Which statement by an adolescent client with acute osteomyelitis in the right leg indicates the best understanding of the appropriate activity level after discharge?

I will not be able to participate in contact sports.

Leg exercise should be done as much as possible to maintain muscle tone.

I can resume my normal activities.

I need to keep my leg as immobile as possible during healing

I can resume my normal activities.

Answer and Explanation

The Correct Answer is A

Choice A: This response indicates an understanding of the need to avoid high- risk activities that could worsen the condition or cause injury to the affected leg, which is appropriate after acute osteomyelitis.

Choice B: While exercise is important, it should be done under medical guidance, especially after a significant illness like acute osteomyelitis.

Choice C: Resuming normal activities may not be appropriate immediately, and the level of activity should be determined by the healthcare provider.

Choice D: Keeping the leg immobile is not typically recommended as it can lead to muscle atrophy and other complications.

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Correct Answer is C

Explanation

Choice A: Bread is generally considered a suitable food choice for individuals with cholelithiasis and is not typically associated with exacerbating symptoms or gallstone formation.

Choice B: Beef broth is a liquid and does not contain the same types of fats and cholesterol that can contribute to gallstone formation. It is not typically a concern for individuals with cholelithiasis.

Choice C: Ketchup is often high in sugar and can be made with vinegar, which may exacerbate symptoms in some individuals with cholelithiasis. It is advisable to omit or limit foods high in sugar and vinegar-based condiments.

Choice D: Ice cream, while high in fat, is generally tolerated by most individuals with cholelithiasis unless they experience specific dietary sensitivities. It is not typically recommended to omit ice cream from the diet unless advised by a healthcare provider.

A. Encourage the UAP to demonstrate the effective use of the incentive spirometer to the client. B. Schedule time later in the morning to review the use of the incentive spirometer with the client. C. Ask the practical nurse assigned to care for the client to review the use of the spirometer with the client. D. Advise the UAP that the respiratory therapist is responsible to supervise the client's use of the spirometer.

Correct Answer is C

Explanation

A. Encouraging the UAP to demonstrate the effective use of the incentive spirometer may not be appropriate since the UAP may not have the necessary training or expertise to provide proper instruction.
B. Scheduling time later to review the use of the spirometer does not address the immediate need for the client to understand how to use it effectively and may delay important interventions for respiratory health.
C. Asking the practical nurse assigned to care for the client to review the use of the spirometer ensures that the client receives accurate and professional guidance. The practical nurse has the training to properly instruct the client on the effective use of the incentive spirometer, which is crucial for preventing complications like atelectasis.
D. Advising the UAP that the respiratory therapist is responsible for supervising the client's use of the spirometer does not empower the UAP to take action and does not address the immediate concern regarding the client’s ineffective use.

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Which statement by an adolescent client with acute osteomyelitis in the right leg indicates the best understanding of the appropriate activity level after discharge?

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Naxlex Comprehensive Predictor Exams

A middle-aged client newly diagnosed with cholelithiasis is choosing the evening meal.What food choice should the nurse encourage the client to omit?

Correct Answer is C

Explanation

The unlicensed assistive personnel (UAP) who is caring for a postoperative client reports to the charge nurse that the client is not using the incentive spirometer effectively. What action should the charge nurse implement?

Correct Answer is C

Explanation

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