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Exhibits

The nurse reviews the client data. What discharge education should the nurse provide? Select all that apply.

Encourage three large meals a day.

Start with room temperature water.

Anticipate weight loss will continue even with normal diet.

Walk frequently during recovery.

Expect immediate return of ovulation.

Begin taking supplements per the healthcare provider's orders.

Advance diet from clear liquids to full liquid.

Answer and Explanation

Correct Answer : D,F,G

A. Encourage three large meals a day. This may not be appropriate for the client's current dietary plan, especially after bariatric clinic involvement and dietitian consultations.
B. Start with room temperature water. While hydration is important, this advice is too vague and does not consider the client's specific nutritional needs or restrictions.
C. Anticipate weight loss will continue even with normal diet. Weight loss should be monitored and managed carefully, especially after bariatric treatment; it should not be assumed to continue without ongoing effort and adherence to a dietary plan.
D. Walk frequently during recovery. Encourage the client to continue with regular, gentle walks as tolerated to promote circulation and weight management, which is consistent with the client's recent weight loss through walking.
E. Expect immediate return of ovulation. There is no information provided that correlates the client's medical condition with ovulation status.
F. Begin taking supplements per the healthcare provider's orders. If the healthcare provider has recommended supplements, ensure the client understands the importance of taking them as directed to support overall health.
G. Advance diet from clear liquids to full liquid. As the client recovers, it's important to gradually reintroduce different types of food, starting with clear liquids and moving to full liquids as tolerated before progressing to solid foods.
H. Dietician appointments are optional. Given the client's history with weight management and engagement with a bariatric clinic, continued dietitian support is likely crucial for sustained success.

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Correct Answer is C

Explanation

A. Potential changes in employee benefits are important to address, but job security is a more immediate concern for employees facing agency restructuring.
B. Changes in job descriptions may occur as part of agency restructuring, but job security is typically a more pressing concern for employees.
C. Employees' job security is the most important concern to address during agency restructuring.
Employees may feel anxious about the possibility of layoffs or job loss, so providing reassurance and clear communication about job security is essential for maintaining morale and reducing
stress.
D. New management's expectations may be relevant, but they are secondary to employees' concerns about their job security during agency restructuring. Once job security is assured, addressing new management's expectations can be addressed.

A. Give a bolus of 1,000 mL 0.9% sodium chloride B. Repeat blood gas in 1 hour C. Place the client in a prone position D. Perform endotracheal suctioning E. Chest x-ray now F. Administer inhaled corticosteroid

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

Explanation

A. Giving a bolus of 1,000 mL 0.9% sodium chloride is typically used to treat hypovolemia or electrolyte imbalances, which are not indicated by the patient's current lab values or clinical
situation.
B. Repeating the blood gas in 1 hour is a reasonable order as it would provide information on whether the patient's respiratory status is improving following interventions for ventilator-associated pneumonia.
C. Placing the client in a prone position can improve oxygenation in patients with respiratory distress by redistributing lung perfusion, making it a suitable intervention for this patient with diminished breath sounds and crackles.
D. Performing endotracheal suctioning would help clear secretions, which may be contributing to the patient's diminished breath sounds and crackles, and is consistent with the care for a patient with pneumonia.
E. A chest x-ray now would typically be ordered if there was a suspicion of a new onset condition such as a pneumothorax or pleural effusion, which is not indicated by the patient's current presentation.
F. Administering an inhaled corticosteroid is generally used for long-term management of chronic respiratory conditions and is not typically used for acute management of ventilator-associated pneumonia.

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Exhibits The nurse reviews the client data. What discharge education should the nurse provide? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse manager is involved in agency restructuring. During this reengineering process, it is most important for the nurse to address which employee concern?

Correct Answer is C

Explanation

Exhibits Based on the assessment and blood gas results, which 3 orders should the nurse expect from the healthcare provider?

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

Explanation

A client receives a prescription for loratadine suspension 10 mg PO once a day. The bottle is labeled, "Loratadine for Oral Suspension, 5 mg per 5 mL." How many teaspoons should the nurse instruct the client to take? (Enter numerical value only.)

A client with a history of rheumatic fever is diagnosed with mitral valve stenosis. The client has shortness of breath with exertion and fatigue. Which assessment finding warrants immediate intervention by the nurse?

The nurse is caring for a client with a binge eating disorder. Which goal should the nurse first establish with the client?

The nurse notes that a client with depression has been more withdrawn and noncommunicative during the past two weeks. Which Intervention is most important to include in the updated plan of care for this client?

A client who is one day postpartum tells the nurse that her baby cannot latch onto the breast. The nurse determines that the client's nipples are inverted. Which action should the nurse implement?

An older adult male client arrives at the clinic reporting that his bladder always feels full. The client also reports a weak urine flow, frequent dribbling after voiding, and increasing nocturia with difficulty initiating the urine stream. Which action should the nurse implement?

Exhibits

The nurse reviews the client data. What discharge education should the nurse provide? Select all that apply.