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 B

Explanation

Rationale:

A. Disenfranchised: Disenfranchised grief occurs when the person's mourning is not socially recognized or supported, such as grieving an ex-partner or a stigmatized relationship. In this scenario, the grief is acknowledged and expected, making this option less appropriate.

B. Anticipatory: Anticipatory grief happens when individuals begin mourning a loss before it occurs, as in terminal illness. The family member’s struggle with “letting her go” reflects emotional processing of an expected death before it happens.

C. Delayed: Delayed grief is a postponed emotional response to a loss, often surfacing long after the event. Since the family member is currently expressing emotional difficulty, this is not an example of delayed grief.

D. Exaggerated: Exaggerated grief is intense, overwhelming, and can impair functioning. It may include suicidal ideation or severe depression. The statement indicates sadness and difficulty coping, but not extreme or dysfunctional symptoms.

A. “I can infuse the medication at a faster rate” B. “I can start the medication 30 minutes earlier.” C. “I have up to 2 hours after the usual scheduled time to give you this medication “ D. “I can adjust the time and schedule for when it's convenient for you.”

Correct Answer is C

Explanation

Rationale:

A. “I can infuse the medication at a faster rate”: Vancomycin must be infused slowly, typically over 60–120 minutes, to prevent adverse effects such as Red Man Syndrome. Increasing the infusion rate is unsafe and not appropriate.

B. “I can start the medication 30 minutes earlier.” While minor time adjustments may be acceptable, this choice limits flexibility unnecessarily. Medication timing should follow institutional policy, which generally allows a 30-minute window before and a 2-hour window after the scheduled time.

C. “I have up to 2 hours after the usual scheduled time to give you this medication”: This reflects standard medication administration guidelines for time-critical medications like antibiotics. Giving vancomycin within 30 minutes before or up to 2 hours after the scheduled time is acceptable and safe.

D. “I can adjust the time and schedule for when it's convenient for you.” While patient preferences are important, antibiotic timing must align with dosing schedules to maintain therapeutic levels. Adjustments must follow clinical guidelines, not personal convenience.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking with a family member of a client who has a terminal diagnosis. The family member states, "I'm having a hard time letting her go." The nurse should recognize that the family member is experiencing which of the following types of grief?

Correct Answer is B

Explanation

A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?

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.