A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

Critical pathway

Standards of care

Clinical practice guidelines

Textbook reference

Answer and Explanation

The Correct Answer is A

A.   Critical pathway provides a specific, timeline-based plan of care with expected outcomes and interventions, including activity levels.
B.   Standards of care are important but may not offer specific guidance for the individual client's daily activity level.
C.   Guidelines may provide general recommendations but may lack specificity.
D.   This is general information source but not as specific or current as the institution's critical pathway.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Diminished urine output is a later sign of hypovolemic shock and is associated with decreased perfusion to the kidneys.
B. Cold clammy skin is also a later sign of shock, indicating poor tissue perfusion.
C. Unconsciousness is a late sign of hypovolemic shock and occurs when there is significant impairment of cerebral perfusion.
D. Tachycardia is an early compensatory mechanism in response to hypovolemia, aiming to maintain cardiac output and perfusion to vital organs.

A. Decrease in systolic blood pressure. B. Increase in percentage of body water C. Decrease in kidney function. D. Increase in saliva production.

Correct Answer is C

Explanation

A. While blood pressure changes may occur with aging, it is not a direct cause of dehydration.
B. Older adults tend to have a decrease in the percentage of body water, contributing to a higher risk of dehydration.
C. Aging can lead to a decrease in renal function, affecting the body's ability to concentrate urine and conserve water.
D. Saliva production typically decreases with aging and is not a significant factor in dehydration.

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A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?

Correct Answer is C

Explanation

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client’s risk of aspiration pneumonia?

A nurse in an extended-care facility is reinforcing teaching for with a group of newly licensed nurses about the expected physiologic changes of aging. Which of the following information should the nurse include? (Select all that apply.)

A nurse is assisting with planning a staff in-service on hospital-acquired infections (HAIs). The nurse should explain that which of the following portal for types of HAIS are included in the Hospital-Acquired Condition Reduction Program (HACRP)?

A nurse is reviewing laboratory values for a client. Which of the following findings indicates the presence of an infection?

A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

A nurse is preparing to administer immunizations to a patient who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations?

A nurse is caring for a client who has a prescription for scheduled opioid analgesia and notes a change in the client’s mental status. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is contributing to the plan of care for an adolescent client. Exhibits Which of the following actions should the nurse identify as part of the plan of care? Select all that apply.