The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. What behavior(s) indicate the client understands how to maintain balance safely? Select all that apply.

Bends from the waist to pick trash off the floor.

Leans forward to pull a pan from a high shelf.

Locks knees while preparing food on the counter.

Widens stance while working near the sink.

Brings a heavy can close to body before lifting.

Answer and Explanation

Correct Answer : D,E

A.   Bending from the waist to pick up trash can cause imbalance and strain; it is safer to bend at the knees.

B.   Leaning forward to pull a pan from a high shelf can lead to loss of balance; using a step stool is safer.
C.   Locking the knees can lead to loss of balance and is not a recommended posture.

D. Widening the stance provides a stable base and helps maintain balance while working.
E. Bringing a heavy can close to the body before lifting uses proper body mechanics, reducing the risk of strain and promoting balance.

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

Explanation

A) This is a common symptom as individuals may avoid social interactions and isolate themselves due to ongoing distress.
B) Exaggerated startle response: Individuals may have an increased startle reflex following trauma, which can persist over time.
C) Intrusive thoughts: These are unwanted and distressing thoughts related to the trauma that can continue to affect the individual.
D) Avoidance of places associated with the assault: This behavior is a protective mechanism to prevent re-experiencing the traumatic event.
E) Overeating: Overeating is not a characteristic sequalae of rape trauma.

F) Hallucinations: Hallucinations are not typically associated with long-term symptoms of rape- trauma syndrome. Hallucinations can occur in severe cases, particularly if there are co-occurring mental health disorders such as PTSD.

Correct Answer is ["1.3"]

Explanation

To calculate the dosage of amoxicillin for the infant, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The infant weighs 22 pounds, which is equivalent to 10 kilograms (22 lb / 2.2 lb/kg). The prescription is for 20 mg/kg/day, so the total daily dosage is 200 mg (10 kg * 20 mg/kg). This total daily dosage is divided into three doses, as it is to be administered every 8 hours, resulting in

66.7 mg per dose (200 mg / 3). The medication is supplied as 250 mg per 5 mL, so to find out how many mL per dose, set up a proportion: 250 mg is to 5 mL as 66.7 mg is to X mL. Solving for X gives us 1.334 mL (66.7 mg * 5 mL / 250 mg), which rounds to 1.3 mL when rounded to the nearest tenth.

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The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. What behavior(s) indicate the client understands how to maintain balance safely? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse wants to teach the client about the long-term phase symptoms of rape-trauma syndrome. What symptoms are consistent with long-term rape trauma? Select all that apply.

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

Explanation

Correct Answer is ["1.3"]

Explanation

An older adult client presents to the emergency department with abdominal pain due to constipation. The nurse is providing a list of high-fiber foods to the client that the healthcare provider has recommended. Which action should the nurse implement when reviewing the list of foods?

A client is receiving "Heparin Sodium 25,000 Units in 250 mL 5% Dextrose" IV at 7 mL/hour. The healthcare provider changes the prescription to 900 units/hour. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only.)

Exhibits The nurse is caring for the client. Which of the following assessment findings should the nurse prioritize?

The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate attention?

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