The nurse, preparing to administer eardrops to a client, questions the order because of which of the following assessment findings?
a. The client states he is hard of hearing.
b. The client's tympanic membrane is perforated.
c. The client has wax in the ear.
d. The client states he has an earache.
ANS: B
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Rob, a 15-year-old, has lost 30 pounds in 3 months. Rob is 6 feet tall and weighs 110 pounds. He is aspiring to be a model and he tells you that he is fat: "Just look at how puffy my feet and arms still are. I have to get rid of the fat there."
The nursing diagnosis based on this information is: A. Body image disturbance: distorted perception. B. Knowledge deficit: nutritional requirements. C. Altered nutrition, more than body requirements. D. Potential for suicide.
Sandy is a school nurse who is going to a high school to educate a group of juniors and seniors on HIV today. Included in her seminar for this group of high school students, she will discuss the following:
a. How is HIV transmitted? b. How to prevent the spread to others? c. What is HIV?
A patient who is a recovering alcoholic says, "I haven't had a drink in 10 days. I think I am over the hardest part and will be okay now.". The nurse formulates a response based on which information?
1. Symptoms of postacute withdrawal syndrome begin about a month after the last drink. 2. Symptoms of postacute withdrawal syndrome peak from 3 to 6 months after the last drink. 3. The recovering alcoholic is never "okay" again. 4. It is easier to recover from cocaine abuse than from alcohol abuse.
The caring-civility link is best exemplified by which of the following?
a. Helping in disasters in foreign countries b. Conducting scholarly research into over-coming health-care disparities c. Accepting criticisms from physicians even though unjustified d. Making nursing assignments based on clients' needs and nurses' skills