A client is being discharged postsurgery. Which information provided by the client requires additional instruction by the nurse?

Call the pharmacy to see which medications should be taken.

Verify that a follow-up appointment has been scheduled.

Notify the healthcare provider (HCP) if a fever develops.

Use movement techniques taught by the physical therapists.

Answer and Explanation

The Correct Answer is A

A. Call the pharmacy to see which medications should be taken indicates a misunderstanding of discharge instructions. The client should already have a clear understanding of their prescribed medications before discharge, including dosage, timing, and purpose. This responsibility lies with the healthcare provider or nurse, not the pharmacy, and the nurse should provide additional clarification.

B. Verify that a follow-up appointment has been scheduled is appropriate and demonstrates that the client understands the importance of follow-up care to monitor recovery and address any complications.

C. Notify the healthcare provider (HCP) if a fever develops is a correct action, as fever may indicate infection, a common postoperative complication that requires prompt attention.

D. Use movement techniques taught by the physical therapists reflects proper understanding of postoperative mobility instructions, which are crucial for preventing complications such as blood clots and for supporting recovery.

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Correct Answer is A

Explanation

A. The client will adhere to the medication regimen after discharge is an appropriate outcome statement because it is specific to the client's need to manage hyperglycemia with insulin therapy postoperatively. This outcome addresses the necessity of learning self-injection techniques and adhering to the prescribed regimen.

B. The client attempts to self-administer insulin but is unable to perform injection is not an appropriate outcome statement because it does not reflect a desired or achievable goal. It implies failure rather than a measurable improvement.

C. The client will demonstrate ability to change the ostomy bag in two days is relevant to the colostomy care but does not address the immediate need for managing hyperglycemia with insulin therapy.

D. The client's breath sounds will be auscultated by the nurse every 4 hours is a task-oriented intervention rather than a client-centered outcome statement.

A. Adjust the flow rate to the prescribed liters per minute. B. Assess the position of the mask on the client's face. C. Attach the flowmeter to a humidification canister. D. Release and reinsert the flowmeter in the wall outlet.

Correct Answer is D

Explanation

A. Adjust the flow rate to the prescribed liters per minute is not the first action to take. The loud hissing sound indicates a potential issue with the connection of the flowmeter, so the nurse should first address that before adjusting the flow rate.

B. Assess the position of the mask on the client's face is important, but the loud hissing sound suggests a problem with the oxygen delivery system rather than with the mask itself. The nurse should check the flowmeter connection first.

C. Attach the flowmeter to a humidification canister is unnecessary unless the prescription specifically includes humidification. The priority is to ensure the flowmeter is properly inserted into the wall outlet and the oxygen system is functioning correctly.

D. Release and reinsert the flowmeter in the wall outlet is the correct action. The loud hissing sound may be caused by an improper or loose connection between the flowmeter and the wall outlet. The nurse should ensure the flowmeter is securely attached to prevent leakage and ensure proper oxygen delivery.

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A client is being discharged postsurgery. Which information provided by the client requires additional instruction by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

When initiating oxygen per mask to a client who is short of breath, the nurse hears a loud hissing sound after inserting the flowmeter into the wall outlet. Which should the nurse do next?

Correct Answer is D

Explanation

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