The nurse is preparing the client for discharge.
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
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 |
✔ |
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Asking the client to help with the dressing change may not be appropriate, especially if the client is frail or recovering from surgery. Older adults may have limited mobility or strength, and they may require assistance rather than being asked to participate actively.
B. Waiting for the client to approach the nurse for assistance may not be conducive to providing optimal care. Nurses should proactively assess the client's needs and offer assistance as appropriate, especially in the postoperative period when mobility may be limited.
C. Using paper tape for securing the new dressing is a good choice because older adults may have delicate skin that is prone to tearing or irritation. Paper tape is gentle on the skin and less likely to cause damage or discomfort compared to other types of adhesive dressings.
D. Applying the dressing loosely over the incision may compromise its effectiveness in providing wound protection and promoting healing. Dressings should be applied securely but not too tightly to avoid restricting circulation or causing discomfort.
Correct Answer is A
Explanation
A. An elevated serum calcium level (hypercalcemia) can indicate a complication of total parenteral nutrition, such as hypercalcemia resulting from excess calcium supplementation in the
TPN solution, which can lead to complications such as renal calculi and cardiac dysrhythmias.
B. The blood urea nitrogen (BUN) level within the normal range does not indicate a complication related to total parenteral nutrition.
C. The serum potassium level within the normal range does not indicate a complication related to total parenteral nutrition.
D. A normal white blood cell (WBC) count does not indicate a complication related to total parenteral nutrition.
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