The nurse is caring for an older adult client who states that they have a rash that is burning and painful. Upon assessment the nurse notes round, red, vesicles on one dermatome on the right side. What is the most important discharge teaching?

Instruct the client to receive the varicella vaccine once the virus has resolved.

Instruct the client to complete all antibiotics prescribed by the provider.

Instruct the client to receive the zoster vaccine once the virus has resolved

Instruct the client to refrain from sexual activity for 30 days after discharge.

Answer and Explanation

The Correct Answer is C

A. The varicella (chickenpox) vaccine is not appropriate for an older adult who already had chickenpox and is now presenting with shingles (herpes zoster).
B. Antibiotics are not indicated; shingles is caused by a virus (varicella-zoster virus), not bacteria.
C. The zoster vaccine is recommended after recovery to help prevent future episodes and reduce the risk of complications such as postherpetic neuralgia.
D. Shingles is not sexually transmitted, so avoiding sexual activity is unnecessary.

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Correct Answer is A

Explanation

A. Anticipatory grieving occurs when family members begin to experience grief before the actual loss, often in response to a terminal illness.
B. Situational refers to a sudden, unexpected loss or crisis, not the expected progression of a chronic illness.
C. Coping describes strategies used to deal with stress but is not a type of grief.
D. Hope is a positive outlook that may exist alongside grief but is not a form of grieving.

A. The client who has voided 750 mL in the past 24 hours. B. The client that has a potassium level of 5.2 mEq/L (Ref 3.5-5.0 mEq/L) C. The client that has increased feelings of depression. D. The client that is scheduled for hemodialysis later in the day.

Correct Answer is B

Explanation

A. A urine output of 750 mL/24 hr is low (oliguria) but not immediately life-threatening compared to electrolyte imbalances.

B. A potassium level of 5.2 mEq/L is slightly above normal and indicates hyperkalemia risk, which can progress rapidly to life-threatening cardiac dysrhythmias. This client is the highest priority for immediate assessment and intervention.

C. Depression is important but not the immediate priority in an acute setting compared to unstable lab values.

D. A scheduled dialysis client may be stable until treatment; the elevated potassium requires faster intervention.

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The nurse is caring for an older adult client who states that they have a rash that is burning and painful. Upon assessment the nurse notes round, red, vesicles on one dermatome on the right side. What is the most important discharge teaching?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has end-stage renal disease. The client's child is present and tells the nurse about fears that the disease will soon progress to death. What type of grieving does the nurse identify in the client's child's response?

Correct Answer is A

Explanation

The nurse is caring for four clients with acute kidney injury. Which client is of highest priority?

Correct Answer is B

Explanation

The nurse is caring for a client with dehydration with vital signs as follows: blood pressure 96/72, heart rate 106, respiration rate of 18 breaths/minute, and temperature of 101F. After receiving intravenous fluids, which assessment finding is the best way to determine improvement in fluid status?

The nurse is receiving morning report on several clients with diseases causing inflammation. What client is the priority for the nurse to assess first?

The nurse is caring for a pregnant client who has just been diagnosed with cholecystitis. When considering anticipatory guidance, what should the nurse include in education regarding nutrition?

The nurse is educating a client's spouse about anticipatory grief. Which statement made by the spouse indicates understanding?

The nurse is caring for a client who states they have swelling in their knee, pain, and crepitus after running. What part of the client's health history will the nurse note as a possible cause of their symptoms?

The nurse is caring for a client with multiple sclerosis (MS). The client tells the nurse the hardest thing to deal with is the fatigue. When teaching the client how to reduce fatigue, what action should the nurse suggest?

The nurse is assessing a client with hypothermia who is on a ventilator and notes a temperature of 82.5°F (32.2°C). Drag from the list of possible interventions from the left to the right that are the most appropriate for the nurse to implement.