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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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Correct Answer is B

Explanation

A. Mild sedation is a common side effect of ramelteon and typically does not require immediate medical attention. It may improve with continued use as the body adjusts to the medication.
B. Somnambulism (sleepwalking) is a less common but potentially serious side effect of ramelteon. It can pose safety risks to the client, and the healthcare provider should be notified promptly to assess the severity and determine if the medication needs to be adjusted or
discontinued.
C. A change in the sleep-wake cycle is a common intended effect of ramelteon as it helps regulate sleep patterns. However, if the change is extreme or disruptive, it may warrant further evaluation by the healthcare provider.
D. Dizziness reported after the initial dose is a common side effect of ramelteon and usually
diminishes with continued use. It may not require immediate medical attention unless it persists or worsens.

A. Have you experienced ankle edema and varicose veins? B. Did you receive treatment for weeping ulcers on lower legs? C. Were your legs ever suddenly swollen, red, warm, and painful? D. Does the calf pain occur when walking short distances?

Correct Answer is D

Explanation

A. Ankle edema and varicose veins are more commonly associated with venous insufficiency rather than peripheral arterial disease. Asking about these symptoms may not provide relevant information about chronic arterial symptoms.
B. Weeping ulcers on the lower legs are more indicative of venous insufficiency rather than peripheral arterial disease. Asking about these ulcers may not provide relevant information about chronic arterial symptoms.
C. Sudden onset of leg swelling, redness, warmth, and pain is suggestive of acute arterial occlusion rather than chronic arterial symptoms. Asking about these symptoms may be important for assessing acute arterial events, but it does not specifically address chronic arterial symptoms.
D. Peripheral arterial disease commonly presents with intermittent claudication, which causes calf pain or discomfort during physical activity, such as walking short distances. Asking about calf pain during walking can help assess for symptoms of peripheral arterial disease and its
impact on mobility and quality of life.

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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

A client who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the drug. Which side effect should the nurse report to the healthcare provider?

Correct Answer is B

Explanation

A client arrives for an annual physical exam and reports having calf pain. The client's health history reveals peripheral arterial disease. Which question should the nurse ask the client about expected findings related to chronic arterial symptoms?

Correct Answer is D

Explanation

Exhibits After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure. For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding. Each row must have only one response option selected.

Which needle should the nurse use to administer IV fluids via a client's implanted port?

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?

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?

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

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