The nurse planning care for a client realizes that the developmental stage that is crucial for identity development is:
a. young adult. c. preschool age.
b. infancy. d. adolescence.
ANS: D
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A client is admitted with mixed respiratory and metabolic acidosis secondary to bronchitis and diabetic ketoacidosis. The nurse evaluates that teaching about the client's confusion was effective when a family member makes which statement?
a. "It is too early to tell if the ketoacidosis will cause permanent changes." b. "Her memory will improve, but loss of some brain cells has occurred." c. "The confusion should clear when oxygen and electrolyte levels are normal." d. "The confusion should clear when blood glucose levels and other laboratory tests are normal."
A patient comes into the emergency department with suspected appendicitis. What should the nurse do for this patient?
1. Provide a hot water bottle to place over the abdomen. 2. Provide with clear water to drink. 3. Inspect the abdomen and assess bowel sounds. 4. Prepare to administer a biscodyl (Dulcolax) suppository.
In treating cancer, the primary purpose of administering drugs according to a protocol or regimen of several drugs at a time is:
a. there is a more pronounced effect of the drugs on the cancer than if the drugs were used alone. b. the drugs have different side effects that counteract each other, thereby decreasing toxicity. c. since there is no definitive cure for cancer, it is best to use several at once to try to find one that will work. d. this type of intense treatment gets the toxicities over in a shorter period of time than giving the drugs sequentially.
A nurse is initiating a discussion about alcohol consumption during a physical exam with a teenager. Which of the following questions would be most appropriate for the nurse to ask?
a. So, what do you and your friends do for fun and excitement? b. Do you have access to alcohol? c. Do any of your friends drink? d. Do you want to talk about alcohol or drinking?