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A nurse is reinforcing teaching about beginning an exercise program with an older adult client who is at risk for osteoporosis. Which of the following activities should the nurse recommend?
- A. Bowling
- B. Jogging
- C. Passive range-of-motion exercise
- D. Walking
Correct Answer: D
Rationale: Walking is weight-bearing and safe, promoting bone health.
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A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?
- A. He is here in the hospital, but I cannot tell you anything else.
- B. I cannot confirm or deny that we have a client by that name.
- C. The client's condition is stable right now.
- D. I will tell him you called.
Correct Answer: B
Rationale: Protecting confidentiality under HIPAA requires not confirming client presence.
A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?
- A. I will gently restrain him during seizures.
- B. I will loosen his clothing during seizures.
- C. I will insert a washcloth in his mouth during seizures.
- D. I will turn him on his back during seizures.
Correct Answer: B
Rationale: Loosening clothing ensures airway safety and comfort during a seizure.
A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?
- A. Photograph
- B. Medical diagnosis
- C. Room number
- D. Age
Correct Answer: A
Rationale: A photograph is a reliable identifier per safety standards.
A nurse is reinforcing teaching with a client about blood glucose monitoring. The client becomes quiet and appears distracted while the nurse is providing the instructions. Which of the following responses should the nurse make?
- A. Aren't you interested in learning how to perform this test?
- B. Let's talk about what you're thinking.
- C. I'll discuss this with your partner instead.
- D. Is this something you think you can do?
Correct Answer: B
Rationale: Exploring the client's thoughts addresses distractions and improves teaching effectiveness.
A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?
- A. Cleanse the client's outer ear with isopropyl alcohol to remove wax.
- B. Pull the client's pinna downward and back.
- C. Hold the ear dropper 1 cm (0.5 in) from the client's ear.
- D. Request the client remain supine for 10 min following administration.
Correct Answer: C
Rationale: Holding the dropper 1 cm above prevents contamination and ensures proper delivery.