A nurse is planning care for an older adult client who has urinary incontinence. Which of the following interventions should the nurse include in the client's plan of care?

Apply a moisture barrier in a thick layer to the vulnerable skin areas.

Cleanse the skin with antibacterial soap and hot water after each incontinence episode.

Toilet the client every 4 hr while the client is awake.

Reduce the client's daily fluid intake.

Answer and Explanation

The Correct Answer is A

A.   Applying a moisture barrier helps protect the skin from irritation and breakdown due to prolonged exposure to moisture.
B.   Cleansing the skin with antibacterial soap and hot water may be too harsh and can contribute to skin irritation; gentle cleaning with a mild cleanser is preferable.
C.   Toileting the client every 4 hours may not be frequent enough to prevent skin breakdown; a more frequent toileting schedule should be implemented.
D.   Reducing the client's daily fluid intake is not a recommended intervention for urinary incontinence, as it may lead to dehydration and other health issues.

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Correct Answer is D,A,B,C

Explanation

Correct order: D A B C

D. Ask about the type of tobacco product used.

A. Teach the client cessation strategies.

B. Develop a cessation plan with the client.

C. Assist the client in modifying the plan if necessary.

A. "You will be more comfortable after you have surgery." B. "The surgery will give your provider more information about the disease." C. "The surgery will restore function." D. "Your disease will hopefully be cured after the surgery."

Correct Answer is A

Explanation

A. Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease. Therefore, informing the client that they will be more comfortable after surgery is an appropriate instruction.
B. Palliative surgery may not necessarily provide more information about the disease.

C. Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery.
D. Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.

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A nurse is planning care for an older adult client who has urinary incontinence. Which of the following interventions should the nurse include in the client's plan of care?

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Naxlex Comprehensive Predictor Exams

42. A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right, placing them in the correct order of performance. All steps must be used.)

Correct Answer is D,A,B,C

Explanation

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Correct Answer is A

Explanation

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