The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?

The client will need sterile dressing changes

The client and family lack knowledge of the treatment regimen

The client will be discharged with a feeding tube

The client will be receiving IV medications by home health nurses

Answer and Explanation

The Correct Answer is B

The nurse would question the discharge of a client to be cared for by the family if the client and family lack knowledge of the treatment regimen. It is important for the client and family to have a good understanding of the treatment regimen in order to provide safe and eﬀective care at home. The other options (The client will need sterile dressing changes, The client will be discharged with a feeding tube, and The client will be receiving IV medications by home health nurses) are not situations that would necessarily prevent discharge to be cared for by the family.

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Correct Answer is A

Explanation

A diuretic is a medication that increases the production of urine by the kidneys. This can help reduce swelling (edema) by removing excess ﬂuid from the body. If a client is prescribed a diuretic for swelling of the lower extremities, the nurse should teach the client that the medication will increase their urinary output. This means that the client will need to urinate more frequently and may produce more urine than usual. The color and odor of the urine may also change, but these changes are not directly related to the eﬀect of the medication on urinary output.

A. "I know what you mean: you need an antibiotic." B. "Antibiotics have no eﬀect on viruses." C. "Why do you think you need an antibiotic?" D. "Let me talk to the physician and see what we can do."

Correct Answer is B

Explanation

The most appropriate response by the nurse would be to explain to the client that antibiotics have no eﬀect on viruses. Upper respiratory infections, such as the common cold, are caused by viruses and therefore antibiotics would not be eﬀective in treating the infection. It is important for the nurse to educate the client about the appropriate use of antibiotics and to address any misconceptions they may have.

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The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed a diuretic for swelling of the lower extremities. The nurse should teach the client about the eﬀect of the medication on the client's urinary output.

Correct Answer is A

Explanation

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?

Correct Answer is B

Explanation

A nurse is taking care of a client who just lost her husband to a terminal illness. The client is refusing to believe that the loss is happening. Which of Kubler-Ross's stages of grieving is the client experiencing?

A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?

Which one of the following roles of the home health care nurse illustrates the role of coordinator of services?

A nurse is taking care of an adult client who throws a temper tantrum because he does not get his own way. Which defense mechanism is the adult client displaying?

When planning interventions to promote a client's appetite, which of the following would be included in the client's plan?

The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. Members of which cultural group might request an alternative meal choice?

The client who has sleep apnoea reports falling asleep while driving, almost being involved in an accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?

The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?