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The partner of a client who is receiving hospice care.
A nurse is reinforcing teaching with the partner of a client who is receiving hospice care about music therapy for pain management. Which of the following statements by the partner indicates an understanding of the teaching?
- A. My husband won't need medication for breakthrough pain while using music therapy.
- B. I will discontinue music therapy when my husband is no longer responsive.
- C. Playing music will increase my husband's alertness.
- D. Music will distract my husband's awareness of the pain.
Correct Answer: D
Rationale: Music therapy distracts from pain perception, aiding management.
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The son of a client who has Alzheimer's disease and mild hypertension.
A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease and mild hypertension. Which of the following responses should the nurse make?
- A. You owe it to your mother to take care of her now that she needs you.
- B. Let me give you some information about respite care for your mother.
- C. I think you should find other family members who could help your mother.
- D. You should think about placing your mother in a long-term care facility.
Correct Answer: B
Rationale: Respite care information supports the caregiver's well-being.
A nurse is reinforcing teaching about newborn care with a new guardian. Which of the following statements by the guardian indicates an understanding of the teaching?
- A. I will bathe my baby under a faucet of running water.
- B. I will wash my baby's face with a warm, wet washcloth without soap.
- C. I will wash my baby's head using a moist towelette.
- D. I will give my baby a bath every day.
Correct Answer: B
Rationale: Washing the face with a warm, wet washcloth without soap prevents irritation, showing understanding.
The client states that she slipped on some water outside of the shower.
A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?
- A. Notify the client's provider.
- B. Measure the client's vital signs.
- C. Document the fall in the client's medical record.
- D. Complete an incident report.
Correct Answer: B
Rationale: Measuring vital signs assesses for immediate injury, the priority action.
A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?
- A. Place the shoulder harnesses at the level of the infant's shoulders.
- B. Put a small cushion under the newborn's head for support.
- C. Position the car seat at a 90-degree angle.
- D. Keep the airbag on if the car seat is in the front seat.
Correct Answer: A
Rationale: Shoulder harnesses at shoulder level ensure proper restraint fit.
A nurse in an acute care setting is assisting in collecting client information to include in a referral for a physical therapist. Which of the following information should the nurse plan to include?
- A. Family medical history
- B. Medications taken prior to admission
- C. Physical assessment findings
- D. Medical health insurance claim
Correct Answer: C
Rationale: Physical assessment findings inform the therapist's treatment plan.