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A nurse is providing preoperative care to a client who reports he has no one at home to help him after his outpatient surgery. Which of the following actions should the nurse take?
- A. Assist with a referral to a home health care agency.
- B. Call the provider about admitting the client to the facility overnight.
- C. Give the client a list of home care assistants to contact.
- D. Contact the next of kin to assist the client at home.
Correct Answer: A
Rationale: Assist with a referral to a home health care agency is correct. If the client has no one to assist them at home after surgery, a home health care agency can provide the necessary support. This is a proactive solution to ensure the client has assistance for postoperative recovery, including monitoring for complications, assistance with mobility, and other care needs.
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A nurse is caring for a client who has a new prescription for allopurinol. Which of the following laboratory values should the nurse monitor?
- A. Uric acid
- B. Hemoglobin A1c
- C. Serum creatinine
- D. Cholesterol
Correct Answer: A
Rationale: Allopurinol reduces uric acid levels, so monitoring uric acid ensures the medication's effectiveness in treating gout.
A nurse is reinforcing teaching about palliative care to a client who has cancer. Which of the following statements should the nurse make?
- A. It is for clients who have a terminal illness.
- B. It is for clients who are given 6 months or less to live.
- C. It includes restriction of nutritional support.
- D. It enhances quality of life by promoting comfort.
Correct Answer: D
Rationale: Enhancing quality of life by promoting comfort is correct. Palliative care aims to relieve symptoms such as pain, nausea, and fatigue while supporting the client's emotional, psychological, and spiritual well-being.
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?
- A. Decreased body temperature
- B. Increased incisional drainage
- C. Hypertension
- D. Bradycardia
Correct Answer: C
Rationale: Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.
A nurse is caring for a client who has a new diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
- A. Barrel chest
- B. Bradypnea
- C. Hypoxemia
- D. Weight gain
Correct Answer: C
Rationale: Hypoxemia is expected in COPD due to impaired gas exchange, leading to low oxygen levels in the blood.
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.