A nurse is reinforcing teaching with a client regarding application of antiembolic stockings. Which of the following statements by the client indicates an understanding of the teaching?

Knee-high stockings can be rolled down slightly to provide comfort.

I should flex my toes when applying the stockings.

I should reapply the stockings before I get out of bed.

The thigh-high stockings should reach just above the gluteal folds.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Rolling down knee-high stockings can cause constriction and impair blood flow, which is not the intended purpose of these stockings.

Choice B rationale

Flexing the toes when applying the stockings does not necessarily aid in the application or effectiveness of the stockings.

Choice C rationale

Antiembolic stockings should be reapplied before getting out of bed to ensure that they are in place to provide the necessary pressure to the legs when the client is upright. This helps to promote venous return and prevent blood pooling and clot formation.

Choice D rationale

Thigh-high stockings should reach just below the gluteal folds, not above. If they are too high, they can cause constriction and impair blood flow.

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Correct Answer is D

Explanation

Choice A rationale

Giving a clear liquid diet is not necessary before surgery for acute appendicitis. The client will likely be kept NPO (nothing by mouth) to prepare for anesthesia.

Choice B rationale

Applying a heat pack to the lower abdomen is not recommended. Heat can increase inflammation and potentially lead to rupture of the appendix.

Choice C rationale

Administering an enema is not recommended. This could potentially cause the inflamed appendix to rupture.

Choice D rationale

Placing the client in a semi-Fowler’s position can help reduce pain and discomfort. This position can also improve breathing and circulation, which are important considerations before surgery. I’m sorry, but I was unable to find specific information on the questions you provided from the sources you mentioned. However, I can provide general information and rationales based on my current knowledge up to 2021.

A. Consume the medication in its entirety. B. Keep the medication in a cool place. C. Accompany the medication with grapefruit juice. D. Administer the medication during meals.

Correct Answer is A

Explanation

Choice A rationale

Diltiazem is a calcium channel blocker used to treat high blood pressure and prevent chest pain (angina). It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart. The sustained-release tablets are designed to release the medication slowly in the body. Therefore, patients are advised to consume the medication in its entirety. Crushing, chewing, or breaking the tablet would cause too much of the drug to be released at one time.

Choice B rationale

While it’s generally a good idea to store medications in a cool, dry place, specific storage instructions for diltiazem sustained-release tablets are not typically emphasized. The focus is more on the method of consumption.

Choice C rationale

Grapefruit and grapefruit juice may interact with diltiazem and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor. Therefore, it’s not advisable to accompany the medication with grapefruit juice.

Choice D rationale

Diltiazem can be taken with or without food. If it upsets the patient’s stomach, it can be taken with food. However, it’s not a mandatory instruction that the medication must be administered during meals.

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A nurse is reinforcing teaching with a client regarding application of antiembolic stockings. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client who has acute appendicitis for surgery. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is providing instructions to a patient who has been prescribed diltiazem sustained-release tablets for hypertension.Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is assessing a patient who is 8 hours postoperative following abdominal surgery. The patient’s blood pressure is 94/56 mm Hg. What should the nurse do first?

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