Nokea
Before leaving the room, which of the following nursing actions should the nurse perform?
- A. The nurse straightens the client's linens.
- B. The nurse informs the client when leaving the room.
- C. The nurse offers to give the client a back rub.
- D. The nurse shares some current events with the client.
Correct Answer: B
Rationale: Informing the client when leaving reduces anxiety and enhances safety.
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Which nursing action is most helpful for reducing or eliminating feedback from the client's hearing aid?
- A. Repositioning the hearing aid within the ear
- B. Cleaning the hearing aid with a soft cloth
- C. Replacing the battery in the hearing aid
- D. Turning down the volume in the hearing aid
Correct Answer: A
Rationale: Repositioning corrects improper fit, reducing feedback noise.
Which statement made to the nurse is the best evidence that the client understands the anticipated outcome of this procedure?
- A. I'm better night vision.
- B. I'll correctly identify colors.
- C. I'll see well without glasses.
- D. I'll use both eyes when reading.
Correct Answer: C
Rationale: LASIK corrects refractive errors, reducing the need for glasses.
The nurse is caring for a client who has developed stage IV pressure ulcers on the left trochanter and coccyx. Which collaborative problem has the highest priority?
- A. Impaired cognition.
- B. Altered nutrition.
- C. Self-care deficit.
- D. Altered coping.
Correct Answer: B
Rationale: Altered nutrition is critical in stage IV ulcers to support wound healing. Cognition, self-care, and coping are secondary in advanced wounds.
The nurse is caring for a male client diagnosed with folliculitis barbae. Which information should the nurse teach to prevent a reoccurrence?
- A. Tell the client to not shave the face.
- B. Instruct the client to rub on astringent aftershave lotion.
- C. Recommend the client apply hot packs for 20 minutes before shaving.
- D. Teach the client to use an antibacterial soap on the face.
Correct Answer: D
Rationale: Antibacterial soap reduces bacterial load, preventing folliculitis barbae. Not shaving is impractical, astringents irritate, and hot packs are less effective.
Before the examination can be completed, which type of eye medication would the nurse instill in the client's eye to dilate the pupil and temporarily paralyze the ciliary muscle?
- A. Pilocarpine (Pilocar)
- B. Dipivefrin (Propine)
- C. Gentamicin (Genoptic)
- D. Cyclopentolate solution (Cyclogyl)
Correct Answer: D
Rationale: Cyclopentolate is a cycloplegic agent that dilates the pupil and paralyzes the ciliary muscle for retinoscopy.