A nurse is caring for a 10-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?

You sound overwhelmed. Let’s talk about this some more.

I agree. His well-being is the most important.

Tell me more about how you are feeling about your son’s activities.

You might want to use tutors to home-school him.

Answer and Explanation

The Correct Answer is C

Choice A reason: You sound overwhelmed. Let’s talk about this some more. This response acknowledges the mother’s feelings and opens the door for further discussion. However, it does not directly address her specific concerns about physical activities. While it is empathetic, it lacks the focus needed to explore her worries about her son’s participation in school activities.

Choice B reason: I agree. His well-being is the most important. This response validates the mother’s concern but may inadvertently reinforce her fears without providing a balanced perspective. It does not encourage a discussion about the benefits of physical activity for children with diabetes or how to manage his condition safely during such activities.

Choice C reason: Tell me more about how you are feeling about your son’s activities. This response is the most appropriate as it invites the mother to express her specific concerns and feelings. It shows empathy and a willingness to understand her perspective, which can lead to a more productive conversation about managing her son’s diabetes while allowing him to participate in physical activities.

Choice D reason: You might want to use tutors to home-school him. This response suggests an alternative that may not be necessary or beneficial. Home-schooling might isolate the child and prevent him from enjoying social interactions and physical activities that are important for his overall development. It does not address the mother’s concerns directly and may not be the best solution.

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Correct Answer is A

Explanation

Choice A reason:

Reducing the intake of vitamin K-rich foods is not recommended for preventing osteoporosis. Vitamin K plays a crucial role in bone health by helping to regulate calcium in the bones and blood. It is essential for the formation of osteocalcin, a protein that binds calcium to the bone matrix, thereby strengthening bones1. Therefore, reducing vitamin K intake could negatively impact bone health.

Choice B reason:

Reducing sodium intake is beneficial for preventing osteoporosis. High sodium intake can lead to increased calcium excretion in the urine, which can weaken bones over time2. Lowering sodium intake helps to retain calcium in the body, promoting better bone health.

Choice C reason:

Decreasing caffeine intake is advisable for preventing osteoporosis. Excessive caffeine consumption can interfere with calcium absorption and increase calcium excretion, which can weaken bones. Limiting caffeine intake helps to ensure that more calcium is available for bone maintenance and strength.

Choice D reason:

Limiting the intake of soft drinks is also recommended for preventing osteoporosis. Many soft drinks contain phosphoric acid, which can lead to an imbalance in calcium and phosphorus levels in the body, potentially weakening bones. Reducing soft drink consumption helps to maintain a healthier balance of these minerals, supporting bone health.

A. Apply restraints if the client becomes agitated. B. Administer pantoprazole as prescribed. C. Verify the prescribed ventilator settings daily. D. Elevate the head of the bed to at least 30 degrees. E. Reposition the endotracheal tube to the opposite side of the mouth daily.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason: Applying restraints if the client becomes agitated should be done with caution and only as a last resort. Restraints can increase the risk of injury and should be used according to hospital policy and only when absolutely necessary. Alternative methods to calm the client should be explored first.

Choice B reason: Administering pantoprazole as prescribed is important to prevent stress ulcers and gastrointestinal bleeding, which are common complications in clients receiving mechanical ventilation. Pantoprazole is a proton pump inhibitor that reduces stomach acid production.

Choice C reason: Verifying the prescribed ventilator settings daily is crucial to ensure the client is receiving the correct ventilation support. Regular checks help identify any discrepancies or changes in the client’s condition that may require adjustments to the ventilator settings.

Choice D reason: Elevating the head of the bed to at least 30 degrees helps prevent ventilator-associated pneumonia (VAP) by reducing the risk of aspiration. This position also aids in lung expansion and improves oxygenation.

Choice E reason: Repositioning the endotracheal tube to the opposite side of the mouth daily helps prevent pressure ulcers and sores in the mouth. Regular repositioning reduces the risk of tissue damage and infection.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving positive pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse in an outpatient mental health clinic is treating a client who has bulimia nervosa. Exhibits A nurse is assessing the client during a follow-up visit. Select the 4 assessments that indicate a therapeutic response to the treatment plan.

A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?

A nurse is teaching a client who reports taking ginkgo biloba to improve his memory and peripheral arterial disease from atherosclerosis. The nurse should include which of the following potential side effects?

A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemicolectomy. Which of the following foods should the nurse instruct the client to avoid?

A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?