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Exhibits

Which interventions are indicated to promote positive outcomes for the client? Select all that apply.

Acknowledge feelings of anxiety.

Weigh the client twice weekly.

Encourage exercise.

Provide family education on the condition.

Monitor trips to the restroom.

Allow for menu deviations.

Set precise mealtimes.

Answer and Explanation

Correct Answer : A,B,D,E,G

A. Acknowledge feelings of anxiety: The client's neurological assessment indicates agitation, and acknowledging this can help in addressing any underlying anxiety.
B. Weigh the client twice weekly: Given the client's low BMI and the mother's concern about her weight, regular monitoring is necessary.
C. Encourage exercise: While exercise is generally healthy, the client's current bradycardia and low BMI suggest that immediate physical exertion may not be advisable without medical
supervision.
D. Provide family education on the condition: The client's mother's concern and the client's defensiveness about her weight indicate a need for family education.
E. Monitor trips to the restroom: Monitoring is important to ensure the client is not engaging in behaviors that could further compromise her health, such as purging.
F. Allow for menu deviations is incorrect. Allowing menu deviations can enable the client to avoid certain foods, which reinforces disordered eating behaviors. Structured, balanced meals are essential for recovery.

G. Set precise mealtimes is correct because establishing structured mealtimes promotes consistency and reduces anxiety related to eating. This helps the client develop healthier eating patterns and decreases the urge to binge or purge.

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Correct Answer is C

Explanation

A. Remove dentures or other oral appliance: While important for airway management, it is not specifically related to the client's condition of sleep apnea.
B. Elevate the head of the bed to a 45-degree angle: This intervention can help reduce the risk of aspiration but is not specific to managing sleep apnea.
C. Apply the client's positive airway pressure device: Clients with obstructive sleep apnea often use positive airway pressure devices to maintain airway patency during sleep, so ensuring its application is crucial.
D. Lift and lock the side rails in place: This intervention is important for client safety but does not directly address the client's sleep apnea.

A. Acknowledge that the PN has positioned the client safely and correctly. B. Arrange for unlicensed assistive personnel to assist the PN during the procedure. C. Assume care of the client and assign the PN to the care of a different client. D. Demonstrate to the PN how to position the client more effectively for the procedure.

Correct Answer is D

Explanation

- A: This choice is incorrect because a flat prone position is not safe or correct for a sigmoidoscopy; the client should be in a left lateral or Sims' position.
- B: This choice is not directly related to the immediate need of correcting the client's position for the procedure.
- C: Assuming care of the client does not address the immediate issue of the client's incorrect positioning for the sigmoidoscopy.
- D: Demonstrating the correct positioning ensures the safety and effectiveness of the procedure, which is the nurse's responsibility.

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Exhibits Which interventions are indicated to promote positive outcomes for the client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse places an opioid patch on the chest of a client with intractable pain who also has obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client?

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

Exhibits Based on the assessment and blood gas results, which 3 orders should the nurse expect from the healthcare provider?

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?

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?

The nurse is caring for an older adult client who is admitted to the surgical unit following a partial gastrectomy. In addition to frequent position changes, which postoperative intervention is most beneficial for the nurse to perform in preventing respiratory complications?

The nurse is completing an admission assessment on an older adult client with dehydration, failure to thrive, and who is immobile. The nurse reports to the healthcare provider that the client's right calf is red and swollen. The nurse should suspect which probable cause of these findings?

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

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

A 22-year-old client is admitted to the hospital in diabetic ketoacidosis (DKA. The client's parent is insisting to know the laboratory test results. Which is the best response for the nurse to provide?

Exhibits

Which interventions are indicated to promote positive outcomes for the client? Select all that apply.