A nurse is assisting with developing a discharge plan for a client who has a new diagnosis of diabetes mellitus. The client is independent and lives alone. Which of the following interventions should the nurse plan to include?

Provide the client with 1 week's supply of insulin syringes

Arrange for a home health nurse to visit the client daily.

Notify the family of the client's health status.

Refer the client to a diabetic support group

Answer and Explanation

The Correct Answer is B

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Correct Answer is B

Explanation

A nurse collecting data on a client who has swelling of the lower leg should identify that moderate pain on the ankle of the aﬀected extremity is a manifestation of compartment syndrome. Compartment syndrome is a painful condition that occurs when pressure within a muscle compartment increases to dangerous levels.

The other options are not typical symptoms of compartment syndrome.

a) An aﬀected extremity being warm to touchis not a typical symptom of compartment syndrome.

c) A blanch time of 2 seconds in the toenail beds of the aﬀected extremity is not a typical symptom of compartment syndrome.

d) Palpation of a +1 dorsal pedal pulse of the aﬀected extremity is not a typical symptom of

compartment syndrome.

A. Document the client's respiratory rate in 1 hr. B. Monitor the client for an allergic reaction for 30 min. C. Check the client's response to the medication in 1 hr. D. Evaluate the client for therapeutic eﬀects in 30 min.

Correct Answer is A

Explanation

After the nurse administers a PRN pain medication to a client, the nurse can assign the assistive personnel (AP) to document the client's respiratory rate in 1 hour. This is within the scope of practice of an AP.

The other tasks are not appropriate for an AP to perform.

Monitoring the client for an allergic reactionand evaluating the client for therapeutic eﬀects are both nursing assessments that should be performed by the nurse.

Checking the client's response to the medication is also a nursing assessment that should be performed by the nurse.

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A nurse is assisting with developing a discharge plan for a client who has a new diagnosis of diabetes mellitus. The client is independent and lives alone. Which of the following interventions should the nurse plan to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has swelling of the lower leg. The nurse should identify that which of the following findings is a manifestation of compartment syndrome?

Correct Answer is B

Explanation

A nurse and assistive personnel (AP) are caring for a client who requests a PRN pain medication. After the nurse administers the medication, which of the following tasks should the nurse assign to the AP?

Correct Answer is A

Explanation

A nurse is contributing to the plan of care for an older adult client. Which of the following physiological changes should the nurse recommend considering when administering medication?

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