A nurse is discussing community support services with an adult client who has cognitive disabilities and their guardian. The guardian reports that the client's need for help with activities of daily living has increased recently. Which of the following referrals is most important to promote the client's quality of life?

Community health nurse

Respite care provider

Dietician

Occupational therapist

Answer and Explanation

The Correct Answer is D

A. A community health nurse can provide education, medication management, and health monitoring, but they do not specifically focus on ADL assistance.
B. Respite care provides temporary relief for caregivers, but it does not directly help the client develop skills to maintain independence.
C. A dietitian focuses on nutritional needs and meal planning, but this does not directly address the increased difficulty with ADLs.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. "Rhythmic respirations." Normal, rhythmic breathing is not typically associated with pain. Pain may cause labored, irregular, or rapid breathing.
B. "Absent cry." The FLACC scale assesses crying as an indicator of pain. However, an absent cry does not suggest pain. A strong, continuous cry or moaning may indicate discomfort.
C. "Resisting care." Clients with pain often resist movement, care, or interventions due to discomfort or distress. This is a key indicator of pain in the FLACC scale (Activity or Consolability sections).
D. "Relaxed posturing." A relaxed posture suggests comfort, while pain often leads to rigid or tense positioning.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

After providing perineal care and donning sterile gloves, the nurse should first lubricate the catheter tip followed by insert the catheter until urine flows.

Rationale:

Lubricating the catheter tip ensures smooth insertion and minimizes discomfort or trauma to the urethra.
Inserting the catheter until urine flows confirms proper placement before advancing slightly more to ensure complete drainage.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using the faces, legs, activity, cry, consolability (FLACC) scale to assess the need for PRN pain medication for a client who has cognitive impairment. Which of the following findings should the nurse identify as an indication the client is experiencing pain?

Correct Answer is C

Explanation

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Rationale:

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