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A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?
- A. Place 1.3 cm (0.5 in) of formed stool into a culture tube.
- B. Keep the specimen in a warm area.
- C. Avoid placing toilet tissue in the bedpan after defecation.
- D. Urinate after the specimen collection.
Correct Answer: C
Rationale: Avoiding toilet tissue prevents contamination of the stool specimen with fibers or chemicals.
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A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?
- A. I'll use focused breathing to control my pain.
- B. I'll listen to my favorite music to take my mind off the pain.
- C. I'll learn to notice the sensation of muscle tension.
- D. I'll think about my grandfather's farm to reduce pain.
Correct Answer: D
Rationale: Guided imagery involves visualizing a calming scene (e.g., a farm) to distract from pain.
A nurse is collecting data from a client who has a BMI of 29. The nurse should document that the client is in which of the following weight categories?
- A. Obese
- B. Underweight
- C. Ideal body weight
- D. Overweight
Correct Answer: D
Rationale: A BMI of 25-29.9 is classified as overweight; 30+ is obese.
A nurse is planning to obtain a client's oxygen saturation. Which of the following might influence the result of this test?
- A. The client has an elevated hemoglobin level.
- B. The client is wearing nail polish.
- C. The client is wearing a ring.
- D. The client has a fever.
Correct Answer: B
Rationale: Nail polish can block the pulse oximeter's light, leading to inaccurate oxygen saturation readings.
A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will move the cane forward 18 inches.
- B. I will hold the cane on my stronger side.
- C. I should wear shoes with smooth soles to help slide my weak leg forward.
- D. I should move my stronger leg forward before moving my weaker leg.
Correct Answer: B
Rationale: Holding the cane on the stronger side provides optimal support and balance for the weaker side.
A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will apply antiseptic ointment to the tip of my penis.
- B. I will clamp the tube when I go for a walk.
- C. I will keep the drainage bag below the level of my waist.
- D. I will empty my drainage bag once a day.
Correct Answer: C
Rationale: Keeping the bag below waist level prevents urine backflow, reducing infection risk.