An older adult client who experienced a cerebrovascular accident (CV

Suggest that the family bring foods from home that the client enjoys eating.

Explain that weight loss will be reversed after the acute phase of the stroke has ended.

Encourage the family to offer to feed the client when she does not eat her entire meal.

Demonstrate the use of visual scanning during meals to the client and family.

Answer and Explanation

The Correct Answer is D

Choice A reason: Bringing foods from home may encourage eating but does not address the underlying issue of visual perception.

Choice B reason: Reassuring about weight loss recovery is not helpful in the immediate context of improving meal intake.

Choice C reason: Encouraging the family to feed the client may help but does not promote independence.

Choice D reason:

The correct answer is d) because teaching visual scanning techniques can help the client compensate for visual perception difficulties and increase food intake.

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Correct Answer is C

Explanation

Choice A reason: Bile-stained emesis indicates an obstruction, but it is not as immediately critical as a distended, hard, and rigid abdomen.

Choice B reason: Clay-colored stool is a sign of bile duct obstruction but is not as urgent as the abdomen findings.

Choice C reason:

The correct answer is c) because a distended, hard, and rigid abdomen suggests peritonitis or a perforated organ, which requires immediate medical intervention.

Choice D reason: Radiating, sharp pain in the right shoulder is common in gallbladder issues but is not as immediately life-threatening as a distended, hard, and rigid abdomen.

A. Increase intake of insoluble fiber. B. Augment intake of dairy products. C. Eliminate caffeine and chocolate. D. Decrease foods high in fat or trans fats.

Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because increasing the intake of insoluble fiber can help prevent constipation and reduce the risk of diverticulitis by promoting regular bowel movements.

Choice B reason: Augmenting intake of dairy products is not specific to managing diverticulosis.

Choice C reason: Eliminating caffeine and chocolate is not necessary unless these foods cause symptoms.

Choice D reason: While reducing high-fat foods is good dietary advice, it is not specific to diverticulosis management.

An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and reports a dry mouth. Which intervention should the nurse implement?

a) Encourage the client to drink water.

b) Administer a prescribed sedative.

c) Apply a high-flow Venturi mask.

d) Assist the client to an upright position.

The correct answer is: d) Assist the client to an upright position.

Choice A reason: Encouraging the client to drink water is beneficial but does not address the immediate need to ease breathing.

Choice B reason: Administering a sedative may help with anxiety but does not directly address the respiratory issue.

Choice C reason: Applying a high-flow Venturi mask may be necessary if oxygen saturation is low, but the first step should be to position the client for optimal breathing.

Choice D reason:

The correct answer is d) because assisting the client to an upright position can help ease breathing by allowing for better lung expansion.

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An older adult client who experienced a cerebrovascular accident (CV

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Naxlex Comprehensive Predictor Exams

A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

The nurse plans to provide diet instructions to a client who was recently diagnosed with diverticulosis. Which dietary modification should the nurse include in the teaching plan?

Correct Answer is A

Explanation

A client with edema receives a prescription for a one-time dose of furosemide 20 mg IV. The medication is available in a 10 mg/mL vial. How many mL should the nurse administer? (Enter numerical value only.)

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While performing a neurovascular assessment distal to a client's fracture site, the nurse determines that the client's pulse is present, regular, and full force. Which nursing action should be taken next?

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A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the healthcare provider?

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An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.