Nokea
The nurse is providing discharge teaching to an older patient hospitalized for treatment of venous leg ulcers. What instructions should the nurse include in the teaching plan?
- A. The patient should eat a diet high in protein and vitamins A and C.
- B. The patient should keep their legs elevated when sitting or lying down.
- C. The patient should maintain as much bed rest as possible.
- D. The patient should inspect their ankles daily for areas of darkening skin.
- E. The patient should apply intermittent cold compresses four times daily.
Correct Answer: A,B,D
Rationale: A diet high in protein and vitamins A and C, leg elevation, and daily ankle inspections support healing and early detection of complications in venous leg ulcers.
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Following a transurethral resection of the prostate (TURP), a patient is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan?
- A. Eliminate all spicy foods from your diet
- B. Drink 3 liters of water each day
- C. Clamp the catheter when taking a shower
- D. Avoid driving a car for 2 weeks
Correct Answer: B
Rationale: Drinking 3 liters of water daily flushes the bladder, reducing infection risk post-TURP.
The nurse is educating a client, who was admitted with a blood glucose level of 580 mg/dL, on how to prevent complications related to diabetes mellitus. Which statement made by the client indicates they have understood the information?
- A. Apply lotion to the entire foot to prevent skin cracks.
- B. Use salt, herbs, and spices to enhance the flavor of foods.
- C. Include no more than 1-2 alcoholic beverages in the diet per day.
- D. Obtain an A1C blood test every year to monitor glucose control.
Correct Answer: B
Rationale: Using salt, herbs, and spices supports a healthy diet, aiding diabetes management and reducing complication risks.
A patient in the operating room has been administered succinylcholine and is now experiencing muscle rigidity and an extremely high temperature. What should the nurse do next?
- A. Call the PACU nurse to prepare for prolonged ventilatory support.
- B. Hold a prescription for dantrolene until the fever is reduced.
- C. Prepare ice packs for placement in the patient's axillary area.
- D. Determine if prescribed antibiotics were administered preoperatively.
- E. None
- F. None
Correct Answer: C
Rationale: Applying ice packs addresses hyperthermia in malignant hyperthermia, a critical response to succinylcholine-induced symptoms.
A patient with gouty arthritis is experiencing tenderness and swelling in the right ankle and big toe. The nurse notes that the inflammation extends above the ankle area. The patient has been prescribed colchicine and indomethacin. What should the nurse include in the discharge teaching?
- A. Consume high-protein foods to reach an ideal body weight.
- B. Drink at least eight cups (1920 mL) of water each day.
- C. Use an electric heating pad when the pain is severe.
- D. Encourage active range of motion exercises to prevent stiffness.
Correct Answer: B
Rationale: Drinking ample water helps flush uric acid, reducing crystal formation and inflammation in gouty arthritis.
A nurse is caring for a patient who has been admitted to the hospital with a suspected diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the patient for?
- A. Lumbar puncture.
- B. Skull radiography.
- C. Magnetic resonance imaging (MRI).
- D. Computerized tomography (CT) scan.
Correct Answer: A
Rationale: A lumbar puncture is essential for confirming bacterial meningitis by analyzing cerebrospinal fluid, making it the priority diagnostic procedure.