During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. However, one of the actions listed below is not correct.

Instruct the client to report promptly to the practitioner any decreased redness, swelling, pain, or discharge from the incision or drain sites.

Emphasize the importance of adequate rest for healing and immune function.

Instruct the client to use pain medications as ordered and not to exceed the prescribed dose.

Teach the client to avoid using alcohol or other central narcotic analgesics.

Answer and Explanation

The Correct Answer is A

During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. This includes instructing the client to report promptly to the practitioner any **increased** redness, swelling, pain, or discharge from the incision or drain sites. These symptoms may indicate an infection or other complication that requires medical attention. The other actions listed are correct and important for promoting healing and wellness after discharge.

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Correct Answer is D

Explanation

The number "+3" in this documentation represents the pulse amplitude. Pulse amplitude refers to the strength or force of the pulse and is typically measured on a scale of 0 to 4+. A "+3" pulse is considered to be full or strong, indicating good blood ﬂow to the area being palpated.

A. Repression. B. Rationalization. C. Reaction formation. D. Regression.

Correct Answer is D

Explanation

The adult client is displaying regression, which is a defense mechanism where an individual reverts to an earlier stage of development in response to stress or conﬂict. In this case, the client is throwing a temper tantrum, which is a behavior typically associated with young children, because he does not get his own way. This behavior can be seen as a regression to a less mature way of coping with stress or conﬂict.

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During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. However, one of the actions listed below is not correct.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse palpates the pulse of a client and documents the following: 6/6/12 pulse 85 and regular, 3+ and equal in radial, popliteal, and dorsalis pedis. What does the number "+3" represent?

Correct Answer is D

Explanation

A nurse is taking care of an adult client who throws a temper tantrum because he does not get his own way. Which defense mechanism is the adult client displaying?

Correct Answer is D

Explanation

The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?

A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)? Select all that apply.

A client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counselling practice and work full-time. The nurse should realize that this client is demonstrating which aspect of values clarification?

The nurse is collecting equipment to administer a unit of packed red blood cells. Which IV ﬂuid should be used to initiate the IV for this transfusion?

While performing a bed bath, the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?

A client has a history of an inconsistent fecal elimination pattern. What should the nurse instruct this client to improve this health problem?