The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?

Offer Incontinence briefs to be worn while sleeping

Provide clothing that is easy to put on and take off

Explain the need to call the nurse using the call bell for help with toileting

Ask the client if he needs to urinate at least every two hours

Answer and Explanation

The Correct Answer is B

A. Incontinence briefs are appropriate for overnight use but do not encourage independence in bladder management during the day.

B. Providing easy-to-remove clothing is a practical intervention that enhances the client's independence in managing toileting, especially if they have cognitive impairments. It ensures that the client can quickly respond to the urge to urinate.

C. Explaining the use of a call bell is helpful but may not be the most appropriate approach for a cognitively-impaired client who may forget or struggle with communication.

D. Asking the client every two hours if they need to urinate is helpful but may not be as effective as providing easy access to clothing for quick toileting.

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Correct Answer is ["B","D","E"]

Explanation

A. Physical activity should be encouraged to maintain mobility, not limit it.

B. A bed cage can help alleviate pain by preventing linens from touching sensitive areas.

C. Osteoarthritis involves the breakdown of cartilage, not an autoimmune attack on the joint lining.

D. Injectable corticosteroids are used when NSAIDs are ineffective.

E. Gradual weight loss reduces stress on weight-bearing joints, alleviating symptoms.

A. Provide reassurance to the client and parents. B. Explain the discharge Instructions to the client and parents. C. Perform a neurovascular assessment. D. Apply an ice pack to the casted leg

Correct Answer is C

Explanation

A. Providing reassurance is important but not as urgent as assessing neurovascular status.

B. Discharge instructions are necessary but can wait until the client's immediate safety is ensured.

C. The priority is to ensure that the circulation, sensation, and movement of the affected limb are intact, which helps identify potential complications like compartment syndrome early.

D. Applying ice can help with swelling but is secondary to ensuring neurovascular integrity.

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The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY).

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?

Correct Answer is C

Explanation

Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

A client asks the nurse why the physician has advised her to walk for 30 minutes three times a week to help prevent osteoporosis. The nurse's best response is that walking:

When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)

The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

A nurse is caring for a client who is experiencing acute back pain and who was given a medical prescription for a nonsteroidal anti-inflammatory agent (NSAID). The nurse would monitor the client for which symptom?

The nurse is caring for a client who has been treated with skeletal traction for two weeks. What are the priorities of care? (SELECT ALL THAT APPLY

A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

The nurse is giving medications using the client's feeding tube. Which medication cannot be delivered in this way?