The nurse is preparing the client for discharge.

Exhibits

For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.

Take furosemide each night at bedtime.

Record daily weight.

Adhere to 2 g low-sodium diet.

Maintain bed rest for 1 week following discharge

Restrict fluid intake to 2 L/day

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Potential discharge instruction	Anticipated	Contraindicated
Take furosemide each night at bedtime.		✔
Record daily weight.	✔
Adhere to 2 g low-sodium diet.	✔
Maintain bed rest for 1 week following discharge		✔
Restrict fluid intake to 2 L/day		✔

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Correct Answer is A

Explanation

A. Elevating the client's legs before applying the stockings helps reduce venous stasis by promoting venous return and decreasing edema, which is essential for the effectiveness of the stockings.

B. Dorsiflexion of the feet can also aid in the application but is not as critical as elevation.

C. Massaging the legsis contraindicated as it may dislodge clots if present.

D.Folding the top of the stockings over can create a tourniquet effect and impede blood flow, which is harmful to the client.

A. "You can take your child to stores on weekends." B. "You should inspect your child's mouth weekly for ulcers." C. "You should notify your provider if your child has a fever." D. "You can give your child fresh fruit for snacks."

Correct Answer is C

Explanation

A. "You can take your child to stores on weekends." Neutropenic clients are at increased risk of infection, so avoiding crowded places like stores is advisable.
B. "You should inspect your child's mouth weekly for ulcers." Neutropenic clients are at risk of developing oral mucositis, so mouth inspections should be performed daily, not weekly.
C. "You should notify your provider if your child has a fever." Neutropenic clients are at high risk of infection-related complications, and fever can be an early sign of infection. Prompt notification of healthcare providers is essential for timely intervention.
D. "You can give your child fresh fruit for snacks." Neutropenic clients should avoid fresh fruits and vegetables that cannot be peeled or cooked, as they may harbor bacteria that can cause infection.

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The nurse is preparing the client for discharge. Exhibits For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?

Correct Answer is A

Explanation

A nurse is reinforcing discharge teaching with the guardian of a client who is neutropenic. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?

A nurse is collecting data from a 3-month-old infant who is 6 hr postoperative following a cleft palate repair. Which of the following pain rating tools should the nurse use?

A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. Which of the following findings should the nurse identify as an indication that the client might have compartment syndrome? (Select all that apply.)

A nurse is assisting with the care of a client who is in active labor. Which of the following data is the priority for the nurse to collect following an amniotomy?

A nurse is reinforcing discharge teaching with a client who had an above-the-knee amputation and has a prosthesis. Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with the parent of a newborn about security procedures. Which of the following instructions should the nurse include?

A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

The nurse is preparing the client for discharge.

Exhibits

For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.