A nurse is reinforcing preoperative teaching with an adolescent client who is scheduled for a surgical repair of scoliosis. Which of the following statements by the client indicates effectiveness of the teaching?

"I will not be able to walk before I go home."

"I will begin range-of-motion exercises on the first postoperative day."

"I will be discharged in 3 days."

"I will be fitted for my brace the day of discharge."

Answer and Explanation

The Correct Answer is B

Rationale:

A) This indicates a misunderstanding or lack of awareness regarding postoperative mobility expectations.

B) Beginning range-of-motion exercises on the first postoperative day indicates an understanding of the importance of early mobilization for recovery.

C) This may or may not be accurate depending on the individual's recovery progress, but it does not specifically demonstrate understanding of the teaching.

D) This indicates awareness of postoperative care but does not specifically address the immediate postoperative period.

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Correct Answer is C

Explanation

Rationale:

A) Involvement of a grandparent in assisting with activities of daily living (ADLs) indicates family support.

B) The child engaging in play with siblings suggests social interaction and family involvement.

C) A withdrawn parent may indicate emotional distress or difficulty coping with the child's condition, necessitating support and resources.

D) The step-parent's involvement in preparing the child for school transition indicates family support and engagement in the child's development.

A. "I have morning stiffness in my joints." B. "I have been taking a multivitamin that contains iron." C. "I noticed some blood in my stool this morning." D. "I skipped taking my ibuprofen last week after I went swimming."

Correct Answer is C

Explanation

Rationale:

A) Morning stiffness in the joints is a common symptom of juvenile idiopathic arthritis and is expected in this client population. It does not require immediate reporting to the provider.

B) Taking a multivitamin containing iron is generally not concerning and may even be beneficial for clients with arthritis who may have dietary deficiencies. It does not require immediate reporting to the provider.

C) The presence of blood in the stool may indicate gastrointestinal bleeding, a potential adverse effect of long-term ibuprofen use. This symptom should be reported to the provider promptly for further evaluation.

D) Skipping ibuprofen doses occasionally, particularly if the client missed one dose, may not be concerning unless it becomes a pattern of non-compliance. It does not require immediate reporting to the provider, although it should be addressed during routine follow-up.

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A nurse is reinforcing preoperative teaching with an adolescent client who is scheduled for a surgical repair of scoliosis. Which of the following statements by the client indicates effectiveness of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a wheelchair. Which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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