Nokea
Preoperatively, which information is most important to teach the client before the subtotal thyroidectomy?
- A. Techniques for changing positions
- B. Reasons for performing leg exercises
- C. The necessity for daily dressing changes
- D. Postoperative use of the incentive spirometer
Correct Answer: D
Rationale: Using an incentive spirometer postoperatively helps prevent respiratory complications after thyroidectomy.
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The nurse is teaching the client who lacks parathyroid hormone (PTH) about foods to consume. Which items should be included on a list of appropriate foods for the client?
- A. Dark green vegetables, soybeans, and tofu
- B. Spinach, strawberries, and yogurt
- C. Whole grain bread, milk, and liver
- D. Rhubarb, yellow vegetables, and fish
Correct Answer: A
Rationale: High-calcium foods like dark green vegetables, soybeans, and tofu are appropriate for hypoparathyroidism to address chronic hypocalcemia.
The nurse at a freestanding health-care clinic is caring for a 56-year-old male client who is homeless and is a type 2 diabetic controlled with insulin. Which action is an example of client advocacy?
- A. Ask the client if he has somewhere he can go and live.
- B. Arrange for someone to give him insulin at a local homeless shelter.
- C. Notify Adult Protective Services about the client's situation.
- D. Ask the HCP to take the client off insulin because he is homeless.
Correct Answer: B
Rationale: Arranging insulin administration at a shelter ensures the client’s medical needs are met, advocating for his health. Housing questions, APS notification, and stopping insulin are less supportive.
Which action is the best indication that the client needs more practice in combining two insulins in one syringe?
- A. The client rolls the vial of intermediate-acting insulin to mix it with its additive.
- B. The client still have a little or less the fast-acting and intermediate-acting insulin vials.
- C. The client instills the intermediate-acting insulin into the vial of rapid-acting insulin.
- D. The client inverts each vial before withdrawing the specified amount of insulin.
Correct Answer: C
Rationale: Instilling insulin into another vial contaminates the medication and is incorrect.
Which nursing intervention should be included in the plan of care for the client diagnosed with hyperthyroidism?
- A. Increase the amount of fiber in the diet.
- B. Encourage a low-calorie, low-protein diet.
- C. Decrease the client's fluid intake to 1,000 mL/day.
- D. Provide six (6) small, well-balanced meals a day.
Correct Answer: D
Rationale: Six small, balanced meals meet the increased metabolic demands of hyperthyroidism. Fiber, low-calorie diets, and fluid restriction are inappropriate.
After the test, the nurse provides the client with instructions. Which statement of the nurse is most accurate?
- A. You must remain isolated until the radiation level decreases sufficiently.
- B. You're free to go without further precautionary instructions.
- C. You must follow special precautions for a short period of time.
- D. You'll be given an antidote to reduce the radioactivity level.
Correct Answer: C
Rationale: A radioactive iodine uptake test involves low levels of radiation, requiring short-term precautions such as avoiding close contact with others.