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Sudden dimmed vision: Sudden dimmed vision may indicate other ocular issues, such as retinal detachment or macular degeneration, but it is not a specific indicator of cataracts. Cataracts typically cause a gradual clouding of vision.

Intermittent flashes of light: Intermittent flashes of light are more commonly associated with conditions such as retinal detachment or migraine aura, rather than cataracts.

Pain in the eyes: Pain in the eyes is not typically associated with cataracts unless there are complications such as increased intraocular pressure or inflammation.

Amniotic fluid color: While the color of amniotic fluid can provide important information about fetal well-being and possible complications, the priority immediately following an amniotomy is to assess the fetal heart rate to ensure fetal well-being and monitor for any signs of fetal distress.

The client's temperature: While maternal temperature should be monitored regularly during labor to detect signs of infection, it is not the priority immediately following an amniotomy. Fetal well-being takes precedence.

Frequency of contractions: Monitoring the frequency of contractions is important for assessing progress in labor and identifying any abnormalities, but it is not the priority immediately following an amniotomy. Fetal well-being should be assessed first.

Birth date and mother's name: While important for identification, this information alone may not be sufficient to accurately identify a newborn, especially in situations where there may be multiple newborns with similar birth dates or mothers with the same name.

Age and diagnosis: Age and diagnosis are important clinical information but are not typically used as primary identifiers for medication administration.

Footprints and identification number: While footprints and identification numbers may be used as supplemental identifiers, they are not as reliable or commonly used as name and medical record number for medication administration.

The formula infusion rate of the feeding was too slow: While an incorrect infusion rate can affect gastrointestinal function, it is unlikely to cause diarrhea unless the rate is too fast, leading to intolerance.

The feeding tube was partially obstructed during the infusion: Tube obstruction can lead to inadequate delivery of formula, but it is unlikely to cause diarrhea unless it results in significant changes in feeding volume or composition.

The client is experiencing delayed gastric emptying: Delayed gastric emptying can lead to symptoms such as bloating and nausea but is less likely to cause diarrhea unless it results in bacterial overgrowth or malabsorption.

Delegate complicated tasks to an RN: Delegating tasks to a registered nurse may not always be feasible, especially if the RN is also busy with their own tasks. Delegation should be done based on the nurse's scope of practice and the complexity of the task, not solely to manage time. B. Document all client care at the end of the shift: Documenting all client care at the end of the shift can lead to errors or omissions in documentation. It is important to document care in a timely manner to ensure accuracy and continuity of care.

Documenting all client care at the end of the shift can lead to delays in responding to changes in the client's condition and could result in missing important details. Documentation should be done in real-time to ensure accuracy and improve time management.

Performing quick tasks before time-consuming ones may lead to neglecting critical or urgent tasks. Time-consuming tasks might be of higher priority and should be addressed based on urgency rather than the time they take.

Hypernatremia: Hypernatremia (elevated sodium levels) is not typically associated with the emergent phase of burn injuries.

Hypercalcemia: Hypercalcemia (elevated calcium levels) is not typically associated with the emergent phase of burn injuries.

Hypermagnesemia: Hypermagnesemia (elevated magnesium levels) is not typically associated with the emergent phase of burn injuries.

The client's foot feels cooler than in the previous assessment: While decreased temperature can indicate decreased perfusion, the absence of a palpable pedal pulse is a more concerning finding.

The client's capillary refill time is 5 seconds in the toes: While prolonged capillary refill time can indicate impaired circulation, the absence of a palpable pedal pulse is a more concerning finding.

The client reports a pain level of 8 on a scale from 3 to 10: Pain is subjective and can be managed with analgesics, but the absence of a palpable pedal pulse indicates a more serious issue related to perfusion.

Allow the infant to have soft foods: Following cleft palate repair, infants may need to avoid certain foods until they have healed sufficiently. Soft foods may be appropriate depending on the recommendations of the healthcare provider, but this should be determined on an individual basis.

Instruct the parents to feed the infant with a spoon: Following cleft palate repair, infants may have difficulty with sucking, so feeding with a spoon may be more appropriate to prevent aspiration and promote healing of the surgical site.

Tell the parents to avoid brushing the infant's teeth for two weeks: While it is important to be gentle around the surgical site, proper oral hygiene should still be maintained. Brushing the infant's teeth should be done gently and as tolerated, following the guidance of the healthcare provider.

Instruct the client to report the theft to the police: While reporting theft to the police may be necessary, the immediate concern is the safety and well-being of the client, especially if financial exploitation or abuse is suspected.

Ask the client if there is another family member they can call for financial help: While involving other family members may be appropriate in some situations, suspected abuse or exploitation requires intervention from trained professionals.

Restrict visitation for the client's family until discharge: Restricting visitation should only be done if there is a clear risk to the client's safety, and it should not be the first action taken in response to suspected abuse.

Wear a gown when delivering the client's food tray: Gowns are not typically necessary for routine care of clients with tuberculosis unless there is potential for contact with respiratory secretions.

Prohibit visitors while the client's infection is active: Visitors should be educated about tuberculosis precautions and provided with appropriate personal protective equipment if necessary, but prohibiting visitors may not be necessary.

