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Exhibits

The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

Ensure the oxygen delivery system is at least 8 feet from any heat source

Adjust the oxygen flow rate as needed to ease breathing.

Take antibiotic medication with or without food.

Decrease the steroid dose each day.

Take antibiotics for 10 days.

Store the oxygen cylinder wrench with the oxygen tank.

Take steroid medication in the morning.

Answer and Explanation

Correct Answer : A,C,E,F,G

A.   Ensure the oxygen delivery system is at least 8 feet from any heat source- This is important to prevent any risk of fire or combustion around the oxygen source.
B.   Adjust the oxygen flow rate as needed to ease breathing- oxygen flow rate should not be adjusted without consulting a healthcare provider, as it can lead to complications.
C.   Take antibiotic medication with or without food- The client should be advised to take the antibiotic medication as directed by the healthcare provider, which may be with or without food depending on the specific medication.

D.   Decrease the steroid dose each day- It's not advisable to decrease the steroid dose each day without medical guidance.
E.   Take antibiotics for 10 days- Completing the full course of antibiotics is crucial to ensure effective treatment of pneumonia and prevent recurrence or antibiotic resistance.
F.   Store the oxygen cylinder wrench with the oxygen tank- storing the oxygen cylinder wrench with the oxygen tank ensures it is readily available in case of an emergency.
G.   Take steroid medication in the morning- Taking steroid medication in the morning helps mimic the body's natural cortisol secretion pattern and reduces the risk of insomnia or sleep disturbances.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is E,B,C,D,A

Explanation

First, the nurse should apply clean gloves (E) to maintain sterility and safety. Next, the nurse should disconnect the tube from the suction device (B), ensuring that the device is no longer actively working on the tube.

Before removing the tube, it is important to instill air into it (C); this helps clear any residual contents and minimizes the risk of aspiration. The nurse should then ask the client to take a deep breath (D), which helps close the epiglottis to prevent aspiration during the removal of the tube. Finally, the nurse can pinch and withdraw the tube (A), completing the process in a swift, steady motion to ensure comfort and safety for the client.

A. "Do you go barefoot at home?" B. "Have you noticed any problems with foot swelling?" C. "Do you have any problems taking care of your feet?" D. "Have you had a problem with ingrown toenails?"

Correct Answer is C

Explanation

A) "Do you go barefoot at home?" - This question does not directly assess the client's ability to provide foot self-hygiene.
B) "Have you noticed any problems with foot swelling?" - This question focuses on foot swelling, which is not directly related to foot self-hygiene.
C) "Do you have any problems taking care of your feet?" - This question directly addresses the client's ability to provide foot self-hygiene and assesses their awareness of any issues related to foot care.
D) "Have you had a problem with ingrown toenails?" - While ingrown toenails can be a concern for foot health, this question does not comprehensively assess the client's ability to provide foot self-hygiene.

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Exhibits The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps? (Move the steps, placing them in the order of performance. Use all the steps.)

Correct Answer is E,B,C,D,A

Explanation

A nurse is collecting data from a client who has diabetes mellitus. The nurse should ask which of the following questions to determine the client's ability to provide foot self- hygiene?

Correct Answer is C

Explanation

A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client's room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?

A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, "I'm not going to take this medication because it makes me sick and dizzy." Which of the following actions should the nurse take first?

A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. Prior to administering medications, which of the following findings should the nurse report to the provider?

A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with an older adult client who has urinary incontinence. Which of the following instructions should the nurse include?

A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?

A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?

Exhibits

The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.