The nurse assesses a client to have mild pitting edema of the lower extremities. The nurse would document this finding as being:
1. 0+.
2. 1+.
3. 2+.
4. 3+.
Question 2The nurse is caring for a client from the white American cultural group. Which of the following cultural considerations should the nurse ensure when providing care to this client?
1. There is minimal tolerance for delays so provide pain medication in a timely manner.
2. Submission to those in authority is a characteristic of this culture group.
3. Prayer is emphasized for prevention and treatment of health problems.
4. Illnesses are treated with hot or cold foods.
Question 3A female client of the Middle Eastern culture is admitted to a care area with both male and female nurses. Which of the following should be done to respect this client's cultural practices?
1. Assign only female nurses to care for the client.
2. Assign only male nurses to care for the client.
3. Assign either male or female nurses to care for the client.
4. Explain to the client that male nurses are more competent to provide care.
Question 4A client is demonstrating dizziness and lightheadedness upon standing. The nurse is concerned the client is experiencing postural hypotension when which of the following is assessed?
1. Lying BP 120/70 mmHg, P 70; standing BP 116/78 mmHg, P 78
2. Lying BP 116/64 mmHg, P 62; standing BP 94/58 mmHg, P 78
3. Lying BP 130/80 mmHg, P 84; standing BP 118/72 mmHg, P 90
4. Lying BP 126/74 mmHg, P 74; standing BP 108/62 mmHg, P 84
Question 5The nurse is instructing a 55-year-old client on ways to reduce the development of illnesses that are the leading cause of death for persons in the same age group. Which of the following is the nurse instructing this client?
1. Need to wear seat belts when operating a motor vehicle
2. Reduction of alcohol intake
3. Need for a annual mammogram, Pap smear, and colonoscopy every 10 years
4. Weight reduction
Question 6When the nurse is evaluating care for cultural considerations, which of the following should be done first?
1. Examine the plan of care.
2. Evaluate the outcomes of care.
3. Make revisions.
4. Review the goals and objectives set for the client.
Question 7A client tells the nurse that she began having a particular health problem around the onset of the Iraqi War. The nurse determines that the client is utilizing which of the following perceptions of time?
1. Life time
2. Social time
3. Historic time
4. Actual time
Question 8A client is diagnosed with fluid volume excess. Which of the following will the nurse most likely assess in this client?
1. Poor skin turgor
2. Jugular vein distention
3. Dry mouth
4. Increased heart rate
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