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A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

"I should move my stronger leg forward before moving my weaker leg."

"I will hold the cane on my stronger side."

"I will move the cane forward 18 inches."

“I should wear shoes with smooth soles to help slide my weak leg forward."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Moving the stronger leg forward before moving the weaker leg is incorrect and may increase the risk of falls.

B. Holding the cane on the stronger side provides support and stability while walking.

C. Moving the cane forward 18 inches is incorrect and may increase the risk of falls.

D. Wearing shoes with smooth soles may decrease traction and increase the risk of falls.

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Correct Answer is ["D","E"]

Explanation

Rationale:

A. These neurological findings are within normal limits and do not require immediate follow-up.

B. These musculoskeletal findings are not indicative of an emergency and can be addressed during routine care.

C. Clear lung sounds are a normal finding and do not require immediate follow-up.

D. An irregular heart rate may indicate an arrhythmia or other cardiovascular issue that requires further assessment and intervention.

E. Hyperactive bowel sounds can indicate a variety of gastrointestinal issues, including bowel obstruction or ileus, which may require immediate intervention or further investigation.

A. Administer a diuretic. B. Limit alcohol intake to 2 drinks per day. C. Keep daily fat intake to less than 35% D. Place on 2300 mg sodium diet. E. Administer an antibiotic F. Limit foods high in potassium.

Correct Answer is ["A","B","C","D"]

Explanation

A. The client has hypertension and high sodium levels, indicating fluid retention, so a diuretic may be prescribed to help manage these conditions.
B. The client reports difficulty sleeping without drinking several beers a night, indicating a potential alcohol problem. Limiting alcohol intake is a common recommendation for clients with this issue.
C. The client has elevated LDL cholesterol, indicating high-fat intake, so limiting fat intake can help manage this.
D. The client has elevated sodium levels, so reducing sodium intake can help manage this.
E. There is no indication for an antibiotic prescription based on the client's symptoms and lab results.
F. There is no indication of high potassium levels, so limiting foods high in potassium is not necessary.

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A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["D","E"]

Explanation

A nurse is assisting in the care of a client in a provider's office. Exhibits A nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

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