Blog

A nurse is caring for a client admitted with an acute inflammatory disorder. The nurse reviews the client’s laboratory results to determine which findings are most important to trend over time to evaluate the severity of inflammation and response to treatment. Which two laboratory results should the nurse prioritize?

A nurse is providing caregiver teaching to the spouse of a 69-year-old client with middle-stage Alzheimer’s disease. The spouse reports the client has recently become lost while driving, makes poor decisions at work, and becomes agitated and yells when she tries to explain things. Which communication strategies should the nurse recommend to help the spouse communicate more effectively with the client? Select all that apply.

A nurse assesses a client with an acute ankle sprain and notes localized redness and warmth at the injury site. The nurse recognizes these findings as classic manifestations of the inflammatory response. Which physiologic change in the inflammatory process is responsible for these findings?

During a home health visit, the nurse assesses an older adult client who reports decreased appetite and recent weight loss. The nurse is considering the nursing diagnosis Imbalanced Nutrition: Less Than Body Requirements. Which assessment finding would NOT support this nursing diagnosis?

A nurse is providing teaching to the spouse of a 70-year-old client who was recently diagnosed with probable Alzheimer’s disease after experiencing progressive short-term memory loss, difficulty performing calculations, and word-finding problems over the past year. Which statements made by the spouse indicate a need for further teaching about Alzheimer’s disease? Select all that apply.

A public health nurse is planning a community education program focused on nutritional strategies to reduce modifiable risk factors for cardiovascular disease. Which topics should the nurse include in the teaching? Select all that apply.

The home health nurse is visiting an older client with a terminal illness for a routine medication check. The nurse determines that the client has declined since the last home visit. The nurse suggests that the client should be transported to the hospital; however, the family members state that they want the client to stay in the home. Which action by the nurse is most appropriate?

An older adult client whose spouse died 6 months ago tells the nurse stories about the deceased spouse. When care has been completed, the client thanks the nurse for listening and states, “My children will not listen to these stories.” From which type of intervention would this client most likely benefit?

 A hospital has created a culture of safety by providing organizational support for safety initiatives and by training and encouraging healthcare employees in the area of safety. What other step is needed to promote safety for everyone in the healthcare environment?

A nurse is planning care for a hospitalized client who has limited mobility and is at high risk for developing pressure injuries. The nurse reviews interventions to include in the client’s plan of care to maintain skin integrity. Which interventions should the nurse include? Select all that apply.