A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. The charge nurse should identify that which of the following discharge instructions written by the newly licensed nurse indicates understanding of the teaching?
Take oxycodone 10 mg q6h PRN for pain.
Report pus-like drainage from the wound.
Resume Na-restricted diet.
Perform quadriceps setting exercises when supine.
The Correct Answer is B
Rationale:
A. This option is incorrect because using the abbreviation “q6h PRN” may be confusing for some clients. Discharge instructions should be written in plain language, specifying “take every 6 hours as needed for pain” to ensure understanding and reduce the risk of medication errors.
B. This option is correct because instructing the client to report pus-like drainage from the surgical wound is clear, specific, and actionable. It communicates a warning sign of potential infection that requires immediate attention, which is essential for safe postoperative care. This demonstrates the nurse’s understanding of effective discharge instruction principles.
C. This option is incorrect because a sodium-restricted diet is not typically indicated for a client after arthroplasty unless there is a coexisting condition such as hypertension or heart failure. Including unnecessary instructions can confuse the client and reduce adherence to relevant care directives.
D. This option is incorrect because while quadriceps setting exercises are part of postoperative rehabilitation, specifying the position “when supine” may be too technical. Discharge instructions should focus on functional, easily understandable instructions that the client can safely perform at home.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. This option is incorrect because an assisted living facility provides long-term housing with support for activities of daily living, but it is not designed to offer short-term relief for a caregiver managing a terminally ill client at home.
B. This option is incorrect because social services can provide guidance on resources and financial assistance, but they do not provide direct, temporary care for the client while the primary caregiver attends to personal needs.
C. This option is incorrect because a spiritual support person can provide emotional and spiritual guidance but does not offer physical care or supervision for the client.
D. This option is correct because respite care provides temporary relief for primary caregivers by offering short-term, supervised care for the client. This allows the caregiver to attend personal errands, rest, or manage other responsibilities while ensuring the client continues to receive safe, quality care at home. Respite care is especially important for caregivers managing clients with advanced illnesses.
Correct Answer is ["B","C","D","E"]
Explanation
Rationale:
A. This option is incorrect because documenting all nursing interventions only at the end of the day can lead to omissions, inaccuracies, and potential errors. Timely documentation after each intervention ensures accuracy, accountability, and legal compliance.
B. This option is correct because completing small tasks first can help reduce the overall workload and create momentum for managing more complex tasks. It also prevents minor tasks from accumulating and interfering with priority care.
C. This option is correct because organizing tasks around the priority needs of clients ensures that care is delivered safely and effectively. Addressing urgent or high-priority needs first helps prevent complications and promotes positive client outcomes.
D. This option is correct because creating a list of planned activities allows the nurse to visualize the workload, plan efficiently, and track completed and pending tasks, which improves time management and organization.
E. This option is correct because delegating appropriate tasks to assistive personnel maximizes efficiency, allows the nurse to focus on higher-priority or more complex interventions, and ensures timely completion of care for all clients.
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