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: Demonstrating accurate eye care is important but is not a measurable outcome for managing diabetes.

Choice B reason: Managing blood pressure is important but not the primary goal in the context of newly diagnosed diabetes.

Choice C reason:

The correct answer is c) because achieving a hemoglobin A1C of less than 7% in 3 months is a measurable and relevant outcome for managing type 2 diabetes. It indicates good glycemic control and helps prevent complications.

Choice D reason: Encouraging physical activity is beneficial but is not a specific measurable outcome for diabetes management.

A. Extra pillows can be used if needed to elevate the client's head. B. The procedure is performed with the client in an upright position. C. A thoracentesis is a brief procedure that has minimal discomfort. D. Orthopnea is frequently caused by a client's uncontrolled anxiety.

Correct Answer is B

Explanation

Choice A reason: Using extra pillows may help with comfort but is not the basis of the nurse's response to the concern about thoracentesis.

Choice B reason:

The correct answer is b) because during thoracentesis, the client is positioned upright, which helps ease breathing and access the pleural space.

Choice C reason: While the procedure may be brief, this response does not directly address the concern about breathing.

Choice D reason: Orthopnea can be caused by conditions other than anxiety and should be addressed appropriately.

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An older adult client who experienced a cerebrovascular accident (CV

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with type 2 diabetes mellitus (DM). Which outcome should the nurse include in the plan of care for this client?

Correct Answer is C

Explanation

A client with orthopnea expresses concern about the ability to "get enough air" during a scheduled thoracentesis. On which information should the nurse's response be based?

Correct Answer is B

Explanation

When explaining dietary guidelines to a client with acute glomerulonephritis (AGN), which instruction should the nurse include in the dietary teaching?

The nurse observes that a client with Parkinson's disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?

The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis?

A client is to receive progesterone 10 mg IM daily. The medication is labeled "Progesterone 50 mg/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

A client with a history of asthma reports having episodes of bronchoconstriction and increased mucus production while exercising. Which action should the nurse implement?

A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?