Exam 1: Basic Care

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A nurse is caring for a client with an enlarged prostate. The client has difficulty voiding. Physical assessment notes a distended bladder with residual urine. When performing intermittent catheterization, which of the following is an inappropriate technique to ease the insertion:

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C

Janis Long, an 88-year-old client, is in an advanced stage of dementia. On a particularly busy day, the nurse decides to fit a bed exit safety monitoring device on the client. The following statements are benefits of this device, except:

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A

Tony Smith is an elderly client who suffered from a left hemisphere cerebrovascular accident two weeks ago. The nurse is assessing Mr. Smith for complications of prolonged immobility. Which of the following complications is least likely to be responsive to exercise?

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D

A nurse reviews information about different therapeutic diets. The nurse knows that which of the following statements is inaccurate?

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Which of the following best describes the recommended diet for the client with Meniere's syndrome?

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A client with chronic sinusitis suffers from poor ventilation due to the narrowing or obstruction of the nasal passageways. The nurse understands that poor ventilation can lead to poor nasal drainage. The nurse does NOT include which of the following comfort care measures for this client?

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A nurse is performing passive range of motion exercises on a client who had a lacunar cerebrovascular accident nine days ago. While moving the left arm, the affected extremity, the nurse notes muscular spasticity. What is the nurse's next action?

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A client with sleep apnea is prone to unexplained fatigue due to poor sleep quality. A female client reports increased daytime sleepiness. During the sleep study, the physician notes that the client's chest movement and airflow cease during apneic episodes. These findings strongly suggest that the client has which type of sleep apnea?

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