A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

Palpate the client's pedal pulses.

Ask the client how strong she feels today.

Ask the client to touch her finger to her nose.

Ask the client to push her feet against the nurse's palms.

Answer and Explanation

The Correct Answer is D

A.   Palpating the pedal pulses is important for assessing circulation and vascular status, not for evaluating muscle strength. This action helps in determining blood flow to the lower extremities but does not provide information about the client’s muscle strength or ability to ambulate.
B.   Asking the client how strong she feels provides subjective information about her perceived strength but does not objectively assess muscle strength. This method relies on the client's self-assessment, which may not always be accurate or reliable.
C.   Touching the finger to the nose is a test of coordination and can help assess motor function and neurological status. While it provides information about coordination, it does not specifically measure the client’s overall muscle strength, especially in the lower extremities, which is critical for safe ambulation.
D.   Asking the client to push her feet against the nurse’s palms is an effective way to assess lower
extremity muscle strength. This action allows the nurse to gauge the client’s ability to exert force with
their legs, which is essential for ambulation and overall mobility.

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Correct Answer is B

Explanation

A. Decreasing gastric acid secretions is not the primary mechanism of action for metoclopramide. This action is more characteristic of medications like proton pump inhibitors (PPIs) or H2 receptor antagonists, which reduce stomach acid to help with conditions such as GERD or peptic ulcers.
B. Promoting gastric emptying is the correct explanation for how metoclopramide relieves nausea. Metoclopramide acts as a prokinetic agent, meaning it enhances gastrointestinal motility by increasing the movement of the stomach and intestines.
C. Slowing peristalsis is not the mechanism of action for metoclopramide. In fact, metoclopramide does the opposite by increasing peristalsis and gastrointestinal motility. Slowing peristalsis would typically exacerbate nausea and lead to delayed gastric emptying, which metoclopramide aims to counteract.
D. Relaxing gastric muscles is not how metoclopramide works. Metoclopramide’s primary action is to increase gastrointestinal motility rather than relaxing the gastric muscles. Other medications, such as antispasmodics, might be used to relax gastrointestinal muscles, but metoclopramide is not used for this purpose.

A. Vitamin C B. Vitamin A C. Vitamin B1 D. Vitamin B12

Correct Answer is B

Explanation

A. This vitamin is water-soluble, not fat-soluble. It is important for immune function, collagen synthesis, and antioxidant protection. Since it is water-soluble, it does not require fat for absorption and is not typically included in fat-soluble vitamin supplements.
B. This vitamin is fat-soluble, meaning it requires fat for absorption. In conditions like acute pancreatitis, where fat absorption may be impaired, supplementation with vitamin A might be necessary to ensure adequate levels. Vitamin A is crucial for vision, immune function, and skin health.
C. This is a water-soluble vitamin involved in carbohydrate metabolism and nervous system function. It does not require fat for absorption and is not typically supplemented in cases of impaired fat absorption. It is important but not related to the fat-soluble vitamin needs in pancreatitis.
D. This is also a water-soluble vitamin necessary for red blood cell formation and neurological function. Although it can be affected in conditions of poor absorption, it is not a fat-soluble vitamin. It requires intrinsic factor for absorption in the intestines but does not relate to fat-soluble vitamin supplementation.

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A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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