Administer a tuberculin skin test prior to discharge: Tuberculin skin testing is used for screening and diagnosis of tuberculosis infection, not for management of active tuberculosis.

Switch to a goat's milk formula: Goat's milk is not recommended for infants as it lacks essential nutrients and can lead to nutritional deficiencies and other health issues.

Switch to an unpasteurized milk formula: Unpasteurized milk poses a risk of bacterial contamination and is not recommended, especially for infants who are more susceptible to infections.

Switch to a condensed milk formula: Condensed milk is not suitable as a primary source of nutrition for infants and does not address the potential underlying issue of cow's milk intolerance.

Pitting edema: Pitting edema is a sign of fluid retention and is not specifically associated with hypokalemia.

Diplopia: Diplopia refers to double vision and is not typically associated with hypokalemia.

Hyperactive bowel sounds: Hyperactive bowel sounds can occur in conditions such as diarrhea but are not specific to hypokalemia.

"I will apply cold compresses when my joints are painful." Cold compresses can provide temporary relief from pain and inflammation associated with osteoarthritis.

"I will limit purine intake in my diet." Limiting purine intake is more relevant for conditions like gout, not osteoarthritis.

"I will avoid the use of ibuprofen for pain control." Ibuprofen is a common nonsteroidal antiinflammatory drug (NSAID) that can help relieve pain and inflammation in osteoarthritis. However, it's essential to consider potential side effects and consult with a healthcare provider before long-term use, especially in older adults.

"You can take your child to stores on weekends." Neutropenic clients are at increased risk of infection, so avoiding crowded places like stores is advisable.

"You should inspect your child's mouth weekly for ulcers." Neutropenic clients are at risk of developing oral mucositis, so mouth inspections should be performed daily, not weekly.

"You can give your child fresh fruit for snacks." Neutropenic clients should avoid fresh fruits and vegetables that cannot be peeled or cooked, as they may harbor bacteria that can cause infection.

A client who has a head injury and whose pupils are fixed and dilated: This client likely has a severe head injury with signs of increased intracranial pressure, which requires urgent intervention. However, airway and breathing take precedence over neurological status in triage.

A client who has a dislocated shoulder and reports a pain level of 8 on a scale from 0 to 10: While this client is in pain, dislocated shoulder is not immediately life-threatening in the context of a mass casualty situation.

A client who has a 20.3-cm (8-in) scalp laceration with intermittent bleeding: Although this client has a significant laceration, it is not immediately life-threatening compared to compromised breathing.

Refer to the client's identification card for their advance directives status: While some clients may carry identification cards indicating their advance directives status, relying solely on this information may not be comprehensive or up-to-date.

Verify the client's advance directives with their health care surrogate: This step may be necessary if the client is incapacitated or unable to communicate, but it should not replace direct communication with the client.

Check for a written do-not-resuscitate prescription in the client's medical record: While checking the medical record is important, advance directives may include more comprehensive instructions beyond do-not-resuscitate orders, so direct communication with the client is essential.

Vitamin C: While a vegan diet may limit sources of vitamin C, it is typically abundant in fruits and vegetables, so deficiency is less likely.

Potassium: Potassium deficiency is not typically associated with a vegan diet, as plant-based foods such as fruits, vegetables, legumes, and nuts are good sources of potassium.

Magnesium: While magnesium deficiency can occur in anyone with an inadequate intake of magnesium-rich foods, it's not necessarily more common in vegans compared to omnivores.

Draws up regular insulin before NPH when demonstrating injection technique: This indicates incorrect knowledge about insulin administration, as NPH insulin should be mixed properly by rolling the vial to ensure even distribution of the medication.

Says that he will see a primary care provider to treat corns on his feet: This response is appropriate because the primary care provider can address foot care concerns and complications associated with diabetes.

States that he will treat hypoglycemic reactions with 15 g of carbohydrates: This response is appropriate and indicates an understanding of how to manage hypoglycemia.

Suggest the family persuade the client to take the medication: This option involves coercion, which is not ethically appropriate. Clients have the right to refuse medication, and persuasion from family members should not be used to override this right.

Recommend that the medication be delivered intramuscularly: Administering medication against a client's will through an invasive route like intramuscular injection is not appropriate and may constitute assault.

Suggest the newly licensed nurse contact the pharmacy to inquire about compatible foods: This response does not address the ethical issue of respecting the client's autonomy and right to refuse medication.

Respiratory alkalosis: This condition is characterized by low levels of carbon dioxide (PaCO2) in the blood and an elevated pH. The ABG results in DKA show a low pH, ruling out respiratory alkalosis.

Metabolic alkalosis: Metabolic alkalosis is characterized by high bicarbonate (HCO3) levels and an elevated pH. The ABG results in DKA show low bicarbonate levels, ruling out metabolic alkalosis.

Respiratory acidosis: Respiratory acidosis is characterized by high carbon dioxide (PaCO2) levels and low pH. The ABG results in DKA show a normal or slightly decreased PaCO2, ruling out respiratory acidosis.