A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). Which patient statement indicates to the nurse that discharge teaching has been effective?

“I’ll take salt tablets when I work outdoors in the summer."

"I need to drink extra fluids when working outside in hot weather.”

“I’ll move to a cool environment if I notice that I'm feeling confused"

“I should take acetaminophen (Tylenol) if I start to feel too warm.”

Answer and Explanation

The Correct Answer is B

A. Taking salt tablets can lead to electrolyte imbalances and is not recommended for managing heat-related issues.
B. Drinking extra fluids helps prevent dehydration and is an effective measure to prevent heat-related illness.
C. Moving to a cool environment when feeling confused is important but is a reactive measure rather than preventive teaching.
D. Taking acetaminophen for feeling too warm does not address the underlying issue of heat-related illness and is not appropriate discharge teaching for this situation.

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Correct Answer is ["B","C","E"]

Explanation

A. Change in moles can indicate skin cancer.
B. Change in bowel pattern can be a sign of colorectal cancer.
C. A nonhealing sore can indicate skin cancer or other types of cancer that manifest as chronic wounds.
D. Bloating is less specific and may indicate various health conditions but are not typically primary signs of cancer.
E. Nagging cough is can be a sign of lung and/or throat cancer.

A. Monitor the client's vital signs once every 8 hr. B. Provide the client with 1,000 mL of water to drink every 12 hr C. Keep blood pressure equipment in the client's room. D. Place the client in a negative airflow room.

Correct Answer is C

Explanation

A. Monitoring vital signs every 8 hours is not sufficient for a client undergoing a stem cell transplant, who requires frequent assessment due to potential complications.
B. Providing the client with water is important, but specific fluid volumes and intervals depend on individual needs and should not be standardized.
C. Clients undergoing stem cell transplants are immunocompromised due to chemotherapy and conditioning regimens. To reduce the risk of infection, all equipment that comes into contact with the client, such as blood pressure cuffs, should be dedicated to that room only. This prevents cross-contamination from other patients.
D. Negative pressure rooms are for protecting others from airborne infections (e.g., TB). Stem cell transplant clients require positive pressure rooms to protect them from pathogens in the environment.

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A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). Which patient statement indicates to the nurse that discharge teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is planning care for a client who is to undergone a stem cell transplant. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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