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A nurse is caring for a patient who has dementia due to Alzheimer's disease and was admitted to a long-term care facility following the death of her partner of 40 years. The patient states, "I want to go home; my husband is waiting for me to cook dinner." Which of the following responses by the nurse is appropriate?

"This is where you live now."

"This is a safer place for you to live."

"Your family said there is no one to care for you at home."

"Tell me what you like to cook for dinner."

Answer and Explanation

The Correct Answer is D

A. Stating "this is where you live now" may cause frustration.

B. Telling the patient it is safer does not acknowledge their emotions.

C. Mentioning family decisions may increase anxiety.

D. This approach validates the patient’s feelings and redirects the conversation without causing distress.

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Correct Answer is D

Explanation

A. Eat plenty of fresh fruits and vegetables. – Incorrect. Raw fruits and vegetables can harbor bacteria, increasing the risk of infection for a patient with neutropenia.

B. Take temperature weekly. – Incorrect. Patients with neutropenia should check their temperature daily, as fever may be the first sign of infection.

C. Perform mild exercise, such as gardening. – Incorrect. Gardening exposes the patient to soilborne fungi and bacteria, which can be harmful.

D. Avoid crowds. – Correct Answer. Neutropenic patients are highly susceptible to infections, so avoiding crowds helps reduce the risk of exposure to contagious illnesses.

A. Place a pillow under the patient's head. B. Loosen restrictive clothing. C. Clear the area of hazards. D. Position the patient in a side-lying position.

Correct Answer is D

Explanation

A. Placing a pillow under the patient's head is inappropriate because it may obstruct the airway and does not prevent aspiration.

B. Loosening restrictive clothing can be helpful but is not the priority over airway protection.

C. Clearing the area of hazards is important to prevent injury, but airway protection takes precedence.

D. Positioning the patient in a side-lying position is the priority to maintain airway patency and reduce the risk of aspiration in case of vomiting.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a patient who has neutropenia. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a patient who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

Correct Answer is D

Explanation

Which of the following evaluation data would the nurse recognize that a patient with hyperosmolar hyperglycemic syndrome (HHS) has improved during the first 24 hours upon admission to the hospital?

A nurse is preparing to administer a unit of red blood cells. The nurse's responsibility is to compare and verify the information on the blood label with the patient's information. The nurse should use which of the following as the priority source of verification?

A 22-year old patient involved in a motorcycle accident has a complete transection of the spinal cord at T-8 resulting in paraplegia. Nursing interventions includes repositioning the patient every 1-2 hours to:

A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?

A patient tells the nurse that he has a migraine headache which started about an hour ago. The nurse should administer the prescribed analgesic and

A nurse is assessing a patient who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?

A head-injured patient is presenting with a generalized seizure. An appropriate nursing intervention during the seizure would include which of the following?

The nurse is evaluating teaching provided to a patient with type 1 diabetes mellitus. Which patient observation indicates that medication teaching has been effective?