A nurse is teaching a client how to perform her own insulin injections. Which of the following should the nurse assess first to determine the client's experiential readiness to learn?
a. Culture and ethnic background
b. Educational ability
c. Family structure
d. Home environment
ANS: B
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During a routine health examination, a client reports concern about her potential for the development of heart disease. During the assessment, the nurse reviews the client's risk factors
Which of the client's risk factors are considered modifiable? 1. Age, heredity, and weight. 2. Family history, self-history of diabetes mellitus type 1, and age 3. Weight, dietary intake, and environmental risks. 4. Biological characteristics, lifestyle factors, and family history.
Psychosis is a severe mental illness characterized by what?
A) Disordered thought B) Increased social interaction C) Hypoactivity with aggressiveness D) Paranoid hallucinations
The nurse has received a client immediately after surgery for head and neck cancer. The client has a tracheostomy that was created during the surgery, and is being mechanically ventilated
What nursing action should be planned for this client? A) Remove the tracheostomy ties and replace them with an elastic bandage. B) Remove the tracheostomy inner cannula. C) Deflate the cuff of the tracheostomy tube for 5 minutes every 2 hours. D) Tape the tracheostomy obturator to the head of the bed.
During well-child clinic, the nurse suspects depression in an 8-year-old child who has which of the following symptoms?
A) He or she expresses boredom and watches TV but cannot remember what was watched. B) He or she likes to collect baseball cards and plays on a baseball team. C) He or she talks excessively and brags about the ability to play baseball. D) He or she enjoys playing the piano and going to dance class.