The nurse encourages the 84-year-old patient who is recovering from a hip replacement to:

Keep the bed flat to aid in lung expansion.

Cough frequently to make up for the loss of cilia.

Encourage bed rest.

Restrict fluid to prevent pulmonary congestion.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Keeping the bed flat does not necessarily aid lung expansion and can sometimes increase the risk of aspiration in patients with compromised mobility or cognition.

Choice B rationale

Encouraging the patient to cough frequently helps clear secretions from the lungs, compensating for the diminished function of cilia in elderly patients.

Choice C rationale

Encouraging bed rest can lead to complications such as muscle atrophy, decreased lung capacity, and increased risk of pressure ulcers in elderly patients.

Choice D rationale

Restricting fluid intake to prevent pulmonary congestion is not generally recommended unless there is a specific medical condition requiring fluid restriction, as adequate hydration is vital for overall health.

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Correct Answer is D

Explanation

Choice A rationale

Roundworms are common helminth infections but not the most common. They are typically transmitted through contaminated soil and food.

Choice B rationale

Hookworms are another type of helminth infection that can be common but are primarily transmitted through direct contact with contaminated soil.

Choice C rationale

Tapeworms are less common and are usually acquired through the consumption of undercooked meat.

Choice D rationale

Pinworms are the most common helminth infection, especially in children. They are highly contagious and spread through the ingestion of microscopic eggs from contaminated surfaces or fingers.

A. Withholding food and fluids until a diagnosis is established. B. Administering prophylactic IV antibiotics. C. Giving the client a heating pad to place on the abdomen for comfort. D. Administering a cleansing enema in preparation for surgery. E. Having the client ambulate at least once every hour.

Correct Answer is ["A","B"]

Explanation

Choice A rationale

Withholding food and fluids is essential to prevent complications should surgery be needed.

Choice B rationale

Administering prophylactic IV antibiotics helps prevent infection, which is critical in cases of appendicitis.

Choice C rationale

Applying heat to the abdomen can increase circulation and the risk of rupture in appendicitis.

Choice D rationale

Administering an enema can increase the risk of perforation in appendicitis.

Choice E rationale

Ambulation can exacerbate pain and the risk of rupture in a client with suspected appendicitis.

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The nurse encourages the 84-year-old patient who is recovering from a hip replacement to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is aware that family education is necessary for the control of the most common helminth infection, which is:

Correct Answer is D

Explanation

The nurse is caring for a client with suspected appendicitis. Nursing interventions for this client would include: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B"]

Explanation

A nurse is caring for a patient who is in isolation. The nurse would correctly do which of the following?

Fecal matter has contaminated the patient's bed sheet. The nurse should:

A nurse is assessing a client who has an obstruction in the small intestine. Clinical manifestations that the nurse would expect include: (SELECT ALL THAT APPLY)

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The nurse is helping the health care provider perform a sterile procedure at the bedside. Halfway through the procedure, the nurse believes the health care provider has contaminated the sterile field. The nurse should:

An organism that is included in the extended-spectrum beta-lactamase-producing pneumonia (ESBL) group is: