An older male client complains to the practical nurse (PN) during his annual physical exam that he is too tired to mow the lawn. Which response should the PN offer?
Determine if he can move to a residential home without lawn maintenance.
Recommend that he should retire from doing outdoor chores.
Advise him that fatigue is a common characteristic of aging.
Review his risk factors for exercise intolerance that impact his quality of life.
The Correct Answer is D
The correct answer is
Choice D rationale:
The practical nurse (PN) should review the client's risk factors for exercise intolerance that impact his quality of life. By doing so, the PN can assess the client's overall health and identify any potential issues that might contribute to his fatigue. This response shows the PN's concern for the client's well-being and is focused on exploring the root cause of his tiredness.
Choice A rationale:
Determining if the client can move to a residential home without lawn maintenance is not appropriate in response to his complaint about feeling tired. This option does not address the underlying issue and assumes the client is unable to care for his own lawn, which may not be the case.
Choice B rationale:
Recommending that the client retires from doing outdoor chores is also not appropriate. It assumes the client's fatigue is solely due to his age and disregards the possibility of other contributing factors that might be addressed.
Choice C rationale:
Advising the client that fatigue is a common characteristic of aging is not a comprehensive response. While fatigue can be related to aging, it is crucial to explore the specific reasons for the client's tiredness before assuming it is solely age-related.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice c. Tell the UAP to continue because the unconscious client is positioned safely.
Choice A rationale:
Enrolling the UAP in a hospital education class on conducting safe client care is a proactive measure, but it is not an immediate action required in this scenario. The UAP is already performing the task correctly.
Choice B rationale:
Praising the UAP for doing the oral hygiene and encouraging family participation is positive reinforcement, but it does not address the immediate task at hand. The focus should be on ensuring the client’s safety during the procedure.
Choice C rationale:
Telling the UAP to continue because the unconscious client is positioned safely is the correct action. The side-lying position with an emesis basin under the chin is appropriate for an unconscious client as it helps prevent aspiration by allowing secretions to drain out of the mouth.
Choice D rationale:
Stopping the procedure and telling the UAP to place the client in a Fowler’s position is incorrect. The Fowler’s position is not suitable for oral hygiene in an unconscious client as it increases the risk of aspiration.
Correct Answer is B
Explanation
Obtain a straight catheter kit to empty her bladder.
Reviewing the fetal heart rate pattern (Choice A) is important during labor, but in this scenario, the client's request to go to the bathroom and the lack of cervical changes are indicative of a potential bladder distention. Addressing the bladder concern should take precedence at this point.
Choice C rationale:
Checking the perineum for changes in "show”. or discharge (Choice C) is essential during labor to monitor progress, but it is not the priority in this situation. The client's request to empty her bladder should be addressed first.
Choice D rationale:
Assisting the client up to the bathroom (Choice D) without addressing the potential bladder distention may lead to complications. It is crucial to ensure the client's bladder is emptied properly, as a distended bladder can hinder progress and increase discomfort during labor.
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