Nokea
A nurse is reinforcing teaching with a client who is scheduled for a prostate biopsy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Expect blood in the urine after the procedure.
- C. Avoid physical activity for 24 hours before the procedure.
- D. Take a sedative before the procedure.
Correct Answer: B
Rationale: Blood in the urine is expected after a prostate biopsy due to minor trauma to the prostate tissue.
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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.
A nurse is caring for a client who has a new diagnosis of epilepsy. Which of the following instructions should the nurse include in the teaching?
- A. Avoid driving until seizures are controlled.
- B. Limit fluid intake.
- C. Avoid physical activity.
- D. Take antiseizure medication at different times each day.
Correct Answer: A
Rationale: Avoiding driving until seizures are controlled ensures safety, as seizures can impair consciousness and coordination.
A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to stay flat for 24 hours after the procedure.
- B. I can eat a full meal right before the procedure.
- C. I will receive contrast dye during the procedure.
- D. I should avoid drinking fluids for 12 hours after the procedure.
Correct Answer: C
Rationale: Contrast dye is used during cardiac catheterization to visualize the coronary arteries, and the client should understand this aspect of the procedure.
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 8 hours.
- B. Flush the tube with cold water every 4 hours.
- C. Position the client flat during feeding.
- D. Change the feeding bag every 72 hours.
Correct Answer: C
Rationale: Positioning the client with the head of the bed elevated during feeding reduces the risk of aspiration, a critical safety measure.
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.