A nurse is assisting with the plan of care for a client who is in the third trimester of pregnancy and has ankle edema. Which of the following interventions should the nurse include in the client's plan of care?

Administer diuretics.

Place on bedrest

Limit fluid intake.

Apply support stockings.

Answer and Explanation

The Correct Answer is D

Answer: D. Apply support stockings.

Rationale: Support stockings can help reduce ankle edema by promoting venous return and preventing fluid accumulation in the lower extremities. Diuretics, bedrest, and fluid restriction are not recommended for pregnant clients with ankle edema as they can cause dehydration, thromboembolism, and fetal compromise.

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Correct Answer is B

Explanation

B. “I should discuss this document with my family after I sign it.”It is important for clients to discuss their advance directives with their family members to ensure that their wishes are understood and respected. This helps prevent confusion and ensures that family members are aware of the client’s preferences for end-of-life care.

Incorrect Options:

A. “I am not allowed to change my mind once I sign this document.”Clients can change or revoke their advance directives at any time as long as they are competent to do so.

C. “My partner needs to be present when I sign this document.”While it is a good idea to have a witness, it is not necessary for the partner to be present. The requirements for witnesses vary by jurisdiction.

D. “An attorney will need to notarize this document for it to be valid.”Not all advance directives require notarization. The requirements vary by state or country, and some may only require witnesses.

A. "Position the bristles of your child's toothbrush against the teeth at a 90-degree angle." B. "Use a 5-inch strip of toothpaste on the toothbrush." C. "Clean the teeth with a small, soft-bristled toothbrush." D. "Floss between your child's teeth before brushing."

Correct Answer is C

Explanation

The correct answer is C. A small, soft-bristled toothbrush is recommended for cleaning a toddler's teeth as it can remove plaque without damaging the gums. The bristles should be angled at 45 degrees, not 90 degrees, to reach under the gum line. A pea-sized amount of toothpaste, not a 5-inch strip, is sufficient for a toddler's toothbrush. Flossing is not necessary until two adjacent teeth touch each other, which usually happens around age 2 or 3.

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A nurse is assisting with the plan of care for a client who is in the third trimester of pregnancy and has ankle edema. Which of the following interventions should the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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