A nurse is caring for a client who is scheduled to undergo a procedure the following day. The client states, "I don't know what my surgery tomorrow is for." Which of the following responses should the nurse make?

"I will make a note in your medical record that you don't understand the surgery."

"I will tell your provider that you have questions about the surgery."

"Would you like to hear about some other possible treatment options?"

"Would you like me to tell you more about the procedure?"

Answer and Explanation

The Correct Answer is B

A. Simply documenting the client's lack of understanding does not address their immediate need for clarification. The nurse must take action.
B. The provider is responsible for obtaining informed consent and ensuring the client understands the procedure. The nurse should notify the provider so they can provide the necessary explanation.
C. Discussing other treatment options is beyond the nurse’s scope of practice. Only the provider should discuss alternative treatments.
D. The nurse can reinforce teaching but cannot provide new information about the surgery. Since the client is unsure about the procedure, the provider must explain it.

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Correct Answer is A

Explanation

A. Keeping the umbilical cord area clean and dry helps prevent infection. Washing the base of the cord with water is recommended, while avoiding full immersion in water until the cord falls off.
B. The diaper should be folded down below the cord to prevent moisture buildup and irritation. Covering it can trap moisture and increase the risk of infection.
C. Minor bleeding is not expected when the stump falls off. Persistent or excessive bleeding should be reported to the provider.
D. Petroleum jelly is not recommended for umbilical cord care. The cord should be kept dry to facilitate natural detachment.

A. "You can take this medication with milk." B. "You should take this medication at bedtime." C. "Constipation is an adverse effect of this medication." D. "Light sensitivity is an adverse effect of this medication."

Correct Answer is D

Explanation

A. "You can take this medication with milk." This is incorrect because dairy products interfere with the absorption of tetracycline and should be avoided when taking the medication.
B. "You should take this medication at bedtime." This is incorrect because taking tetracycline at bedtime increases the risk of esophageal irritation. It should be taken with a full glass of water while sitting or standing upright.
C. "Constipation is an adverse effect of this medication." This is incorrect because tetracycline is more commonly associated with diarrhea rather than constipation.
D. "Light sensitivity is an adverse effect of this medication." This is correct because tetracycline can cause photosensitivity, making the skin more susceptible to sunburn. Clients should be advised to use sunscreen and wear protective clothing when exposed to sunlight.

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A nurse is caring for a client who is scheduled to undergo a procedure the following day. The client states, "I don't know what my surgery tomorrow is for." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is postpartum about caring for their newborn's umbilical cord. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is teaching a client who has a new prescription for tetracycline. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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