A client who fell and broke a wrist is admitted for 24-hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

Oral medications, including analgesics, are tolerated without vomiting.

Vital signs within normal limits and blood pressure of 142/94 mm Hg.

Pain rating of 5 on a 0 to 10 scale and taking oral analgesics every 4 hours.

Client is able to ambulate to the bathroom safely to void.

Bowel sounds are present in all four quadrants and abdomen is soft.

Answer and Explanation

Correct Answer : A,D

Choice A reason: Tolerating oral medications without vomiting is essential for discharge to ensure the client can manage pain and take necessary medications at home.

Choice B reason: While vital signs are important, the slightly elevated blood pressure alone may not prevent discharge if other criteria are met.

Choice C reason: A pain rating of 5 managed with oral analgesics is acceptable for discharge if the client can manage pain at home.

Choice D reason: Being able to ambulate to the bathroom safely is crucial for discharge to ensure the client can independently manage basic needs.

Choice E reason: Bowel sounds and a soft abdomen are important but are not the primary criteria for discharge in this context.

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Correct Answer is D

Explanation

Choice A reason: Using sterile water for gastric lavage is not relevant to maintaining normal growth and development.

Choice B reason: Physical therapy is not pertinent to the current medical situation of a 2-month-old infant awaiting surgery for hypertrophic pyloric stenosis.

Choice C reason: Ensuring placement of the nasogastric tube is necessary for decompression but does not directly address growth and development.

Choice D reason: Offering a pacifier for nonnutritive sucking helps provide comfort and supports the infant's natural sucking reflex, which is important for growth and development.

A. Research the religion on different social media platforms. B. Consult with a nurse who shares the same religious beliefs. C. Explain that every client will receive the same high level of care. D. Ask the client about individual care preferences.

Correct Answer is D

Explanation

Choice A reason: Researching the religion on social media is not a reliable or appropriate method for understanding individual care needs.

Choice B reason: Consulting with a nurse who shares the same religious beliefs may provide insight but does not address the specific concerns of the client.

Choice C reason: Explaining that every client receives the same high level of care does not address the client's individual religious needs and concerns.

Choice D reason: Asking the client about individual care preferences ensures that the nurse understands and respects the client's specific religious beliefs and practices.

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A client who fell and broke a wrist is admitted for 24-hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A client expresses concern about receiving proper care in accordance with the client's religion. Which action is best for the nurse to take?

Correct Answer is D

Explanation

A client who fell and broke a wrist is admitted for 24-hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

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