A nurse is caring for a client who is postoperative and has a peripheral IV, and is requesting ice chips. Which of the following actions should the nurse take?

Lower the head of the client’s bed.

Check the client’s gag reflex.

Remove the client’s peripheral IV.

Check the client for bladder distention.

Answer and Explanation

The Correct Answer is B

A: Lowering the head of the client’s bed is not appropriate in this situation. It does not address the safety concern related to swallowing.

B: Checking the client’s gag reflex is the correct action. This ensures that the client can safely swallow ice chips without the risk of aspiration.

C: Removing the client’s peripheral IV is not related to the request for ice chips and is unnecessary unless there is a specific reason to do so.

D: Checking the client for bladder distention is not relevant to the request for ice chips and does not address the immediate concern of safe swallowing.

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Correct Answer is C

Explanation

A: Having a small snack and taking a bath before bed can promote relaxation and improve sleep quality.

B: Going to bed and getting up at the same time each day helps regulate the body’s internal clock and promotes better sleep.

C: Watching television until falling asleep can interfere with sleep quality. The light from screens can disrupt the production of melatonin, a hormone that regulates sleep.

D: Avoiding naps throughout the day can help maintain a consistent sleep schedule and improve nighttime sleep quality.

A. Expect some swelling in the hands and feet. B. Take the medication at bedtime. C. Eat foods that contain plenty of potassium. D. Take aspirin if headaches develop.

Correct Answer is C

Explanation

A: Expecting some swelling in the hands and feet is incorrect. Furosemide is a diuretic used to reduce fluid buildup, so swelling should decrease, not increase.
B: Taking the medication at bedtime is not recommended because furosemide increases urine output, which can disrupt sleep. It is better to take it in the morning.
C: Eating foods that contain plenty of potassium is important because furosemide can cause potassium loss. Consuming potassium-rich foods helps maintain electrolyte balance and prevent hypokalemia.
D: Taking aspirin if headaches develop is not related to the use of furosemide. The nurse should address headache management separately and ensure the client understands the specific instructions for furosemide use.

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A nurse is caring for a client who is postoperative and has a peripheral IV, and is requesting ice chips. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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