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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.

Provide oxygen at 6 L/min via nasal cannula.

Apply cold compresses to joints.

Perform passive ROM exercises.

Administer IV fluids

Obtain consent for a blood transfusion

Restrict fluid intake to 1,400 mL/day

Administer meperidine

Encouraging bedrest

Answer and Explanation

Correct Answer : B,C,G,H

A.   Providing oxygen at 6 L/min via nasal cannula is not indicated based on the information provided. The client denies shortness of breath, and vital signs are within normal limits.
B.   Applying cold compresses to joints can help reduce swelling and alleviate pain in the extremities.
C.   Performing passive range of motion (ROM) exercises is appropriate to maintain joint flexibility and prevent contractures.
D.   Administering IV fluids is not explicitly indicated based on the information provided. Fluid management should be individualized based on the client's condition and underlying factors.
E.   Obtaining consent for a blood transfusion is not necessary unless the client has severe anemia or bleeding.
F.   Restricting fluid intake to 1,400 mL/day may cause dehydration and electrolyte imbalance.
G.   Administering meperidine (a narcotic analgesic) may be considered for pain relief.
H.   Encouraging bedrest is appropriate to minimize joint stress and promote healing, especially when there is pain and swelling in the extremities.

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

Explanation

A. Age-related changes can cause difficulty seeing, particularly with glare sensitivity.
B. Systolic blood pressure tends to decrease with age.
C. Bladder capacity decreases with age, leading to increased frequency of urination.
D. The cough reflex weakens with age, increasing the risk of aspiration.
E. Intervertebral discs can become dehydrated with age, contributing to a loss of height and increased risk of disc herniation.

A. Social support systems B. Actions to reduce stress C. Available community resources D. Legal services E. Maladaptive responses to grief

Correct Answer is ["A","B","C"]

Explanation

A. Social support systems are important for caregivers to be aware of available support networks.
B. Strategies for managing caregiver stress are crucial.
C. Knowledge of local resources can aid caregivers in providing optimal care.
D. While legal considerations may be relevant, they may not be a primary focus in this context.
E. While understanding grief is important, it may not be the primary focus of caregiver education for dementia.

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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.

Nursing Test Bank

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

Explanation

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Explanation

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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.