A nurse is recommending clients for discharge to allow for admission of clients following a tornado disaster. Which of the following clients should the nurse recommend for discharge?

A client who has a sodium level of 140 mEq/L after one episode of diarrhea.

A client who is 3 days postoperative following a hip arthroplasty and has a warm, red area on his left calf.

A client who has atrial fibrillation and an INR of 4.

A client who reports chest pain after ambulating.

Answer and Explanation

The Correct Answer is A

A. "A client who has a sodium level of 140 mEq/L after one episode of diarrhea." This is the correct choice. A sodium level of 140 mEq/L is within the normal range, and the client has had only one episode of diarrhea, suggesting that they are stable and could be safely discharged.

B. "A client who is 3 days postoperative following a hip arthroplasty and has a warm, red area on his left calf." This is a concern. The warm, red area on the calf could indicate the presence of a deep vein thrombosis (DVT) or infection, both of which require further evaluation and management.

C. "A client who has atrial fibrillation and an INR of 4." This is concerning. An INR of 4 indicates an increased risk of bleeding, which requires closer monitoring and potentially adjusting the anticoagulation therapy before discharge.

D. "A client who reports chest pain after ambulating." This is an urgent issue that needs immediate attention. Chest pain could indicate a serious cardiac event, such as a myocardial infarction, and the client should not be discharged until further evaluation is performed.

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Correct Answer is A

Explanation

A. Chicken sandwich is correct. In kosher dietary practices, poultry such as chicken is allowed, as long as it is prepared according to kosher guidelines. It is permissible for a client who follows kosher dietary practices to have a chicken sandwich, provided the bread and other ingredients are also kosher.

B. Cheeseburger is incorrect. Kosher dietary laws prohibit mixing meat and dairy. A cheeseburger would violate this rule because it contains both meat (beef) and dairy (cheese..

C. Shrimp and french fries is incorrect. Shellfish, including shrimp, is not allowed in a kosher diet. Kosher dietary practices prohibit eating shellfish and other non-kosher seafood.

D. Bacon and eggs is incorrect. Pork products, including bacon, are strictly forbidden in kosher dietary practices, so this would not be an appropriate choice for a client following kosher dietary laws.

A. "It is your choice to share personal information during group therapy." B. "I will be truthful when answering questions about your treatment." C. "The nursing staff here will provide you with nonjudgmental care." D. "I will only discuss your medical information with the health care team."

Correct Answer is A

Explanation

A. "It is your choice to share personal information during group therapy" is correct. The ethical principle of autonomy emphasizes respecting a client's right to make decisions about their own care, including the right to share or withhold personal information. Allowing the client to choose what to share supports their independence and decision-making ability.

B. "I will be truthful when answering questions about your treatment" promotes veracity, not autonomy. While truthfulness is important in nursing, it does not directly pertain to the principle of client autonomy.

C. "The nursing staff here will provide you with nonjudgmental care" promotes beneficence and respect for the client's dignity, but it does not directly address the principle of autonomy, which focuses on the client’s ability to make choices.

D. "I will only discuss your medical information with the health care team" supports confidentiality and privacy, not autonomy. Autonomy involves respecting a client’s decision-making, not just protecting their information.

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A nurse is recommending clients for discharge to allow for admission of clients following a tornado disaster. Which of the following clients should the nurse recommend for discharge?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who adheres to kosher dietary practices. Which of the following foods should the nurse plan to offer the client?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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