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Exhibits

The nurse reviews the client data. What discharge education should the nurse provide? Select all that apply.

Encourage three large meals a day.

Start with room temperature water.

Anticipate weight loss will continue even with normal diet.

Walk frequently during recovery.

Expect immediate return of ovulation.

Begin taking supplements per the healthcare provider's orders.

Advance diet from clear liquids to full liquid.

Answer and Explanation

Correct Answer : D,F,G

A. Encourage three large meals a day. This may not be appropriate for the client's current dietary plan, especially after bariatric clinic involvement and dietitian consultations.
B. Start with room temperature water. While hydration is important, this advice is too vague and does not consider the client's specific nutritional needs or restrictions.
C. Anticipate weight loss will continue even with normal diet. Weight loss should be monitored and managed carefully, especially after bariatric treatment; it should not be assumed to continue without ongoing effort and adherence to a dietary plan.
D. Walk frequently during recovery. Encourage the client to continue with regular, gentle walks as tolerated to promote circulation and weight management, which is consistent with the client's recent weight loss through walking.
E. Expect immediate return of ovulation. There is no information provided that correlates the client's medical condition with ovulation status.
F. Begin taking supplements per the healthcare provider's orders. If the healthcare provider has recommended supplements, ensure the client understands the importance of taking them as directed to support overall health.
G. Advance diet from clear liquids to full liquid. As the client recovers, it's important to gradually reintroduce different types of food, starting with clear liquids and moving to full liquids as tolerated before progressing to solid foods.
H. Dietician appointments are optional. Given the client's history with weight management and engagement with a bariatric clinic, continued dietitian support is likely crucial for sustained success.

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Correct Answer is B

Explanation

The initial sterile wound care for surgical clients requires an assessment of the wound's appearance and healing, which is the responsibility of the RN. PNs can provide ongoing wound care but not the first assessment.

Validating prescribed IV flow rates is within the scope of practice for a PN. This task involves observation and monitoring, which PNs are trained to perform safely and effectively.

C. Initiating teaching for client care after discharge involves comprehensive assessment, planning, and communication skills, which are typically performed by an RN.
D. Evaluating and updating plans of care for clients requires critical thinking, clinical judgment, and decision-making skills, which are typically performed by an RN.

A. Depression. B. Right lower abdominal pain. C. Peripheral neuropathy. D. Confusion.

Correct Answer is D

Explanation

A. Depression: While depression may occur in some individuals with Wernicke's syndrome, confusion is the primary assessment finding associated with this condition.
B. Right lower abdominal pain: Abdominal pain is not a characteristic symptom of Wernicke's syndrome. Confusion, ophthalmoplegia, and ataxia are more common.
C. Peripheral neuropathy: While peripheral neuropathy may occur in some neurological conditions, it is not specific to Wernicke's syndrome, which primarily presents with confusion, ophthalmoplegia, and ataxia.
D. Confusion: Confusion is a hallmark symptom of Wernicke's syndrome and should be a primary focus of assessment and care planning for this condition.

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Exhibits The nurse reviews the client data. What discharge education should the nurse provide? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving a change of shift report for clients on a medical-surgical unit, which activity should the nurse delegate to the practical nurse (PN)?

Correct Answer is B

Explanation

A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment finding should the nurse use in planning the client's care?

Correct Answer is D

Explanation

The nurse is caring for a client with a binge eating disorder. Which goal should the nurse first establish with the client?

The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?

The nurse is developing a plan of care for a client who reports chest pain on exertion and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

A client with a history of unstable angina presents to the emergency department with constant chest pressure that is unrelieved with rest. The client appears anxious, pale, and diaphoretic. After obtaining the client's vital signs, which action should the nurse take next?

The nurse notes that a client with depression has been more withdrawn and noncommunicative during the past two weeks. Which Intervention is most important to include in the updated plan of care for this client?

When admitting a client with a diagnosis of transient ischemic attack (TIA, which intervention is most important for the nurse to include in this client's plan of care?

The nurse is caring for an older adult client with a history of osteoarthritis who is having difficulty walking because of increased right knee pain. To assess the quality of the client's knee pain, which approach should the nurse use?

Exhibits

The nurse reviews the client data. What discharge education should the nurse provide? Select all that apply.