Nokea
A nurse is collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?
- A. Diaphoresis.
- B. Hypotension.
- C. Peripheral edema.
- D. Facial flushing.
Correct Answer: C
Rationale: Peripheral edema is common in end-stage kidney disease due to the kidneys' inability to remove excess fluid.
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A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?
- A. Osteoarthritis is caused by inflammation that affects both joints and other body tissues.
- B. Osteoarthritis happens in several phases when deposits of crystals develop in joints and soft tissues.
- C. Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint.
- D. Osteoarthritis is due to loss of calcium in the bones, which can lead to increased risk for bone fractures.
Correct Answer: C
Rationale: Osteoarthritis is a degenerative joint disease due to aging and cartilage disintegration, as correctly understood.
A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?
- A. Apply an ice pack to painful joints for 20 minutes, 3 times a day.
- B. Take a dose of aspirin on days when you have more pain.
- C. Increase your water intake to 2 liters per day.
- D. Participate in high impact aerobics to increase joint mobility.
Correct Answer: C
Rationale: Increasing water intake to 2 liters daily supports joint lubrication and overall health in osteoarthritis management.
A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?
- A. Drink 16 oz of cranberry juice each day.
- B. Use an over-the-counter douche product after intercourse.
- C. Wait to void until the bladder feels full.
- D. Wear underwear made from nylon.
Correct Answer: A
Rationale: Drinking 16 oz of cranberry juice daily helps prevent UTIs by inhibiting bacterial adhesion to the urinary tract lining.
A nurse is reinforcing discharge instructions to a client who is postoperative from a hip arthroplasty. Which of the following statements by the client indicates a correct understanding of the teaching?
- A. I will avoid wearing socks on my feet.
- B. I will avoid performing leg exercises.
- C. I will avoid crossing my legs for the first 3 months after surgery.
- D. I will avoid lying on the side of my surgery when I get home.
Correct Answer: C
Rationale: Avoiding crossing the legs for the first 3 months after surgery helps prevent dislocation of the hip joint and promotes proper healing.
A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?
- A. You should wear glasses instead of contacts while taking this medication.
- B. A yellow tint to the skin is an expected reaction to the medication.
- C. Lifelong treatment with this medication is necessary.
- D. The medication causes amenorrhea if taken along with an oral contraceptive.
Correct Answer: A
Rationale: Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. Therefore, it is recommended to wear glasses instead of contacts while taking this medication.