A nurse is reinforcing teaching with a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching?

The client can shower with the cast after 24 hr.

The client's extremity should be elevated after the cast is applied.

The client should use a hair dryer in a warm setting to relieve itching inside the cast.

The client should keep the cast covered until it is dry.

Answer and Explanation

The Correct Answer is B

A.   Incorrect. Plaster casts are not waterproof and can become weakened if exposed to moisture, so showering with the cast is generally not recommended.
B.   Correct. Elevating the extremity can help reduce swelling and promote comfort after the cast is applied.
C.   Incorrect. Using a hair dryer inside the cast can cause burns and is not recommended for relieving itching.
D.   Incorrect. Keeping the cast covered is not necessary, and covering it can trap moisture, potentially causing skin problems.

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Correct Answer is A

Explanation

A. Correct. Observing the client during and after meals is a priority because clients with bulimia nervosa often engage in episodes of binge eating followed by purging behaviors. Monitoring the client's behavior during meals and immediately after can help assess for potential purging behaviors.
B. Incorrect. While involving the client in meal planning might be helpful, it is not the first action to address potential purging behaviors.
C. Incorrect. Instructing the client about effective coping strategies is important, but observing for potential purging behaviors is the initial action to address the client's immediate safety.
D. Incorrect. Referring the client to a support group is beneficial, but it is not the first action to address the client's immediate risk of purging behaviors.

A. Urine output of 300 ml over 8 hr. B. Occasional small clots in the urine C. Dark red urine D. Frequent urge to urinate

Correct Answer is C

Explanation

A. Incorrect. A urine output of 300 ml over 8 hours is within the expected range for a postoperative client and does not require immediate reporting.
B. Incorrect. Occasional small clots in the urine are common in the immediate postoperative period following a transurethral resection of the prostate and do not necessarily require immediate reporting.
C. Correct. Dark red urine can indicate bleeding and may be a sign of hemorrhage. This finding should be reported to the provider for further assessment and intervention.
D. Incorrect. A frequent urge to urinate is expected following a transurethral resection of the prostate, as irritation and swelling can occur in the immediate postoperative period.

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A nurse is reinforcing teaching with a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is assisting with discharge planning for a client who is prescribed home oxygen at 1 to 2 L/min. The nurse should ensure that the client has which of the following supplies upon discharge?

A nurse is reinforcing teaching with a client who has an open leg wound and is experiencing difficulty healing. The nurse should encourage the client to increase which of the following nutrients in his diet?

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A nurse is reinforcing teaching with a new mother about facility security measures. Which of the following statements by the mother indicates an understanding of the teaching?

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