The nurse is performing a routine assessment of a male client who has an artificial arm as a result of a small plane crash many years earlier. How should the nurse best understand this client’s health?

When is the best time to evaluate one’s own teaching effectiveness?

A nurse is assessing a client who is anxious and states, “I am having difficulty focusing on things”. What type of pulse rate would be likely?

Which of the following statements, made by a senior citizen who has taken a class on stress reduction, would indicate to the nurse the need for further instruction?

Which are some strategies a new nurse can use to develop skills in achieving cultural competence? Select all that apply.

Cold temperatures and loud noises are stressors to one person but not another. Why does this occur?

The nurse is caring for a patient who has a continent ileostomy. Which intervention should the nurse add to the plan of care?

A client tells the nurse that he takes laxatives every day but is still constipated. The nurse’s response is based on:

A client in a physician’s office has a single blood pressure (BP) reading of 150/92. Should the client be told he has hypertension?

A nurse is caring for an older adult client in the emergency department. Which of the following findings require immediate follow-up? Select all that apply. Current vital signs: Temperature 39.3° C (102.8° F) Heart rate 93/min Respiratory rate 24/min Blood pressure 88/58 mm Hg Oxygen saturation 95% on room air Medical History: Older adult client, lives with family. Family states the client is normally alert and oriented but began to display confusion over the last 6 hr and has a new onset of incontinence. Client reports dizziness and constant low back and flank pain. Urinalysis: Appearance: cloudy                                                 Color: dark amber                                                    Odor: foul                                                                  pH: 8.0                                                                      Protein: 6.5 mg/dL                                                  Specific gravity: 1.035                                            Leukocyte esterase: positive                                 Nitrates: present                                                   Ketones: none                                                         Glucose: none                                                         White blood cells: 8                                            Red blood cells:  1