A client arrives in the physician’s office complaining of insomnia, decreased appetite, and weight loss due to a recent job loss. The physician diagnoses the client with generalized anxiety disorder and prescribes two common antianxiety medications. The client expresses concern to the nurse about taking medication for the symptoms and asks about alternatives for treating the anxiety. The nurse’s best action is to:

The nurse is administering medication to an elderly client who has no visitors. The nurse enters the room, quickly giving the client a cup of medications and pouring some water. The client takes the pills and, as the client hands the medication cup back to the nurse, grabs onto the nurse’s hand tightly. What is the most logical rationale for the client’s action?

Which complication of immobility is most potentially life-threatening?

A client has just been admitted to the medical surgical floor after having a total knee replacement. The nurse is reviewing the admission orders from the surgeon and notes the following order: “Please set up trapeze bar on hospital bed.” What is the best definition of a trapeze bar?

A client has arrived in the preoperative area for knee surgery. The nurse asks the client to put an elastic stocking on the nonoperative leg. The client asks the nurse the purpose of the stockings. The nurse’s best response is:

Which statement best describes instrumental activities of daily living (IADL)?

The nurse is receiving shift report on a client. The client has a urinary catheter with a closed urinary drainage system. Which sites have the greatest potential for introducing infection in the closed urinary drainage system?

A client was admitted to the medical unit after having abdominal surgery. The nurse questioned the client during the morning assessment about the passage of flatus. The client stated that flatus had been passed early in the morning. In anticipation of defecation, what is the most important instruction for the nurse to give the client?

Which part of the kidney forms the urine?

A client has just returned home and the hospice nurse is visiting for the first time. The client complains of a lot of pain. In addition to the physician and the nurse, what member of the care team will assist in providing comfort therapies for this client?

A client has a broken lower leg with a nonweightbearing cast. Which crutch gait would be most appropriate for the nurse to teach?

A client has just been admitted to the medical unit and the nurse is performing an initial physical assessment. The nurse finds that the client has difficulty hearing questions. The nurse also notices an empty glasses case that was sent up with the client from the emergency department. Based on this information, which action should first be taken by the nurse?

A client is being discharged from the hospital. The client has an unsteady gait and has weakness in the right leg. What assistive device would be most appropriate for the client?

A client with a recent ACL reconstruction has just received education on crutch use and safety. Which statement best indicates that the client has a complete understanding of the education?

According to traditional Chinese medicine, what is defined as the vital energy of the human body?

Which patient would benefit most from a quad cane?

Which client would benefit most from therapeutic touch therapy?

Which type of therapy uses substances found in nature?

What is the main goal of herbal therapy?

A client is having a CAT scan and is worried about being in an enclosed space for the test. The client also states that antianxiety medications cause confusion. The client asks if there are other ways of helping control the fear while the scan is being done. The client reports attending yoga classes and finds guided imagery very relaxing. What is the nurse’s best action to take with this client?

A client has just been admitted to the intensive care unit (ICU) and is chemically sedated and paralyzed. What is the best description of the precautions that need to be taken to prevent skin breakdown in this client?

A client presents to the emergency department (ED) via ambulance with SOB for the past 3 days. After spending 4 hours in the ED, the client is admitted to the intensive care unit (ICU) with pulmonary edema requiring intubation and ventilation. The ED nurse reports to the ICU nurse that a Foley catheter was placed and that the client has had a total of 25 mL of urine output. The labs from the ED reveal (1) BG of 300, (2) BUN of 100, and (3) creatinine of 5.0. The client has a medical history of CAD, CHF, diabetes, COPD, and asthma. What is the most likely cause of the client’s low urine output?

An elderly client is complaining if increasing trips to the bathroom to urinate. The client’s estimated coffee intake is 3 cups per day. What is the best explanation the nurse can provide to the client?

Which client would most benefit from an integrative medicine health care strategy?

A client arrives at the physician’s office with a history of heart failure,coronary artery disease,fibromyalgia and hypertension. The client complains of weight gain of 5 pounds in the past week with ankle swelling. The client also reports unresolved pain in the neck, back, shoulders, hips, and knees despite the alternated use of ibuprofen and acetaminophen for pain. The pain has led to feelings of constant fatigue and anxiety. Vital signs are: 130/85-75-24-36.0 degrees centigrade. The physician prescribes additional furosemide (Lasix) and potassium (K-dur) and adds carvedilol (Coreg) to the client’s medication regimen. What suggestion should the nurse make to the physician that would be most helpful in resolving the symptoms listed above which were not addressed by the physician?

A client is complaining of pain rated an 8 out of 10 on the numeric pain scale. The nurse administers an oral pain medication to the client and starts a CD of the client’s favorite relaxing music. Fifteen minutes later, the client rates the pain as 2 out of 10 on the numeric pain scale. What type of nonpharmacologic pain relief intervention has the nurse used?

A client has come to the physician’s office complaining of recent constipation. The nurse takes a health history. Which statement made by the client suggests a likely cause of the constipation?

A client needs crutches. How does the nurse choose the correct size?

A client is admitted to the hospital with a blood pressure of 85/53 mm Hg and is complaining of light-headedness and near syncope. The client’s current medications include carvedilol (Coreg), amiodarone (Cordarone), warfarin (Coumadin), lanoxin (Digoxin), furosemide (Lasix), potassium (K-Dur), and a daily vitamin. The client also reports using both St. John’s wort and cat’s claw. Based upon this information, what is the nurse’s best action?

The nurse at the beginning of the shift is assessing a client. The nurse notes the client has a Foley catheter connected to a collection bag. What are the best routine catheter care actions for the nurse to take while caring for this client?