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A nurse is reinforcing teaching with a client who is scheduled for a cystoscopy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to fast for 12 hours before the procedure.
- B. I may have pink-tinged urine after the procedure.
- C. I will receive general anesthesia during the procedure.
- D. I should avoid urinating for 6 hours after the procedure.
Correct Answer: B
Rationale: Pink-tinged urine is expected after a cystoscopy due to minor irritation of the bladder lining.
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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.
A nurse at a long-term care facility is part of a risk management team that is creating a plan to lower infection rates in the facility. Which of the following instructions regarding hand hygiene should the nurse include?
- A. Dry hands thoroughly from fingers to wrist.
- B. Hold the hands slightly higher than the elbows when using running water.
- C. Wash hands under running water for at least 10 seconds.
- D. Clean hands with alcohol-based hand gel for 16 seconds.
Correct Answer: A
Rationale: Drying hands thoroughly from fingers to wrist is correct. Proper drying technique is important because residual moisture can harbor bacteria, and drying from fingers to wrist prevents recontamination of clean areas by water dripping from contaminated areas.
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 caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, so monitoring potassium levels is critical.
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.