A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?

A family whose head of household lost their job.

A family whose house was destroyed in a fire.

A family whose only child recently died due to cancer.

A family whose oldest child is moving away for college.

Answer and Explanation

The Correct Answer is D

A.   This represents a situational loss, as it is related to external circumstances such as economic changes.
B.   This also represents a situational loss, as it involves the loss of material possessions.
C.   This is a situational loss, specifically a loss of a loved one, which is different from a maturational loss. It is unexpected and occurs due to an external event or situation.
D.   This is an example of a maturational loss, as it involves a normal life transition that brings about feelings of loss and adjustment.

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Correct Answer is A

Explanation

A. A respiratory rate of 7/min is below the normal range and may indicate opioid- induced respiratory depression, which is a life-threatening complication requiring immediate intervention.
B. While important, a distended bladder does not pose an immediate threat to the client's life compared to respiratory depression.
C. Constipation is a common side effect of opioid medications but does not require immediate intervention unless accompanied by severe symptoms such as fecal impaction or bowel obstruction.
D. Pain management is important, but respiratory depression takes priority as it can lead to respiratory arrest and death.

A. "Disconnect the drainage tube if the catheter requires irrigation." B. "Keep the collection bag below bladder level." C. "Use a size 20 French catheter for catheterization." D. "Allow the drainage bag to fill completely before emptying

Correct Answer is B

Explanation

A. Disconnecting the drainage tube can introduce bacteria and increase the risk of infection.
B. Maintaining the collection bag below the level of the bladder prevents backflow of urine and reduces the risk of infection.
C. Catheter size selection is based on individual client factors and is not directly related to infection prevention.
D. Allowing the drainage bag to overfill increases the risk of backflow and infection.

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A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who received morphine for severe pain 30 min ago. Which of the following findings is the nurse's priority?

Correct Answer is A

Explanation

A charge nurse is teaching a group of nurses about decreasing the risk for catheter- associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?

A nurse is teaching a client about stress management techniques. Which of the following client statements indicates an understanding of the teaching?

A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?

A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

A nurse is preparing to document in the client's medical record. The nurse should identify that which of the following abbreviations are specified by The Joint Commission for placement on a facility's Do Not Use list? (Select all that apply.)

A nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect?

A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?

A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?