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A nurse in an emergency department is caring for a client.

Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicate an understanding of the discharge teaching?

Select all that apply.

"I will eat fish for dinner at least twice per week.".

"I will limit my morning coffee to no more than two cups.".

"I will eat small, frequent meals.".

"I should expect my bowel movements to be pale in color".

"I will notify my provider if my urine is dark.".

Answer and Explanation

Correct Answer : C,D,E

The correct answer is choice CDE.

Choice A rationale:

Eating fish for dinner at least twice per week is not specifically recommended for pancreatitis patients. A low-fat diet is generally advised, but the frequency of fish consumption is not a key point in discharge teaching.

Choice B rationale:

Limiting coffee intake is not a primary focus in pancreatitis discharge instructions. While caffeine can irritate the digestive system, the emphasis is more on avoiding alcohol and fatty foods.

Choice C rationale:

Eating small, frequent meals is recommended to avoid overloading the digestive system and to help manage symptoms of pancreatitis.

Choice D rationale:

Pale bowel movements can indicate a problem with bile flow, which is not a normal expectation for pancreatitis patients. This could suggest a complication that needs medical attention.

Choice E rationale:

Dark urine can be a sign of dehydration or liver issues, which should be reported to a healthcare provider as it may indicate a complication.

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Correct Answer is A

Explanation

The correct answer is choice A, hematuria.

Hematuria is the presence of red blood cells in the urine, which can make it appear pink or cola-colored. Hematuria is a common sign of glomerulonephritis, which is inflammation of the tiny filters in the kidneys (glomeruli) that remove waste and excess fluid from the blood.

Hematuria occurs because the inflamed glomeruli allow some blood cells to leak into the urine.

Choice B, polyuria, is wrong because polyuria is the production of abnormally large amounts of urine. Polyuria is not a typical feature of acute glomerulonephritis, which may actually cause reduced urine output due to fluid retention and decreased kidney function.

Choice C, weight loss, is wrong because weight loss is not a common symptom of acute glomerulonephritis. On the contrary, weight gain may occur due to fluid retention and edema (swelling) in the face, hands, feet and abdomen.

Choice D, hypotension, is wrong because hypotension is low blood pressure. Hypotension is not usually associated with acute glomerulonephritis, which may cause high blood pressure (hypertension) due to fluid overload and impaired sodium excretion by the kidneys.

Normal ranges for blood pressure are less than 120/80 mmHg for adults.

Normal ranges for urine output are about 800 to 2000 mL per day for adults.

Normal ranges for protein in the urine are less than 150 mg per day for adults. Normal ranges for red blood cells in the urine are less than 3 per high-power field for men and less than 5 per high-power field for women.

A. ECG results. B. Client's report of lack of food in home. C. client's report of lack of access to bank accounts. D. Clients avoidance of eye contact. E. Clients report of weight loss. F. Numerous bruises in various stages of healing.

Correct Answer is ["B","C","D","E","F"]

Explanation

Answer is B, C, D, E, F. These are the findings that suggest possible elder abuse or neglect.

B: Client’s report of lack of food in home. This may indicate neglect by the adult child who is supposed to provide adequate nutrition for the client.
C: Client’s report of lack of access to bank accounts. This may indicate financial abuse by the adult child who is controlling the client’s money without his permission.
D: Client’s avoidance of eye contact. This may indicate emotional abuse by the adult child who is intimidating or threatening the client.
E: Client’s report of weight loss. This may indicate neglect by the adult child who is not meeting the client’s basic needs or physical abuse by the adult child who is causing bodily harm to the client.
F: Numerous bruises in various stages of healing. This may indicate physical abuse by the adult child who is hitting or injuring the client.

A: ECG results. This is not a finding that suggests elder abuse or neglect. It is a diagnostic test that measures the electrical activity of the heart and can help detect cardiac problems. It does not provide information about the client’s social or emotional well-being.

Normal ranges for vital signs:.

Temperature: 36.1°C to 37.2°C (97°F to 99°F).
Heart rate: 60 to 100 beats per minute.
Blood pressure: less than 120/80 mm Hg.
Respiratory rate: 12 to 20 breaths per minute.
SpO2: 95% to 100% on room air. Table for BMI categories:

BMI	Weight Status
Below 18.5	Underweight
18.5 to 24.9	Normal
25.0 to 29.9	Overweight
30.0 and above	Obese

The client’s BMI is 18.3, which indicates he is underweight and may be malnourished or have a medical condition that causes weight loss.

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A nurse in an emergency department is caring for a client. Exhibits The nurse is preparing to discharge the client. Which of the following statements by the client indicate an understanding of the discharge teaching? Select all that apply.

Nursing Test Bank

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Correct Answer is A

Explanation

Correct Answer is ["B","C","D","E","F"]

Explanation

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A nurse in an emergency department is caring for a client.

Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicate an understanding of the discharge teaching?

Select all that apply.