Nokea
A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can place an oval corn pad over toes that have corns as long as I remove the pad weekly
- B. I should soak my feet in warm water daily to soften corns and calluses
- C. I can apply lotion to soften calluses as long as I don't put lotion between my toes
- D. I should use an over the counter liquid medication to remove corns
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
A healthcare professional is admitting a client who has influenza. Which of the following types of transmission precautions should the healthcare professional initiate?
- A. Airborne
- B. Droplet
- C. Contact
- D. Protective environment
Correct Answer: B
Rationale: Droplet precautions should be initiated for clients with infections that spread via droplet nuclei larger than 5 microns in diameter, such as influenza, rubella, meningococcal pneumonia, and streptococcal pharyngitis. In the case of influenza, the virus is primarily spread through respiratory droplets produced when an infected person coughs, sneezes, or talks. Airborne precautions are used for pathogens that remain infectious over long distances, typically smaller than 5 microns, like tuberculosis. Contact precautions are for diseases transmitted by direct or indirect contact, and protective environment precautions are for immunocompromised individuals to protect them from environmental pathogens.
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving bolus enteral feedings through a gastrostomy tube. What is the best client position for the administration of bolus tube feedings?
- A. Prone.
- B. Fowler's.
- C. Sims'.
- D. Supine.
Correct Answer: B
Rationale: The correct answer is Fowler's position. Placing the client in Fowler's position, with the head of the bed elevated to 45-60 degrees, reduces the risk of aspiration during bolus enteral feedings by facilitating the flow of the feeding into the stomach. Prone position (choice A) is lying face down, which is not suitable for feeding. Sims' position (choice C) is a side-lying position used for rectal examinations or enemas, not for feeding. Supine position (choice D) is lying flat on the back and is not optimal for reducing the risk of aspiration during bolus tube feedings.
A nurse is talking with an adolescent who is having difficulty dealing with several issues. Which of the following issues should the nurse identify as the priority?
- A. "I kind of like this boy in my class, but he doesn't like me back."
- B. "I want to hang out with the kids in the science club, but the jocks pick on them."
- C. "I am so fat, I skip meals to try to lose weight."
- D. "My dad wants me to be a lawyer like him, but I just want to dance."
Correct Answer: C
Rationale: The correct answer is C. Skipping meals to lose weight may indicate an eating disorder or significant distress, which can have serious health implications. This behavior raises concerns about the adolescent's physical and mental well-being. The nurse should prioritize addressing potential eating disorders and body image issues in this situation. Choices A, B, and D, while important, do not pose an immediate risk to the adolescent's health or well-being compared to the potential consequences of disordered eating behavior.
A nurse is providing teaching to an older adult client who has constipation. Which of the following statements should the nurse include in the teaching?
- A. Sit on the toilet 30 minutes after eating a meal.
- B. Increase your fluid intake to help with bowel movements.
- C. Exercise regularly to improve bowel function.
- D. Consume more high-fiber foods to prevent constipation.
Correct Answer: A
Rationale: The correct statement the nurse should include in the teaching is to 'Sit on the toilet 30 minutes after eating a meal.' This advice can help establish a regular bowel routine and improve bowel movement. Option B, 'Increase your fluid intake to help with bowel movements,' while important, is not specific to the time after eating and does not directly address the need for establishing a routine. Option C, 'Exercise regularly to improve bowel function,' is also important but does not address the timing of bowel movements. Option D, 'Consume more high-fiber foods to prevent constipation,' is beneficial for preventing constipation but does not address the timing aspect related to bowel movements.
A client is scheduled for hip surgery in an hour. Which of the following actions is the nurse's priority?
- A. Ensure that the client signs the consent form.
- B. Lock the client's valuables in a secure location.
- C. Verify the client's lab values in the medical record.
- D. Administer the prescribed preoperative sedative.
Correct Answer: A
Rationale: The nurse's priority is to ensure that the client signs the consent form before the hip surgery. This is crucial as it ensures that the client has provided informed consent for the procedure. Locking valuables, verifying lab values, and administering sedatives are important tasks but ensuring consent takes precedence as it directly impacts the client's right to make decisions about their care.