The nurse is preparing the client for discharge.
For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.
Take furosemide each night at bedtime.
Record daily weight.
Adhere to 2 g low-sodium diet.
Maintain bed rest for 1 week following discharge
Restrict fluid intake to 2 L/day
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}
|
Potential discharge instruction |
Anticipated |
Contraindicated |
|
Take furosemide each night at bedtime. |
✔ |
|
|
Record daily weight. |
✔ |
|
|
Adhere to 2 g low-sodium diet. |
✔ |
|
|
Maintain bed rest for 1 week following discharge |
✔ |
|
|
Restrict fluid intake to 2 L/day |
✔ |
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While reminders of behavioral expectations can be helpful, excessive verbal guidance may increase frustration and is less effective than physical outlets for excess energy.
B. Group activities can be overstimulating for a client experiencing mania and may escalate agitation or distractibility.
C. Allowing unrestricted clothing choices is not a priority intervention during mania and does not address safety or energy management.
D. Encouraging the client to increase physical activity provides a safe outlet for excessive energy, reduces tension, and helps prevent injury or destructive behaviors. Structured physical activity is a therapeutic strategy during manic episodes.
Correct Answer is C
Explanation
Choice A Rationale: Pulling the auricle upward and outward is typically recommended for children or infants due to the position of their ear canals. In adults, this method may not align the ear canal properly, making it difficult to administer the medication effectively.
Choice B Rationale: Pulling the auricle downward and backward is not recommended for adults as it can cause the ear canal to narrow, which may hinder the proper administration of the otic suspension and could potentially cause discomfort.
Choice C Rationale: Pulling the auricle upward and backward is the correct method for adults. This technique straightens the ear canal, allowing for easier administration of the medication and ensuring that the medication reaches the eardrum effectively.
Choice D Rationale: Pulling the auricle downward and outward is not the correct method for adults as it does not straighten the ear canal, which could prevent the medication from being properly administered and may not reach the treatment area effectively.
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