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A nurse in an outpatient clinic is caring for a client

Vital Signs
BP 124/68 mm Hg
Heart rate 80/min

Temperature 37° C (98.6° F) Respiratory rate 16/min Weight 67.1 kg (148 lb)

Which of the following statements should the nurse include in the client's teaching?

Select all that apply.

Try using an abdominal support belt

Take hot showers to help relieve itching"

"Wear loose-fitting clothing"

"Eat two large meals a day."

You should avoid fried foods"

Answer and Explanation

Correct Answer : C,D,G

Choice A reason:

"Try using an abdominal support belt". This statement is incorrect. There is no indication or relevance for using an abdominal support belt based on the vital signs and weight provided. This statement is not appropriate for the client's teaching.

Choice B reason:

"Take hot showers to help relieve itching" This statement is incorrect. Itching is not mentioned in the vital signs and weight provided. Additionally, taking hot showers might not be relevant to the client's condition or needs. This statement is not appropriate for the client's teaching.

Choice C reason:

"Wear loose-fitting clothing" This is an appropriate statement for the client's teaching. Wearing loose-fitting clothing can provide comfort and allow better circulation, which might be helpful for some clients.

Choice D reason:

"Wear flat or low-heeled shoes" This is an appropriate statement for the client's teaching. Wearing flat or low-heeled shoes can help provide comfort and support, especially if the client has any foot or back issues.

Choice E reason:

"You can douche twice weekly." Douche is not relevant to the vital signs and weight provided, and it is generally not recommended for routine use as it can disrupt the natural balance of vaginal flora. This statement is not appropriate for the client's teaching.

Choice F reason:

"Eat two large meals a day." This statement does not align with a healthy eating pattern, and it might not be appropriate for the client's health needs. The recommendation for a balanced diet usually includes several smaller meals throughout the day. This statement is not appropriate for the client's teaching.

Choice G reason:

"You should avoid fried foods." This is an appropriate statement for the client's teaching. Avoiding fried foods can be beneficial for overall health, especially if the client is trying to manage weight or maintain a balanced diet.

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Correct Answer is B

Explanation

A. Biological response modifiers are medications used to treat autoimmune diseases like rheumatoid arthritis, not to prevent infection.

B. Taking a hot shower in the morningcan help decrease stiffness and improve joint mobility for people with rheumatoid arthritis.

C. Clustering physical activities during the day can cause fatigue and joint stress for people with rheumatoid arthritis. It is better to pace activities throughout the day and take frequent breaks to rest the joints.

D. Cold packs can help reduce inflammation and pain, but they should be applied with a cloth barrier to protect the skin from direct contact.

A. Take a 1-hr nap during the day. B. Perform exercises prior to bedtime. C. Eat a light snack before bedtime. D. Stay in bed at least 1 hr if unable to fall asleep.

Correct Answer is C

Explanation

A. Incorrect. Napping for an hour during the day can disrupt nighttime sleep.

B. Incorrect. Exercising prior to bedtime can stimulate the body and interfere with falling asleep.
C. Correct. Eating a light snack before bedtime can help prevent waking due to hunger during the night.
D. Incorrect. Staying in bed if unable to fall asleep can lead to frustration and associating the bed with wakefulness.

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A nurse in an outpatient clinic is caring for a client Vital Signs BP 124/68 mm Hg Heart rate 80/min Temperature 37° C (98.6° F) Respiratory rate 16/min Weight 67.1 kg (148 lb)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has rheumatoid arthritis about illness management. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A nurse in an outpatient clinic is caring for a client

Vital Signs
BP 124/68 mm Hg
Heart rate 80/min

Temperature 37° C (98.6° F) Respiratory rate 16/min Weight 67.1 kg (148 lb)