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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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","F"]

Explanation

A. Post-cardiac catheterization patients require careful monitoring of fluid intake to avoid fluid overload, which can stress the heart and lead to complications.
B. Monitoring vital signs every 4 hours is a standard procedure for a patient post-cardiac catheterization to ensure stability.
C. Continuous cardiopulmonary monitoring is also standard post-procedure to promptly detect any arrhythmias or other cardiopulmonary issues.
D. Admission to the pediatric floor for observation is appropriate for monitoring and ensuring the safety of the patient post-procedure.
E. Keeping the patient NPO (nothing by mouth) is standard until they are fully awake and alert post-anesthesia to prevent aspiration.
F. Point of care blood glucose: This order might be questioned as there is no indication from the history or notes that the child has a blood glucose issue. Monitoring blood glucose is not typically a standard post-cardiac catheterization order unless there is a specific concern for blood sugar levels.
G. Checking pedal pulses every 4 hours is important to ensure there is no compromise in circulation, especially after a procedure involving the heart.
H. Checking the dressing frequently is crucial to identify any signs of bleeding or infection early.

A. Improve stress management skills. B. Achieve satisfactory pain control. C. Reduce risk for infection. D. Obtain adequate rest and sleep.

Correct Answer is B

Explanation

A. Improving stress management skills might be beneficial for overall well-being, but it's not the primary goal in managing degenerative joint disease (DJD. Stress management could be a
secondary intervention to support pain management, but it's not the primary goal.
B. Achieving satisfactory pain control is crucial because pain management is a primary concern for clients with degenerative joint disease (DJD. It directly addresses the client's comfort and
quality of life.
C. While reducing the risk for infection is important in nursing care, it's not the primary goal specifically related to degenerative joint disease (DJD. Infection prevention measures are
important for overall health but aren't directly addressing the primary concern of pain management.
D. Obtaining adequate rest and sleep is important for overall health, but it's not the primary goal when planning nursing care for a client with degenerative joint disease (DJD. Pain control
typically takes precedence in the care plan because pain can significantly impact rest and sleep.

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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

Exhibits The nurse reviews the post catheterization orders. Which two orders would the nurse question?

Correct Answer is ["A","F"]

Explanation

Which is the primary goal when planning nursing care for a client with degenerative joint disease (DJD?

Correct Answer is B

Explanation

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An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?

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Exhibits

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