A nurse is caring for an older client on a medical-surgical unit.Which of the following interventions should be included in the plan of care?

Monitor the client’s hydration status.

Encourage the client to engage in physical activities.

Administer medications as prescribed.

Educate the client on dietary needs.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Monitoring the client’s hydration status is critical for older adults, especially those on a medical-surgical unit, to prevent dehydration, which can lead to serious complications such as renal impairment, confusion, and electrolyte imbalance.
Choice B rationale
Encouraging physical activities is beneficial but is not always feasible or safe for all older clients, especially those with certain medical conditions or mobility limitations.
Choice C rationale
Administering medications as prescribed is essential but is a standard practice for all clients and not specific to older adults' unique needs.
Choice D rationale
Educating the client on dietary needs is important but secondary to monitoring hydration, which addresses more immediate physiological needs and complications.

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Correct Answer is C

Explanation

Choice A rationale
A mutant BRCA1 gene is not associated with an increased risk of thyroid cancer. Thyroid cancer risk factors include radiation exposure and family history, but not the BRCA1 mutation.
Choice B rationale
The BRCA1 gene mutation does not increase the risk of Down syndrome in offspring. Down syndrome is related to chromosomal abnormalities, not the BRCA1 gene mutation.
Choice C rationale
The BRCA1 gene mutation significantly increases the risk of breast cancer, often at an early age. It is a key factor in hereditary breast cancer syndromes.
Choice D rationale
The BRCA1 gene mutation is not linked to an increased risk of Alzheimer's disease. Alzheimer's is associated with genetic factors like the APOE gene, not BRCA1.

A. Diarrhea. B. Anorexia. C. Alopecia. D. Fatigue.

Correct Answer is D

Explanation

Choice A rationale
Diarrhea is not a typical adverse effect of radiation treatment for breast cancer; gastrointestinal symptoms are more common with abdominal or pelvic radiation.
Choice B rationale
Anorexia, or loss of appetite, can occur but is not as common as fatigue for clients undergoing radiation treatment.
Choice C rationale
Alopecia can occur with chemotherapy, but it is less common with radiation therapy unless the radiation is directed at the scalp.
Choice D rationale
Fatigue is a common and expected adverse effect of radiation therapy due to the body's response to treatment and tissue repair processes.

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A nurse is caring for an older client on a medical-surgical unit.Which of the following interventions should be included in the plan of care?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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