A nurse is providing teaching to a client who has a new diagnosis of amyotrophic lateral sclerosis (ALS). Which of the following client statements indicates an understanding of the teaching?

"I need to make sure other members of my family get immunized against the disease."

"Since I will stay in the hospital, I should begin the process of selling my home."

"I will need to begin hospice care immediately."

"I would like to talk to someone about creating a living will."

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Other family members or close contacts may consider immunization, but it is not directly related to the client's ALS diagnosis.

Choice B rationale:

Since the client has a new diagnosis of ALS, the immediate focus should not be on selling their home, but rather on understanding and managing the disease.

Choice C rationale:

Requiring hospice care immediately is not a standard recommendation for a client with ALS. The client's disease progression and needs will be assessed to determine the appropriate level of care.

Choice D rationale:

Creating a living will is important for clients with a terminal illness like ALS, as it allows them to express their wishes for medical treatment and care preferences in advance.

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Correct Answer is A

Explanation

Choice A rationale:

Postoperative pain management is crucial for the client's comfort and recovery.

Choice B rationale:

Excoriated folds of the client's panniculus might be related to skin irritation and can be addressed without immediate provider notification.

Choice C rationale:

Hypoactive bowel sounds can be expected after surgery and might not require immediate reporting.

Choice D rationale:

Urine output of 80 mL in the past hour might be influenced by various factors and is not as high a priority as severe pain.

A. Absent deep tendon reflexes B. Fetal heart rate of 120/min C. Blood pressure 150/92 mm Hg D. Facial flushing

Correct Answer is A

Explanation

Choice A rationale:

Absent deep tendon reflexes can be a sign of magnesium toxicity, which is a potential adverse effect of magnesium sulfate infusion.

Choice B rationale:

A fetal heart rate of 120/min is within a normal range and is not concerning.

Choice C rationale:

Blood pressure of 150/92 mm Hg is elevated but is expected in a client with preeclampsia.

Choice D rationale:

Facial flushing can be a common side effect of magnesium sulfate and is not a priority finding to report.

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A nurse is providing teaching to a client who has a new diagnosis of amyotrophic lateral sclerosis (ALS). Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 1 hr postoperative following roux-en Y gastric bypass surgery. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is A

Explanation

A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has neutropenia about preventing foodborne illness. Which of the following instructions should the nurse include?

A nurse is assessing a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder and frequently performs ritualistic behaviors. The nurse should expect which of the following client responses if ritualistic behavior is restricted?

A nurse is facilitating a group session for clients who have posttraumatic stress disorder. Which of the following client statements indicates progression toward positive outcomes?

A nurse is providing discharge teaching for a client who has non-Hodgkin's lymphoma and will be receiving outpatient chemotherapy. Which of the following instructions should the nurse include?

A nurse is teaching a client who has amyotrophic lateral sclerosis (ALS) about the end stages of the disease process. Which of the following information should the nurse include in the teaching?

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