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Exhibits

The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

Ensure the oxygen delivery system is at least 8 feet from any heat source

Adjust the oxygen flow rate as needed to ease breathing.

Take antibiotic medication with or without food.

Decrease the steroid dose each day.

Take antibiotics for 10 days.

Store the oxygen cylinder wrench with the oxygen tank.

Take steroid medication in the morning.

Answer and Explanation

Correct Answer : A,C,E,F,G

A.   Ensure the oxygen delivery system is at least 8 feet from any heat source- This is important to prevent any risk of fire or combustion around the oxygen source.
B.   Adjust the oxygen flow rate as needed to ease breathing- oxygen flow rate should not be adjusted without consulting a healthcare provider, as it can lead to complications.
C.   Take antibiotic medication with or without food- The client should be advised to take the antibiotic medication as directed by the healthcare provider, which may be with or without food depending on the specific medication.

D.   Decrease the steroid dose each day- It's not advisable to decrease the steroid dose each day without medical guidance.
E.   Take antibiotics for 10 days- Completing the full course of antibiotics is crucial to ensure effective treatment of pneumonia and prevent recurrence or antibiotic resistance.
F.   Store the oxygen cylinder wrench with the oxygen tank- storing the oxygen cylinder wrench with the oxygen tank ensures it is readily available in case of an emergency.
G.   Take steroid medication in the morning- Taking steroid medication in the morning helps mimic the body's natural cortisol secretion pattern and reduces the risk of insomnia or sleep disturbances.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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

Explanation

A) A client reports being dissatisfied with the temperature of the meals provided. - This situation does not pose a risk to the client's safety or result in harm, so an incident report is not necessary.

B) A client receives burns from a heating pad. - Any incident resulting in harm to the client, such as burns from a heating pad, should be documented with an incident report.
C) A client becomes disoriented and falls out of bed. - Falls resulting in injury or disorientation require documentation via an incident report.
D) A client is unable to afford the physical therapy that the provider recommends. - Financial constraints do not necessitate an incident report.
E) A client's visitor becomes dizzy and faints in the client's room. - Incidents involving visitors, especially if they occur in the client's presence, should be documented with an incident report.

A. Request a change in the medication route to PO. B. Remind the client that they must receive the medication as prescribed. C. Tell the client not to worry because the pain will be temporary. D. Ask one of the client's loved ones to encourage them to receive the IM

Correct Answer is A

Explanation

A) Request a change in the medication route to PO. - If the client is afraid of needles, and if methadone can be effectively administered orally (PO), changing the route of administration to oral may be a reasonable alternative.
B) Remind the client that they must receive the medication as prescribed. - While important to ensure adherence to the prescribed treatment, it's also essential to address the client's concerns and preferences.
C) Tell the client not to worry because the pain will be temporary. - Dismissing the client's fear with reassurance about temporary pain may not adequately address their anxiety.
D) Ask one of the client's loved ones to encourage them to receive the IM medication.

- Involving loved ones may be helpful, but the client's preference should be respected, and alternative options should be explored.

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Exhibits The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

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

Explanation

A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid of needles." Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client's room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?

A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?

A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?

A nurse is reinforcing teaching with a client about blood glucose monitoring. The client becomes quiet and appears distracted while the nurse is providing the instructions. Which of the following responses should the nurse make?

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis?

Exhibits

The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.