Exhibits

Drag from statement options to complete the sentence.

To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's
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and
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

• Functional improvement: A primary goal of physical and occupational therapy is to restore or enhance the client’s ability to perform daily tasks independently. Evaluating progress in mobility, self-care, and activity tolerance directly reflects whether interventions are successful.

• Quality of life: In cases of prior neglect, it is essential to assess not just physical recovery but the client's overall well-being. This includes emotional satisfaction, engagement in meaningful activities, and restored autonomy, all of which impact long-term health outcomes.

• Cognitive status: While relevant due to early-stage dementia, the client's baseline mental status is already established and appears stable. It is not the main outcome focus in this follow-up evaluation.

• Psychological assessment: May be warranted in some cases, but there is no indication here of acute mental health concerns. Broader indicators of well-being like quality of life are more appropriate.

• Financial security: Important in elder care planning but not directly related to evaluating the effectiveness of the current therapeutic and support interventions.

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Correct Answer is B

Explanation

A. Arrange a meeting with the family to discuss the client's situation: Meeting with the family may provide useful information and support, but it does not address the client's immediate needs for basic care, safety, and engagement in a therapeutic environment.

B. Establish a structured routine for the client to follow: Establishing a structured daily routine provides clear expectations and promotes regular sleep, hygiene, and eating habits, which are crucial first steps in managing depressive symptoms and preventing further deterioration.

C. Administer the client's antidepressant medication as prescribed: Administering antidepressants is necessary for treatment, but the therapeutic effects typically take several weeks; immediate behavioral interventions are needed to prevent worsening self-care deficits.

D. Assess the client's ability to communicate with the other staff members: Assessing communication skills is important for planning therapeutic interventions, but it is not the most urgent priority compared to establishing structure that directly impacts the client’s daily functioning.

A. Notify the surgeon B. Assist the client to cough and deep breathe C. Encourage the client to drink fluids D. Place the client in low-Fowler's with knees raised E. Cover the wound with moistened sterile gauze F. Hold pressure on the dressing G. Start a peripheral IV (PIV)

Correct Answer is ["A","D","E","G"]

Explanation

A. Notify the surgeon: The client is experiencing wound evisceration, a surgical emergency. Immediate notification of the surgeon is essential to prepare for urgent surgical repair and prevent further tissue damage or infection.

B. Assist the client to cough and deep breathe: This increases intra-abdominal pressure and could worsen the evisceration. It is contraindicated in clients with open abdominal wounds and protruding organs.

C. Encourage the client to drink fluids: Oral intake is not appropriate when surgery is likely imminent. The client should remain NPO to reduce aspiration risk during anesthesia for emergent wound closure.

D. Place the client in low-Fowler’s with knees raised: This position helps decrease tension on the abdominal wall and limits further protrusion of abdominal contents. It also promotes comfort while reducing strain on the wound.

E. Cover the wound with moistened sterile gauze: Covering the exposed intestines with sterile saline-moistened gauze protects tissue from drying, contamination, and infection until surgical repair can occur.

F. Hold pressure on the dressing: Applying pressure to eviscerated organs can cause trauma and worsen the injury. This action is inappropriate and unsafe in cases of abdominal wound dehiscence with evisceration.

G. Start a peripheral IV (PIV): IV access is necessary to administer fluids, medications, and prepare for possible surgery. Establishing a reliable IV line is a priority in managing surgical emergencies like evisceration.

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Exhibits Drag from statement options to complete the sentence. To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's dropdown and dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?

Correct Answer is B

Explanation

Patient Data Which should the nurse immediately do? Select all that apply.

Correct Answer is ["A","D","E","G"]

Explanation

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse recognizes that the client has ____ evidenced by ____. (Finding)

Exhibits Click to indicate if the listed manifestion of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

The nurse assesses a client who had bilateral total knee replacements (TKR) four hours ago. The nurse notes that the dressing on the client's right knee is saturated with serosanguineous drainage. Which action should the nurse implement?

Exhibits Choose the most likely options missing from the statements by selecting from the list of options provided. The nurse teaches the client about the fetus reactions to labor by dropdown . The nurse will assess the fetus reaction by dropdown.

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

A client presents to the emergency department (ED) reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Exhibits

Drag from statement options to complete the sentence.

To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's
dropdown
and
dropdown