A nurse is providing teaching about health promotion guidelines to a group of young adult male clients. Which of the following guidelines should the nurse include?

Obtain a herpes zoster immunization by age 50.

Obtain a tetanus booster every 5 years."

Have a testicular examination every 2 years.

"Have a dental examination every 6 months.

Answer and Explanation

The Correct Answer is D

Health promotion is the process of enabling people to increase control over their health and its determinants, and thereby improve their health. Health promotion guidelines are recommendations that help people prevent diseases and maintain optimal health status. One of the guidelines that the nurse should include in the teaching for young adult male clients is to have a dental examination every 6 months, as this can help prevent oral diseases and detect any problems early.

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Correct Answer is D

Explanation

The rationale for this answer is that using distractions such as music, conversation, or toys can help reduce anxiety and agitation in clients with dementia who may resist bathing. It also helps create a positive and comfortable environment for the client.

A. Check for gastric residual volume. B. Flush the tube with sterile 0.9% sodium chloride irrigation. C. Encourage the client to take sips of water. D. Encourage the client to breathe deeply and cough.

Correct Answer is A

Explanation

A. Before administering enteral feeding, it is important to check the gastric residual volume to ensure that the previous feeding has been adequately digested and to reduce the risk of aspiration. High residual volumes can indicate delayed gastric emptying and may require holding the feeding.

B. While it is important to flush the tube, this is typically done with water (sterile or tap) rather than sterile 0.9% sodium chloride, unless specifically ordered for medical reasons. The primary step before feeding is to check the residual volume.

C. Encouraging the client to take sips of water is not applicable in the context of enteral feeding via NG tube, as the feeding is delivered directly into the stomach or intestines.

D. Encouraging deep breathing and coughing is not relevant to the administration of enteral feedings via an NG tube. These actions are more related to respiratory care.

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A nurse is providing teaching about health promotion guidelines to a group of young adult male clients. Which of the following guidelines should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving enteral feedings via NG tube. Which of the following actions should the nurse take prior to administering the formula?

Correct Answer is A

Explanation

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