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Practice Question

The home health nurse is caring for an older adult woman living alone at home who is incontinent of urine and changes her adult diaper (pad) daily. Which of the following nursing diagnoses is the most appropriate for this client?

Answer Choices:

Correct Answer:

Risk for impaired skin integrity

Rationale:
Urine incontinence increases the risk of skin breakdown due to prolonged moisture exposure.
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This question is from ADR111 EXAM 1 FALL 2024 which contains 75 questions.

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The nurse is providing care to a pregnant woman who speaks a different language from that of the nurse. When communicating with this client, the nurse demonstrates best practice by which action?

Answer Choices:

A. Arranging for an interpreter to be present during any communication
B. Speaking to the client in a loud voice at a slow pace
C. Standing close to the client while using a strong emphatic tone
D. Having a family member communicate the information to the client
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A 7-year-old child admitted with chronic pain asks the nurse if the pain will ever go away. The nurse utilizes therapeutic communication by saying.

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A. "I know it must hurt, but if you tell me when it does, I will try to make it hurt a little less."
B. "The pain will go a yay if you go to sleep."
C. "Try your best not to think about it and give the pain medicine time to work."
D. "Whenever you need more pain medicine, push the call button and I will bring you some."
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A client is discussing weight loss with a nurse. The client says, "I will not eat for 2 weeks, then I will lose at least 10 lb. (4.5 kg)." What would the nurse state to the client?

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A. "That will decrease your metabolic rate and make weight loss more difficult."
B. "What a good idea. Go ahead. That will jump start your weight loss!"
C. "Many people find that to be an ideal way to lose weight quickly and easily."
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A nurse is assessing the skin of an older adult. Which assessment finding is the greatest concern?

Answer Choices:

A. Prolonged tenting of the skin
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From Exam
ADR111 EXAM 1 FALL 2024

75 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Answer Choices: 4
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