A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which of the following client statements indicates a need for further instruction?

"I will get up and walk with the physical therapy aide."

"I will do leg exercises every hour while I am awake."

"I will take off my antiembolic stockings before I go to bed."

"I will use a footstool while I sit in a chair."

Answer and Explanation

The Correct Answer is C

A.   Getting up and walking with the physical therapy aide promotes early mobility and is a positive statement.
B.   Doing leg exercises every hour while awake helps prevent complications such as deep vein thrombosis (DVT).
C.   Leaving antiembolic stockings on during sleep helps prevent DVT, so the client's statement is incorrect.
D.   Using a footstool while sitting in a chair promotes proper positioning and comfort.

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Correct Answer is B

Explanation

A. Palpating the abdomen may exacerbate pain or cause discomfort, and it is not the first action in the assessment of a client with suspected appendicitis. Auscultating bowel sounds is a more appropriate initial step.
B. Auscultating bowel sounds is the priority to assess for signs of bowel obstruction or ileus, which can contribute to the client's symptoms.
C. Offering pain medication can be addressed after the initial assessment and determination of the cause of the symptoms.
D. Administering an antibiotic is premature before a diagnosis is confirmed. The priority is to assess and gather information first.

A. Teach the client cessation strategies. B. Develop a cessation plan with the client. C. Assist the client in modifying the plan if necessary. D. Ask about the type of tobacco product used.

Correct Answer is D,A,B,C

Explanation

Correct order: D A B C

D. Ask about the type of tobacco product used.

A. Teach the client cessation strategies.

B. Develop a cessation plan with the client.

C. Assist the client in modifying the plan if necessary.

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A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which of the following client statements indicates a need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who presents to the emergency department with reports of right lower quadrant pain, nausea, and vomiting for the past 2 days. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

42. A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right, placing them in the correct order of performance. All steps must be used.)

Correct Answer is D,A,B,C

Explanation

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