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A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?

"Lie down for 30 min after meals."

"Eat a high-fat snack at bedtime."

"Sip carbonated beverages throughout the day."

"Drink hot herbal tea to relieve symptoms."

Answer and Explanation

The Correct Answer is C

A. Lying down after meals increases reflux by allowing stomach contents to flow back into the esophagus.

B. High-fat foods delay gastric emptying, worsening heartburn.

C. Carbonated beverages may help neutralize stomach acid and provide symptom relief when sipped in moderation.

D. Hot herbal tea can relax the lower esophageal sphincter, exacerbating reflux.

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Correct Answer is D

Explanation

A. Emptying an indwelling urinary catheter bag with clean gloves is appropriate and does not require intervention.

B. Performing a simple dressing change on a client’s foot is within the AP's scope of practice if the dressing is not complex or sterile.

C. Providing postmortem care is within the AP's role and does not require intervention unless specific contraindications exist.

D. Clostridium difficile (C. diff) spores are resistant to alcohol-based hand rubs. The AP must use soap and water for hand hygiene to effectively remove spores. This is an infection control breach that requires immediate intervention.

A. Use clean technique for invasive procedures. B. Allow healthy children to visit. C. Monitor the client's temperature every 4 hr. D. Make sure the client's room is cleaned every 2 days.

Correct Answer is C

Explanation

A. Use clean technique for invasive procedures. – Incorrect. Sterile technique, not clean technique, is required to prevent infection in neutropenic clients.

B. Allow healthy children to visit. – Incorrect. Clients with neutropenia should avoid exposure to children due to the risk of infections.

C. Monitor the client's temperature every 4 hr. – Correct. Fever can indicate infection, which is life-threatening for neutropenic clients. Early detection is crucial.

D. Make sure the client's room is cleaned every 2 days. – Incorrect. The room should be cleaned daily to reduce infection risk.

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A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is observing an assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?

Correct Answer is D

Explanation

A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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