An older adult client who cares for her husband at home has just learned that she needs to have knee replacement surgery. She tells the nurse she is concerned about her inability to provide care to her husband while she recovers from surgery and attends physical therapy. She has a friend who can drive her to and from her appointments once she is discharged, but cannot provide the care her husband needs. How should the nurse respond to the client?

Tell her to consider hiring a private nurse during the postoperative convalescence.

Suggest contacting social services to help find a respite care facility for her husband.

Advise to have a case management evaluation of the client's home environment.

Recommend that the client's family return to the area to help provide assistance.

Answer and Explanation

The Correct Answer is B

A. Hiring a private nurse may be an option but is not the most immediate or practical solution given the client's current resources and concerns.

B. Suggesting contacting social services to find respite care is a practical and immediate solution to ensure her husband’s care while the client recovers.

C. A case management evaluation is helpful but may not address the immediate need for respite care during the client's recovery period.

D. Recommending that the family return might not be feasible or immediate, and respite care can provide the necessary support during recovery.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

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

Explanation

A. Rise slowly when getting up: Finasteride and tamsulosin can cause orthostatic hypotension, making it important for the client to change positions slowly to prevent dizziness and falls.

B. Take medication in the morning: Tamsulosin is typically taken once daily, 30 minutes after the same meal each day, often recommended in the morning to align with the daily routine and reduce the likelihood of missing doses.

C. Erectile dysfunction is common with the prescribed medication: Finasteride may cause sexual side effects such as erectile dysfunction, decreased libido, and ejaculation disorders. It is important to inform the client of these potential side effects.

D. Medication may cause the heart to race: This is not a common side effect of finasteride or tamsulosin. Tamsulosin can cause hypotension, but it does not typically cause tachycardia.

E. Ibuprofen should be taken 2 hours before taking medication: There is no specific interaction that requires timing ibuprofen around these medications.

F. Symptoms should be resolved within 1 week: Improvement in symptoms of benign prostatic hyperplasia (BPH) with medications like finasteride and tamsulosin typically takes several weeks to months, not just one week.

G. Ensure cane is used when ambulating: Given the client's use of a cane and the potential for orthostatic hypotension, it is crucial to reinforce the use of the cane to prevent falls and ensure safe ambulation.

A. Check femoral site for hematoma formation. B. Evaluate the integrity of the IV insertion site. C. Stimulate the client to take deep breaths. D. Assess distal lower extremity capillary refill.

Correct Answer is A

Explanation

A. Checking the femoral site for hematoma formation is crucial as the client’s pain at the groin insertion site could indicate bleeding or hematoma formation, which requires immediate attention.

B. Evaluating the IV insertion site is important but does not directly address the pain at the groin site.

C. Stimulating the client to take deep breaths helps with respiratory function but does not address the potential complications at the groin site.

D. Assessing distal lower extremity capillary refill is useful for overall circulation but is not the immediate concern in this situation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse reviews the healthcare provider's orders. Select the 4 things the nurse should educate the client about taking his medication.

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

Explanation

Correct Answer is A

Explanation

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Which client is best to assign to the practical nurse (PN) who is assisting the registered nurse (RN) with the care of a group of clients?

A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important for the nurse to implement?

The healthcare provider prescribes the antibiotic cefdinir 300 mg PO every 12 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat?

While taking vital signs, a critically ill male client grabs the nurse's hand and asks the nurse not to leave. What action is best for the nurse to take?

The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.