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 A

Explanation

A. "Instruct the client to take small sips of water."
Having the client take small sips of water helps the nurse observe the thyroid gland as it moves up and down with swallowing, making abnormalities more noticeable.
B. "Ask the client to hyperextend their neck during palpation."
The client should slightly extend (not hyperextend) their neck to relax the muscles and allow for better palpation of the thyroid gland.
C. "Inspect the isthmus as the client holds their breath for 5 seconds."
The thyroid gland is best observed during swallowing, not by holding the breath.
D. "Assist the client to a supine position prior to the assessment."
Thyroid assessment is performed with the client in a sitting or standing position, not lying down.

A. Stroking the lower abdomen B. Performing Kegel exercises prior to urination C. Pouring warm water over the perineum D. Leaning backward when sitting and attempting to urinate.

Correct Answer is C

Explanation

A. Stroking the lower abdomen. This technique is not a recognized method for stimulating urination.
B. Performing Kegel exercises prior to urination. Kegel exercises strengthen pelvic muscles but do not directly promote urination.
C. Pouring warm water over the perineum. Warm water can stimulate sensory nerves and promote relaxation of the urethral sphincter, helping to initiate urination.
D. Leaning backward when sitting and attempting to urinate. The proper posture for urination is sitting upright or leaning slightly forward, not backward.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess a client's thyroid gland. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?

Correct Answer is C

Explanation

A nurse is admitting a client who has been diagnosed with stage 4 cancer and is scheduled for surgery. Which of the following actions should the nurse take?

A nurse manager is evaluating a nurse who is performing a urinary catheterization on a male client. Which of the following actions by the nurse demonstrates correct aseptic technique?

A nurse is witnessing the informed consent for a client who is scheduled for surgery. Which of the following actions should the nurse take?

A nurse is caring for an adult client after a fall. Which of the following assessment findings indicates the client may be bleeding internally?

A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)

A community health nurse is developing a brochure about obstructive sleep apnea (OSA). Which of the following potential complications of OSA should the nurse include?