An older client is being admitted to a rehabilitation unit from a medical-surgical unit following a left hip replacement. When reviewing the client's prescribed medications, which intervention should the nurse implement first?

Reconcile prescribed medication dosages with the published recommended dosage ranges.

Compare admission prescriptions with the list of medications previously taken by the client.

Determine which medications may be given in generic form rather than brand name only.

Provide client teaching regarding the desired effects of the client's admission prescriptions.

Answer and Explanation

The Correct Answer is B

A.   Reconciling medication dosages is important but comes after verifying the accuracy of the prescriptions.
B.   Comparing admission prescriptions with the client's previous medication list ensures continuity of care and prevents omissions or duplications.
C.   Determining generic versus brand name medications can be addressed later after ensuring medication accuracy.
D.   Client teaching is important but should follow the verification of the client's current medications.

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Correct Answer is A

Explanation

A. Abdominal rigidity in a client with a bowel obstruction due to a volvulus indicates possible peritonitis, which is a medical emergency.
B. Paralytic ileus with absent bowel sounds is concerning but not immediately life- threatening.
C. A nasogastric tube draining greenish fluid is expected in small bowel obstruction.

D. Abdominal distention in large intestine obstruction is concerning but less urgent than potential peritonitis.

A. Events requiring steroid dose adjustments. B. Need to check temperature daily. C. Importance of recording daily weights. D. Adherence to a high fiber, low fat diet.

Correct Answer is A

Explanation

A. Clients with Addison's disease need to understand situations that require an adjustment in their steroid dose, such as stress, infection, or surgery, to prevent an Addisonian crisis.
B. Daily temperature checks are not typically required for Addison's disease unless there is a concern for infection.
C. While daily weights can be helpful in some conditions, it is not the primary focus for managing Addison's disease.

D. Dietary modifications such as high fiber, low fat may be beneficial for overall health but are not specific to managing Addison's disease.

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An older client is being admitted to a rehabilitation unit from a medical-surgical unit following a left hip replacement. When reviewing the client's prescribed medications, which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving report on an inpatient acute care unit, which client should the nurse assess first?

Correct Answer is A

Explanation

The nurse is preparing an adult with Addison's disease for self-management. Which information should the nurse include in the client's instructions?

Correct Answer is A

Explanation

Patient Data Exhibits Complete the diagram by dragging from the choices below to specify 1 potential condition the client is most likely experiencing, 2 actions the nurse would take to address that condition, and 2 parameters the nurse would monitor to assess the client's progress.

After receiving a change of shift report for clients on a medical surgical unit, which activity should the nurse delegate to the practical nurse (PN)?

The nurse is teaching an older client about the prevention of osteoporosis. Which foods should the nurse recommend to the client to increase in the diet?

A client who underwent an uncomplicated gastric bypass surgery is having difficulty with diet management. Which dietary instruction is most important for the nurse to explain to the client?

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The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?

A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defense mechanism is the client using?