Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?
A. Show the client how to use an artificial larynx.
Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care, but determining the client's reading ability takes precedence as it will significantly impact communication options.
B. Arrange a support session for the client.
Arranging a support session is important for emotional support, but assessing the client's reading ability is more immediate in addressing communication needs.
C. Demonstrate the use of esophageal speech.
Demonstrating the use of esophageal speech is relevant, but understanding the client's reading ability is a priority before exploring communication alternatives.
D. Determine the client's reading ability.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Fundamentals Proctored Exam 6. Take the full exam now
Full Explanation
A. Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care, but determining the client's reading ability takes precedence as it will significantly impact communication options.
B. Arranging a support session is important for emotional support, but assessing the client's reading ability is more immediate in addressing communication needs.
C. Demonstrating the use of esophageal speech is relevant, but understanding the client's reading ability is a priority before exploring communication alternatives.
Similar Questions
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
A. Eat a light carbohydrate snack before bedtime.
Eating a light carbohydrate snack before bedtime can promote sleep by providing a small increase in insulin, which facilitates the entry of tryptophan into the brain, promoting the production of serotonin and melatonin.
B. Take a 30 min daily nap.
Taking a 30-minute daily nap, especially close to bedtime, may interfere with nighttime sleep.
C. Exercise 1 hr before bedtime.
Exercising 1 hour before bedtime can be stimulating and may disrupt sleep patterns.
D. Drink a cup of hot cocoa before bedtime.
Drinking a cup of hot cocoa before bedtime may not be recommended as it contains caffeine, which can interfere with sleep.
Full Explanation
A. Eating a light carbohydrate snack before bedtime can promote sleep by providing a small increase in insulin, which facilitates the entry of tryptophan into the brain, promoting the production of serotonin and melatonin.
B. Taking a 30-minute daily nap, especially close to bedtime, may interfere with nighttime sleep.
C. Exercising 1 hour before bedtime can be stimulating and may disrupt sleep patterns.
D. Drinking a cup of hot cocoa before bedtime may not be recommended as it contains caffeine, which can interfere with sleep.
A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)
A. Date of birth
Date of birth is a commonly used identifier to confirm the client's identity.
B. Diagnosis
Diagnosis is not an appropriate identifiers for confirming a client's identity.
C. Identification number
Identification number is a unique identifier assigned to each client, helping ensure accurate identification.
D. Name
Name is a fundamental identifier and should be used in combination with other identifiers to verify the client's identity.
E. Room Number
Room number is not an appropriate identifiers for confirming a client's identity.
Full Explanation
A. Date of birth is a commonly used identifier to confirm the client's identity.
B. Diagnosis is not an appropriate identifiers for confirming a client's identity.
C. Identification number is a unique identifier assigned to each client, helping ensure accurate identification.
D. Name is a fundamental identifier and should be used in combination with other identifiers to verify the client's identity.
E. Room number is not an appropriate identifiers for confirming a client's identity.
A nurse is caring for a client who is having palliative surgery. Which of the following should be included in the nurse's instruction?
A. "You will be more comfortable after you have surgery."
Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease. Therefore, informing the client that they will be more comfortable after surgery is an appropriate instruction.
B. "The surgery will give your provider more information about the disease."
Palliative surgery may not necessarily provide more information about the disease.
C. "The surgery will restore function."
Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery.
D. "Your disease will hopefully be cured after the surgery."
Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.
Full Explanation
A. Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease. Therefore, informing the client that they will be more comfortable after surgery is an appropriate instruction.
B. Palliative surgery may not necessarily provide more information about the disease.
C. Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery.
D. Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.