A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

Critical pathway

Standards of care

Clinical practice guidelines

Textbook reference

Answer and Explanation

The Correct Answer is A

A.   Critical pathway provides a specific, timeline-based plan of care with expected outcomes and interventions, including activity levels.
B.   Standards of care are important but may not offer specific guidance for the individual client's daily activity level.
C.   Guidelines may provide general recommendations but may lack specificity.
D.   This is general information source but not as specific or current as the institution's critical pathway.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Asking the client to describe one physical effect after teaching is seeking feedback to ensure understanding.
B. The environment refers to the physical surroundings and context of communication, not the client's response.
C. The message is the information conveyed during teaching.
D. The channel is the method or medium through which communication occurs, such as verbal or written communication.

A. Butterfly rash on the face B. Ulnar deviation C. Heberden’s nodes D. Bouchard’s nodes

Correct Answer is B

Explanation

A. A butterfly rash on the face is associated with systemic lupus erythematosus (SLE), not rheumatoid arthritis.
B. Ulnar deviation of the joints is a characteristic finding in rheumatoid arthritis, caused by inflammation and destruction of the joint structures.
C. Heberden’s nodes are associated with osteoarthritis, not rheumatoid arthritis.
D. Bouchard’s nodes are also associated with osteoarthritis, not rheumatoid arthritis.

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A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?

Correct Answer is A

Explanation

A nurse is collecting data from a client who reports having stiffness in her joints. Which of the following findings should indicate to the nurse that the client may have rheumatoid arthritis?

Correct Answer is B

Explanation

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

A nurse is collecting data on a client who has an infection. Which of the following findings is a manifestation of sepsis?

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A nurse is reinforcing teaching with a client who has a superficial lesion. A biopsy indicates malignant melanoma. Which of the following treatment choices should the nurse include in the teaching?

A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

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