Nokea
A nurse is reinforcing discharge teaching with a client who states, 'I don't feel confident driving to my follow-up appointments.' The nurse should obtain a referral for which of the following members of the health care team?
- A. Physical therapist
- B. Primary care provider
- C. Occupational therapist
- D. Social worker
Correct Answer: D
Rationale: Referring to a social worker is correct. Social workers help clients identify resources, such as transportation services, to ensure they can attend medical appointments and access necessary care.
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A nurse is caring for a client who has dehydration due to diarrhea. Which of the following findings should the nurse report to the provider?
- A. BUN 18 mg/dL
- B. Serum creatinine 1.0 mg/dL
- C. Urine output 12 mL/hr
- D. Urine specific gravity 1.020
Correct Answer: C
Rationale: Urine output 12 mL/hr is correct. A urine output of 12 mL/hr is low and indicates oliguria, which is a concern in the context of dehydration. The normal urine output for an adult is at least 30 mL/hr. A decrease in urine output suggests that the kidneys are not receiving adequate blood flow, which could indicate severe dehydration and requires immediate attention from the provider.
A nurse is reinforcing teaching with a client who is scheduled for a pulmonary function test. Which of the following instructions should the nurse include?
- A. Avoid smoking for 6 to 8 hours before the test.
- B. Take a bronchodilator before the test.
- C. Wear tight-fitting clothing.
- D. Eat a large meal before the test.
Correct Answer: A
Rationale: Avoiding smoking for 6 to 8 hours before a pulmonary function test ensures accurate measurement of lung function.
A nurse is reinforcing teaching with a client who has a new prescription for citalopram. Which of the following adverse effects should the nurse include?
- A. Insomnia
- B. Bradycardia
- C. Hypotension
- D. Weight loss
Correct Answer: A
Rationale: Citalopram, an SSRI, can cause insomnia due to its stimulatory effect on the central nervous system.
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 collecting data from a client who has a history of alcohol use disorder. Which of the following findings should the nurse expect?
- A. Tremors
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Tremors are a common withdrawal symptom in alcohol use disorder, indicating nervous system irritability.