A nurse at a long-term care facility is reviewing the plan of care for a client who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to an assistive personnel?

Evaluate the need for the client to remain in mitten restraints.

Assist the client with range-of-motion exercises of the hands.

Instruct the client's family about the purpose of mitten restraints.

Determine the circulation status of the affected extremities every 2 hr

Answer and Explanation

The Correct Answer is B

Range-of-motion exercises can be safely performed by assistive personnel under the supervision and direction of the nurse. It helps to maintain the mobility and function of the client's hands while in restraints.

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Correct Answer is D

Explanation

Atorvastatin is a medication used to lower cholesterol levels in the blood. One of the potential adverse eﬀects of atorvastatin is myopathy, a condition characterized by muscle pain, weakness, and tenderness. In severe cases, myopathy can progress to rhabdomyolysis, a potentially life-threatening condition in which muscle breakdown products are released into the bloodstream and can cause kidney damage.

Therefore, the nurse should instruct the client to monitor for muscle pain, weakness, or tenderness and report these symptoms to the healthcare provider immediately. Hypoglycemia, palpitations, and daytime drowsiness are not commonly associated with atorvastatin use and would not require immediate reporting to the healthcare provider.

A. Alienates himself from his peers B. Regresses to an earlier developmental level C. Believes his bad behavior is causing his brother's death D. Believes that his brother's death will be reversible The correct answer is C

Correct Answer is C

Explanation

Children often have difficulty understanding the complex nature of illness and death. They may develop feelings of guilt or responsibility for the situation, thinking that their behavior or actions caused the illness or its outcome.

It is important for the nurse to provide support, reassurance, and age-appropriate explanations to address the sibling's concerns and misconceptions.

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A nurse at a long-term care facility is reviewing the plan of care for a client who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. For which of the following adverse eﬀects should the nurse instruct the client to monitor and report to the provider?

Correct Answer is D

Explanation

A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?

Correct Answer is C

Explanation

A nurse is assisting with the plan of care for a client who has burns to his lower extremities. Which of the following actions should the nurse include in the plan?

A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching with a new parent about bathing her newborn. Which of the following statements should the nurse include?

A nurse is caring for a client who has peptic ulcer disease and is scheduled to undergo an esophagogastroduodenoscopy. Which of the following actions should the nurse take prior to the procedure?

A nurse is contributing to the plan of care for a client who is 2 days postoperative and reports pain in their calf. Which of the following actions should the nurse include?

A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The caregiver reports the client has difficulty sleeping at night and wanders throughout the house. Which of the following interventions should the nurse recommend?

A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?

A nurse is participating in an interprofessional client care conference for a client who has experienced a stroke. The nurse should identify that which of the following client care issues requires reporting to the interprofessional team?