Exhibits

Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)

Start the prescribed antibiotic

Discontinue nasogastric tube

Reinforce preoperative teaching

Provide the client with ice chips

Answer and Explanation

The Correct Answer is C

A. Start the prescribed antibiotic: There is no indication of infection in the current clinical findings; antibiotics are typically used to treat bacterial infections, which are not yet evident.
B. Discontinue nasogastric tube: The nasogastric tube should remain in place as it helps relieve the symptoms of small bowel obstruction (e.g., vomiting and bloating).
C. Reinforce preoperative teaching: The client is on NPO status, which may suggest preparation for a surgical intervention to address the obstruction. Reinforcing preoperative teaching would be beneficial to ensure the client understands the procedure.
D. Provide the client with ice chips: The client is on NPO status, and consuming food or fluids is contraindicated due to the potential for aspiration or worsening of the condition (e.g., bowel obstruction or pancreatitis).

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Correct Answer is B

Explanation

A. "I can season food with ketchup.": Ketchup is high in sodium and not suitable.
B. "I can season food with vinegar.": Vinegar is low in sodium and appropriate for clients managing hypertension.
C. "I can have a bologna sandwich.": Processed meats like bologna are high in sodium and should be avoided.
D. "I can have canned soup.": Canned soups often contain excessive sodium, making them inappropriate.

A. "I can decrease my risk for a stroke by losing excess weight." B. "My risk for a stroke increases if my HbA1c level is 5 percent or less." C. "Having a total cholesterol level below 200 mg/dL increases my risk for a stroke." D. "My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke."

Correct Answer is A

Explanation

A. "I can decrease my risk for a stroke by losing excess weight.": Excess weight is a modifiable risk factor for stroke, and losing weight can improve glycemic control, blood pressure, and cholesterol levels, reducing stroke risk.
B. "My risk for a stroke increases if my HbA1c level is 5 percent or less.": An HbA1c level of 5% is excellent and indicates good glycemic control, which reduces stroke risk.
C. "Having a total cholesterol level below 200 mg/dL increases my risk for a stroke.": A cholesterol level below 200 mg/dL is desirable and lowers the risk of cardiovascular events, including stroke.
D. "My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke.": Glucocorticoids are not used to reduce stroke risk; they can actually increase blood sugar and cardiovascular risk if used long-term.

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Exhibits Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about meal planning with a client who has hypertension. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Exhibits

Which of the following actions should the nurse assist with? (Click on the exhibit tabs for additional information about the client.)