Nokea
A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse identify as a positive outcome of treatment?
- A. The client's potassium level is 2.7 mEq/L
- B. The client resumes menstruation.
- C. The client's pulse rate is 44/min.
- D. The client develops lanugo.
Correct Answer: B
Rationale: The client resumes menstruation is correct. The resumption of menstruation is a positive outcome of treatment for anorexia nervosa. It indicates that the client's nutritional status has improved and that the body is starting to regain normal function after addressing issues like malnutrition and hormonal imbalances.
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A nurse is reinforcing teaching with a client who is scheduled for a tilt-table test. Which of the following instructions should the nurse include?
- A. Fast for 4 hours before the test.
- B. Wear tight-fitting clothing.
- C. Take a sedative before the test.
- D. Avoid drinking fluids during the test.
Correct Answer: A
Rationale: Fasting for 4 hours before a tilt-table test reduces the risk of nausea or vomiting during positional changes.
A nurse is reinforcing teaching with a client who has a new prescription for a transdermal nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will apply the patch to my back.
- B. I will leave the patch on for 24 hours.
- C. I will rotate the application sites.
- D. I will apply a new patch if I have chest pain.
Correct Answer: C
Rationale: Rotating application sites prevents skin irritation and ensures consistent absorption of nitroglycerin from the transdermal patch.
A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to drink a laxative solution the day before the procedure.
- B. I will need to eat a high-fiber diet for 2 days before the procedure.
- C. I can have a light breakfast on the morning of the procedure.
- D. I will need to remain NPO for 24 hours after the procedure.
Correct Answer: A
Rationale: Drinking a laxative solution the day before a colonoscopy is necessary to clear the colon, ensuring a clear view during the procedure.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
- A. Monitor the client's weight weekly.
- B. Check the client's blood glucose every 12 hours.
- C. Change the TPN bag every 48 hours.
- D. Administer TPN through a peripheral IV line.
Correct Answer: B
Rationale: Checking blood glucose every 12 hours is necessary, as TPN contains high dextrose concentrations that can cause hyperglycemia.
A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. Which of the following instructions should the nurse include?
- A. Take the medication with milk.
- B. Lie down for 30 minutes after taking it.
- C. Take it on an empty stomach.
- D. Avoid sun exposure.
Correct Answer: D
Rationale: Avoiding sun exposure is critical with doxycycline, as it can cause photosensitivity, leading to severe sunburn.