RN Basic Care and Comfort Nursing

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The nurse is preparing to discharge a client who was treated for tuberculosis. Which guidelines for home management should the nurse include in his discharge teaching? Select all that apply.

  • A. The client may resume his normal activities.
  • B. The family should maintain respiratory isolation at home.
  • C. The medication regimen should be followed diligently as prescribed.
  • D. The client may return to work when three sputum cultures are negative.
  • E. The nurse should educate the client about the medication and possible side effects and their management.
Correct Answer: C,D,E

Rationale: Adhering to medications (C), returning to work after three negative sputum cultures (D), and education on side effects (E) ensure treatment success and safety. Normal activities (A) depend on status, and respiratory isolation (B) is typically not needed at home if non-infectious.

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The nurse is caring for a client who just returned from an above-the-knee amputation of the left leg. Which position should the nurse place the client in?

  • A. supine, with the affected limb flat on the bed
  • B. supine, with a wedge pillow between the thighs
  • C. supine, with the affected limb elevated on a pillow
  • D. on the left side with the head of the bed at 30 degrees
Correct Answer: C

Rationale: Elevating the residual limb on a pillow for the first 24-48 hours post-amputation reduces edema and promotes healing, while avoiding contractures.

The nurse is teaching a client diagnosed with gastroesophageal reflux disease (GERD) about dietary measures to manage symptoms. Which food does the nurse advise the client to avoid?

  • A. bananas
  • B. tomatoes
  • C. white bread
  • D. grilled salmon
  • E. steel-cut oatmeal
Correct Answer: B

Rationale: Tomatoes (B) are acidic and trigger GERD symptoms. Bananas (A), white bread (C), salmon (D), and oatmeal (E) are generally GERD-friendly.

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