A client has chronic obstructive pulmonary disease. She is slowly losing weight, and her daughter is very concerned about increasing her nutrition. The nurse helps the daughter devise a plan of care for her mother. The plan of care should include which of the following interventions to promote nutrition?

• A.Offer her oral hygiene before and after meals.
• B.Encourage her to consume milk products.
• C.Encourage her to engage in an activity before a meal to stimulate her appetite.
• D.Restrict her fluid intake to three glasses of water a day.

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A female client has just died. Her family is requesting that all nursing staff leave the room. The family's religious leader has arrived and is ready to conduct a ceremony for the deceased in the room, requesting that only family members be present. The nurse assigned to the client should perform the appropriate nursing action, which might include:

• A.Inform the family that it is the hospital's policy not to conduct religious ceremonies in client rooms.
• B.Refuse to leave the room because the client's body is entrusted in the nurse's care until it can be brought to the morgue.
• C.Tell the family that they may conduct their ceremony in the client's room; however, the nurse must attend.
• D.Respect the client's family's wishes.

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A 70-year-old female client is admitted to the medical intensive care unit with a diagnosis of cerebrovascular accident (CVA). She is semicomatose, responding to pain and change in position. She is unable to speak or cough. In planning her nursing care for the first 24 hours following a CVA, which nursing diagnosis should receive the highest priority?

• A.Ineffective airway clearance related to immobility, ineffective cough, and decreased level of consciousness
• B.Altered cerebral tissue perfusion related to pathophysiological changes that decrease blood flow
• C.Potential for injury related to impaired mobility and seizures
• D.Impaired verbal communication related to aphasia

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At 38 weeks' gestation, a client is in active labor. She is using her Lamaze breathing techniques. The RN is coaching her breathing and encouraging her to relax and work with her contractions. Which one of the following complaints by the client will alert the RN that she is beginning to hyperventilate with her breathing?

• A."I am cold."
• B."I have a backache."
• C."I feel dizzy."
• D."I am nauseous."

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A diagnosis of hepatitis C is confirmed by a male client's physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and
C. Which of the following are characteristics of hepatitis C?

• A.The potential for chronic liver disease is minimal.
• B.The onset of symptoms is abrupt.
• C.The incubation period is 2-26 weeks.
• D.There is an effective vaccine for hepatitis B, but not for hepatitis C.

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