How would a nurse document the condition in which a client has a normal state of awareness?

"Easily distracted, alternates between drowsiness and excitability."

"Disoriented, restless, agitated, hallucinating."

"Can't be aroused and does not respond to stimuli."

"Aware of self and environment."

Answer and Explanation

The Correct Answer is D

A normal state of awareness is characterized by being aware of oneself and one's surroundings. In this case, a nurse would document the client's condition as being "aware of self and environment" to indicate that the client has a normal state of awareness.

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Correct Answer is ["C","D"]

Explanation

When planning interventions to promote a client's appetite, it would be important to include providing a tidy, clean environment that is free of unpleasant sights or odors and encouraging or providing oral hygiene after mealtime in the client's plan. A pleasant and comfortable environment can help stimulate the appetite and make mealtime more enjoyable. Good oral hygiene can also help improve the taste of food and promote appetite. Unpleasant or uncomfortable treatments should not be performed before or after a meal as they may decrease the client's appetite. Providing unfamiliar food may not be helpful in promoting appetite as clients may prefer familiar and comforting foods.

A. This was an older client. B. The unit has a new wheelchair. C. The UAP had just returned from an extended leave of absence. D. It was the client's first time out of bed after surgery.

Correct Answer is D

Explanation

It would be inappropriate to delegate the unsupervised task of transferring a client from bed to chair to an unlicensed assistant (UAP) if it was the client's first time out of bed after surgery. In this situation, the client may have specific needs or limitations that require the expertise and assessment of a licensed healthcare provider. The nurse should supervise the transfer to ensure that it is performed safely and appropriately for the client's condition.

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How would a nurse document the condition in which a client has a normal state of awareness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When planning interventions to promote a client's appetite, which of the following would be included in the client's plan?

Correct Answer is ["C","D"]

Explanation

An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?

Correct Answer is D

Explanation

A nurse palpates the pulse of a client and documents the following: 6/6/12 pulse 85 and regular, 3+ and equal in radial, popliteal, and dorsalis pedis. What does the number "+3" represent?

While in the dining room at the hospital, the nurse notes a visitor has forceful coughs. Which actions would the nurse take to assist this visitor? Select all that apply:

Which of the following principles does the nurse use in selecting interventions for the care plan?

A nurse is educating a preoperative client on how to eﬀectively deep breathe. Which instruction would be included?

A nurse is providing care for a client who has recently been diagnosed with type 1 diabetes mellitus. To focus on aﬀective learning with this client, the nurse should use which of the following interventions?

Which of the following statements is true regarding types of health care agencies?