Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.

"I will eat fish for dinner at least twice per week."

“I will eat small, frequent meals."

“I will notify my provider if my urine is dark."

“I should expect my bowel movements to be pale in color."

“I will limit my morning coffee to no more than two cups."

Answer and Explanation

Correct Answer : A,B,C

Rationale:

A. “I will eat fish for dinner at least twice per week.” Fish is a good source of lean protein and omega-3 fatty acids, which are heart-healthy and easier on the pancreas compared to fatty meats. This aligns with dietary recommendations for pancreatitis recovery.

B. “I will eat small, frequent meals.” Eating small, frequent meals reduces pancreatic stimulation and helps manage pain and nausea. It also supports better nutrient absorption and glucose control in clients with pancreatitis and hyperglycemia.

C. “I will notify my provider if my urine is dark.” Dark urine may indicate worsening liver dysfunction or bile obstruction, especially with elevated bilirubin levels. Prompt reporting can lead to early intervention.

D. “I should expect my bowel movements to be pale in color.” Pale stools may signal bile duct obstruction or malabsorption and are not a normal or expected finding. This should be reported rather than expected.

E. “I will limit my morning coffee to no more than two cups.” Caffeine can exacerbate gastrointestinal symptoms and may increase pancreatic irritation; it is usually recommended to limit or avoid coffee during pancreatitis recovery.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A,B"}}

Explanation

Rationale:

Excessive spending habits: This behavior is hallmark for mania, where impaired judgment, impulsivity, and inflated self-esteem lead to reckless financial decisions.
Hallucinations: Hallucinations, especially visual or auditory ones, are classic signs of psychosis. They indicate a break from reality and are not a diagnostic feature of mania alone unless psychotic features are present.
Pressured speech: Pressured, rapid, and loud speech is a diagnostic feature of mania, reflecting heightened psychomotor activity and racing thoughts.
Lack of sleep: Insomnia without fatigue is typical in mania. Clients may stay awake for days with increased energy levels and no perceived need for rest.
Disorganized thought process: This can appear in both mania and psychosis. In mania, it stems from flight of ideas and distractibility. In psychosis, it results from impaired reality testing and cognitive disintegration.

A. "The client is a member of the board of directors." B. "The client was intubated without complications." C. "The estimated blood loss was 250 milliliters." D. "There was a total of 10 sponges used during the procedure."

Correct Answer is C

Explanation

Rationale:

A. "The client is a member of the board of directors.": Personal or non-clinical information such as the client’s status or occupation is irrelevant to care delivery and violates confidentiality principles unless directly related to medical decision-making or care needs.

B. "The client was intubated without complications.": While this may be a useful detail in some cases, it is not as clinically relevant as reporting measurable data like blood loss. Intubation is standard for many surgeries, and if no complications occurred, it may not impact ongoing care.

C. "The estimated blood loss was 250 milliliters.": Estimated blood loss is a critical piece of information that affects postoperative care decisions, such as fluid replacement, monitoring for hypovolemia, and vital sign trends. It is an essential component of the PACU-to-floor hand-off.

D. "There was a total of 10 sponges used during the procedure.": Sponge counts are important intraoperatively to ensure none are retained, but this detail is primarily documented in surgical records. It is not routinely included in hand-off reports unless a count discrepancy occurred.

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Exhibits The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse continues to care for the client. Exhibits For each assessment finding, click to specify if the finding is consistent with psychosis or mania. Each finding may support more than one diagnosis.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A,B"}}

Explanation

A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse Include in the hand-off report?

Correct Answer is C

Explanation

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Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.