Nokea
A nurse is teaching about measures to promote sleep for a client with insomnia. What statement indicates understanding?
- A. I should reduce my fluid intake to 2 hours before bedtime
- B. I will watch TV in bed before sleeping
- C. I can take long naps during the day
- D. I should exercise right before going to bed
Correct Answer: A
Rationale: Reducing fluid intake to 2-4 hours before sleeping helps prevent interruptions during the night, promoting better sleep.
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A nurse is teaching a group of assistive personnel (AP) about the expected integumentary changes in older adults. Which should the nurse include?
- A. Increase in elasticity
- B. Decrease in pigmentation
- C. Decrease in elasticity
- D. Increase in moisture levels
Correct Answer: C
Rationale: Older adults typically experience a decrease in skin elasticity, which can contribute to various skin-related issues.
A nurse is reviewing the health history of an older adult who has a hip fracture. The nurse should identify what is a risk factor for developing pressure injuries?
- A. Advanced age
- B. Urinary incontinence
- C. Regular skin assessments
- D. Adequate hydration
Correct Answer: B
Rationale: Urinary incontinence is a risk factor for skin breakdown and pressure injuries.
A charge nurse is making assignments for the upcoming shift. What assignment should the charge nurse give to an LPN?
- A. A client who requires complex medication management
- B. A client who has dehydration and inflammatory bowel disease (IBD)
- C. A client needing assessment of a new diagnosis
- D. A client requiring a nursing care plan update
Correct Answer: B
Rationale: A client with dehydration and IBD does not require complex medication administration, making this an appropriate assignment for an LPN.
A nurse is caring for a patient who is scheduled for cataract surgery. The client states, "I see just fine and have decided to cancel my surgery." Which of the following responses should the nurse make?
- A. That's not a good idea; the surgery is necessary
- B. Share with me more about the thoughts that are concerning you
- C. You should trust your doctor's advice
- D. You can always reschedule the surgery later
Correct Answer: B
Rationale: Encouraging the client to share their thoughts helps the nurse understand the client's concerns and facilitates a supportive discussion.
A nurse is updating a plan of care after evaluating a client who has dysphagia. Which interventions should the nurse include in the plan?
- A. Have the client lie down after meals
- B. Encourage the client to speak while eating
- C. Have the client sit upright for 1 hour following meals
- D. Offer thin liquids with meals
Correct Answer: C
Rationale: Having the client sit upright for 1 hour after meals facilitates swallowing and reduces the risk of aspiration.