Nokea
The nurse should remind family members who are visiting a client with granulocytopenia to:
- A. Visit only if they do not have a cold.
- B. Wash their hands.
- C. Leave the children at home.
- D. Avoid kissing the client on the lips.
Correct Answer: B
Rationale: Hand washing is the most effective way to prevent transmission of pathogens to a granulocytopenic client, who is at high risk for infection. While avoiding colds, leaving children at home, and avoiding kissing are helpful, hand washing is the priority.
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Which of the following lifestyle modifications should the nurse encourage the client with a hiatal hernia to include in activities of daily living?
- A. Daily aerobic exercise.
- B. Eliminating smoking and alcohol use.
- C. Balancing activity and rest.
- D. Avoiding high-stress situations.
Correct Answer: B
Rationale: Eliminating smoking and alcohol is critical for managing hiatal hernia, as both can relax the lower esophageal sphincter and worsen reflux.
A client with diabetes mellitus asks the nurse to recommend something to remove corns from his toes. The nurse should advise the client to:
- A. Apply a high-quality corn plaster to the area.
- B. Consult a physician or podiatrist about removing the corns.
- C. Apply iodine to the corns before peeling them off.
- D. Soak the feet in borax solution to peel off the corns.
Correct Answer: B
Rationale: Corns should be professionally removed by a physician or podiatrist to avoid injury or infection, especially in diabetic clients with poor healing.
A client who has had a lumbar laminectomy with a spinal fusion is sitting in a chair. In which position are his feet if he is complying with his postoperative instructions?
- A. On the floor with the feet flat.
- B. On a low footstool.
- C. In any comfortable position with legs uncrossed.
- D. On a high footstool so the feet are level with the chair seat.
Correct Answer: A
Rationale: Feet flat on the floor maintain neutral spine alignment, reducing strain on the surgical site.
A client with rheumatoid arthritis is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which client statement indicates a need for further teaching?
- A. I'll take the medication with food.'
- B. I should report any stomach pain.'
- C. I can take ibuprofen with this drug.'
- D. I'll monitor for bruising or bleeding.'
Correct Answer: C
Rationale: Taking ibuprofen with another NSAID increases the risk of gastrointestinal bleeding, indicating a knowledge deficit.
The nurse finds the client who has had an ileostomy crying. The client explains to the nurse, 'I'm upset because I know I won't be able to have children now that I have an ileostomy.' Which of the following would be the best response for the nurse?
- A. Many women with an ileostomy can still have children; let's discuss your concerns with your doctor.
- B. Having an ileostomy does prevent pregnancy, but you can explore adoption.
- C. This is a common feeling; would you like to talk more about it?
- D. I'll RAW arrange for a counselor to discuss your fertility options.
Correct Answer: A
Rationale: The nurse should reassure the client that many women with ileostomies can still have children and offer to discuss this with the doctor, addressing the misconception directly. The other options either reinforce the misconception, avoid the concern, or defer without providing immediate support. CN: Psychosocial adaptation; CL: Synthesize