A nurse is reinforcing discharge teaching with a client about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?

"Adding pecans will be a change I can readily make."

"I will eat cantaloupe for my morning snack."

"I will miss eating yogurt every day for breakfast."

"I can plan to eat rice instead of baked potatoes."

Answer and Explanation

The Correct Answer is B

A. "Adding pecans will be a change I can readily make.": Pecans are not a significant source of potassium compared to other foods.

B. "I will eat cantaloupe for my morning snack.": Cantaloupe is a potassium-rich food and an excellent choice to increase dietary potassium.

C. "I will miss eating yogurt every day for breakfast.": Yogurt is a good potassium source, so discontinuing it would not help.

D. "I can plan to eat rice instead of baked potatoes.": Rice is low in potassium, whereas baked potatoes are a potassium-rich option.

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Correct Answer is D

Explanation

A. Turn off the IV solution and gently flush the line with 3 mL of saline flush solution: This may be necessary later if the occlusion is not resolved by troubleshooting, but the first action should be to check the tubing and clamp for any obstructions.

B. Decrease the rate to 10 mL/hr and flush the line with 1 mL of heparin solution: This is not appropriate as an initial action. Heparin flushes are generally used for maintaining patency in central lines and are not indicated for occlusions caused by tubing issues.

C. Notify the physician: While important if the issue persists, this is not the first action. The nurse should attempt to resolve the problem independently first.

D. Check for kinking of the tubing or a closed clamp: This is the first action the nurse should take. Most occlusions are due to kinking in the tubing or a closed clamp, and resolving this issue may immediately restore the flow.

A. The nurse applies a tourniquet to assess a vein. B. The nurse dons gloves before starting the IV. C. The nurse blows on the area cleansed with alcohol to dry it quickly D. The nurse cleans the area with an alcohol pad

Correct Answer is C

Explanation

A. The nurse applies a tourniquet to assess a vein: Applying a tourniquet is standard practice and does not increase infection risk if proper technique is used.

B. The nurse dons gloves before starting the IV: Wearing gloves minimizes the risk of infection for both the patient and the nurse.

C. The nurse blows on the area cleansed with alcohol to dry it quickly: Blowing on the site introduces bacteria from the nurse's breath to the cleansed area, increasing the risk of infection.

D. The nurse cleans the area with an alcohol pad: Cleaning the site with alcohol reduces the risk of infection and is standard practice.

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A nurse is reinforcing discharge teaching with a client about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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