalizing the implied.
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The nurse is preparing to perform an abdominal assessment of a newly admitted patient. When performing an abdominal assessment, what examination sequence should the nurse follow?
A) Inspection, auscultation, percussion, and palpation B) Inspection, auscultation, palpation, and percussion C) Inspection, percussion, palpation, and auscultation D) Inspection, palpation, percussion, and auscultation
A client with an above-the-knee amputation asks the nurse why he has a prosthesis so soon after surgery. The nurse explains that the advantage of immediate prosthesis fitting postamputation is:
A) client's ability to ambulate sooner. B) less frequent dressing changes. C) better fit of the prosthesis. D) decreased chance of phantom limb sensation or pain.
A condition in which a client appears starved and weighs less than 80% of ideal body weight but has a normal serum albumin level is:
1. marasmus. 2. kwashiorkor. 3. anorexia nervosa. 4. acute starvation.
The nurse notes edema in the hands and legs of an elderly hospitalized client who appears undernourished. One of the things the nurse considers is that:
1. The client has been drinking large amounts of water to prevent feelings of hunger. 2. Thyroid hormones are out of balance. 3. The kidneys are failing, causing fluid retention. 4. Lack of adequate protein is causing a fluid shift.