Nokea
A nurse is caring for a client who delivered a newborn by cesarean birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse make?
- A. You should use patterned-paced breathing when changing positions.
- B. You should change positions as little as possible.
- C. You can splint the incision with a pillow when changing positions.
- D. You can apply counterpressure to your back with each position change.
Correct Answer: C
Rationale: Splinting the incision with a pillow is correct. Holding a pillow firmly against the incision while changing positions provides support, reduces strain on the abdominal muscles, and minimizes pain during movement.
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A nurse is caring for a client who has a new diagnosis of Addison's disease. Which of the following findings should the nurse expect?
- A. Hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Hypotension is common in Addison's disease due to decreased cortisol and aldosterone levels affecting blood pressure regulation.
A nurse is reinforcing teaching with a client who has a new prescription for a progesterone injection. Which of the following instructions should the nurse include?
- A. Inject into the thigh.
- B. Rotate injection sites.
- C. Store the medication in the refrigerator.
- D. Massage the site after injection.
Correct Answer: B
Rationale: Rotating injection sites for progesterone injections prevents tissue irritation and ensures consistent absorption.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to stay flat for 24 hours after the procedure.
- B. I can eat a full meal right before the procedure.
- C. I will receive contrast dye during the procedure.
- D. I should avoid drinking fluids for 12 hours after the procedure.
Correct Answer: C
Rationale: Contrast dye is used during cardiac catheterization to visualize the coronary arteries, and the client should understand this aspect of the procedure.
A nurse is caring for a client who has a new diagnosis of glaucoma. Which of the following findings should the nurse expect?
- A. Blurred vision
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Blurred vision is a common symptom of glaucoma due to increased intraocular pressure affecting the optic nerve.
A nurse is reinforcing teaching with a client who has a new prescription for a budesonide inhaler. Which of the following instructions should the nurse include?
- A. Rinse your mouth after use.
- B. Use it as needed for shortness of breath.
- C. Take it twice daily.
- D. Shake the inhaler before use.
Correct Answer: A
Rationale: Rinsing the mouth after using a budesonide inhaler prevents oral thrush, a common side effect of inhaled corticosteroids.