A nurse is caring for an older adult client who reports constipation. Which of the following recommendations should the nurse make?

Limit fluid intake to 1,000 mL daily.

Bear down hard when defecating.

Reduce activity.

Eat raw vegetables.

Answer and Explanation

The Correct Answer is D

A. Limit fluid intake to 1,000 mL daily. Increasing fluid intake, not limiting it, helps alleviate constipation.
B. Bear down hard when defecating. Bearing down hard can cause harm, such as hemorrhoids, and does not help relieve constipation.
C. Reduce activity: Increasing physical activity helps promote bowel movements, so reducing activity is not advisable.
D. Eat raw vegetables. Raw vegetables are high in fiber and can help alleviate constipation.

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Correct Answer is A

Explanation

A. Potassium 2.5 mEq/L: Hypokalemia is a critical finding that can cause severe cardiac and muscular complications, making it the priority.
B. Sodium 142 mEq/L: This sodium level is within the normal range (135-145 mEq/L) and does not indicate an immediate threat.
C. Urine specific gravity 1.025: This specific gravity indicates concentrated urine, which is expected in dehydration, but it is not the most critical finding.
D. Blood glucose 110 mg/dL: This blood glucose level is within the normal range and does not indicate an immediate threat.

A. Dispose of the needle uncapped. B. Ask another nurse to recap the needle. C. Place the cap on the table and slide the needle into the cap. D. Recap the needle.

Correct Answer is A

Explanation

A. Dispose of the needle uncapped: The safest method to avoid needle-stick injuries and potential exposure to bloodborne pathogens, including hepatitis C, is to dispose of the needle immediately without recapping.
B. Ask another nurse to recap the needle: Asking another nurse to recap the needle still poses a risk of needle-stick injury and is not a recommended practice.
C. Place the cap on the table and slide the needle into the cap: This method, known as the "scoop" technique, reduces the risk compared to hand recapping but is still not the best practice. Proper sharps disposal is the preferred method.
D. Recap the needle: Recapping needles is discouraged due to the high risk of accidental needle-stick injuries.

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A nurse is caring for an older adult client who reports constipation. Which of the following recommendations should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?

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Explanation

A nurse is preparing to dispose of a needle after administering an intramuscular injection to a client who has hepatitis C. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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