A nurse is caring for a client in the outpatient health clinic

Exhibits

For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.

Encourage a regular sleep-wake schedule.

Encourage naps during the day when client is tired.

Encourage client to sleep until later in the morning

Advise client to rise slowly from sitting position.

Advise client to notify provider if pregnant.

Encourage high-calorie finger foods.

Instruct client to avoid foods that have been fermented or aged.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"B"}}

A. Establishing a regular sleep-wake schedule can help regulate circadian rhythms and improve sleep quality, which is beneficial for managing insomnia. B. Napping during the day can disrupt the client's ability to sleep at night, exacerbating insomnia. It's generally recommended to avoid daytime naps for individuals experiencing difficulty sleeping. C. Sleeping in later in the morning can disrupt the client's sleep-wake cycle and contribute to difficulty falling asleep at night. Consistency in sleep-wake times is important for managing insomnia. D. Rising slowly from a sitting position can help prevent orthostatic hypotension, especially for clients taking trazodone, which can cause dizziness or lightheadedness upon standing. E. Trazodone is a medication that may have risks associated with use during pregnancy, so it's important for the client to inform their provider if they are pregnant or planning to become pregnant. F. Loss of appetite is a concern, but encouraging high-calorie finger foods may not address the underlying issue. It's important to address the root cause of the appetite loss and provide appropriate interventions, which may include dietary counseling and addressing stress. G. There is no indication in the scenario that fermented or aged foods would negatively affect the client's condition or interact with trazodone. It's important to focus on addressing the primary concerns of stress, difficulty sleeping, and loss of appetite.

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Correct Answer is A

Explanation

A. Keeping the hand elevated above the heart is necessary after carpal tunnel surgery since it minimizes pain and swelling.
B. Heat application is not recommended immediately after carpal tunnel surgery, as it may increase swelling and discomfort.
C. Resting the affected hand allows for proper healing and reduces the risk of complications after carpal tunnel surgery. However, complete non-use for 4-6 weeks is a long period.
D. Numbness and tingling in the hand may be expected immediately after surgery due to residual effects of anesthesia, but it is not a long-term expectation.

A. Set up the sterile field 5 cm (2 in) below waist level. B. Place the sterile dressing within 1.25 cm (0.5 in) of the edge of the sterile field. C. Open the outermost flap of the sterile kit toward the body. D. Place the cap from the solution sterile side up on a clean surface.

Correct Answer is D

Explanation

A: The sterile field should be set up at or above waist level to prevent contamination from higher surfaces, not below.
B: The outer edge (about 2.5 cm or 1 inch) of the sterile field is considered non-sterile, so placing the sterile dressing close to the edge risks contamination.

C: The outermost flap of the sterile kit should be opened away from the body to avoid reaching over the sterile field, which could lead to contamination.
D: The cap should be placed sterile side up to maintain its sterility if it needs to be reapplied to the solution bottle.

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A nurse is caring for a client in the outpatient health clinic Exhibits For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field?

Correct Answer is D

Explanation

A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?

A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?

A nurse is providing teaching to a client who is to begin external radiation therapy for cancer. Which of the following information should the nurse include?

A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

A nurse is providing teaching to a client who is undergoing radiation therapy and has stomatitis. Which of the following responses by the client indicates an understanding of the teaching?

A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?

A nurse is teaching a client about condom use. Which of the following client statements should the nurse Identify as an understanding of the teaching?

A nurse is caring for a client in the outpatient health clinic

Exhibits

For each potential nursing intervention, click to specify if the intervention is indicated or not indicated.