A nurse is reinforcing discharge teaching with a client who has undergone a vein stripping of the right leg. Which of the following instructions should the nurse include in the teaching?

Maintain bed rest for 48 hr.

Keep legs in a dependent position.

Wrap the leg with an elastic bandage.

Implement a sodium-restricted diet.

Answer and Explanation

The Correct Answer is C

The client should wrap the leg with an elastic bandage to reduce swelling and promote healing.

The client should not maintain bed rest, as this can increase the risk of thrombosis and infection.

The client should elevate the leg above the heart level, not keep it in a dependent position, as this can reduce venous pressure and edema.

The client does not need to implement a sodium-restricted diet, as this is not related to vein stripping.

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Correct Answer is A

Explanation

To calculate the percentage of weight loss, we can use the formula:

Percentage of weight loss = (Weight loss / Original weight) * 100

Given that the client lost 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb), we can substitute these values into the formula:

Percentage of weight loss = (6.8 kg / 90.7 kg) * 100 Percentage of weight loss = 0.0749 * 100 Percentage of weight loss = 7.49%

The percentage of weight loss is approximately 7.49%.

Since none of the provided answer options exactly match this calculated percentage, the closest option is:

So, the nurse should identify the weight loss as approximately 7.5%.

A. Wipe any excess medication from the inner canthus outward. B. Place an occlusive dressing on the affected eye to prevent the spread of infection. C. Gently massage the eyelid to facilitate absorption of the medication D. Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days.

Correct Answer is A

Explanation

The correct answer is A.

Wipe any excess medication from the inner canthus outward. Bacitracin ophthalmic ointment is an antibiotic that treats bacterial infections of the eye.

The nurse should apply a thin layer of ointment along the lower eyelid margin and wipe any excess medication from the inner canthus (the corner of the eye near the nose) outward with a sterile gauze pad or tissue to prevent clogging of tear ducts and spreading of infection.

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A nurse is reinforcing discharge teaching with a client who has undergone a vein stripping of the right leg. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing weight loss with a client who is concerned about losing 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb). The nurse should identify the weight loss as which of the following total percentages?

Correct Answer is A

Explanation

A nurse is caring for a 3-year-old child who has acute bacterial conjunctivitis of the right eye and has been prescribed bacitracin ophthalmic ointment. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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