Nokea
Which intervention for applying antiembolism stockings is most appropriate to include in the client's care plan?
- A. Have the client wear the stockings continuously, but remove and reapply them at least twice a day.
- B. Have the client wear the stockings continuously during the day hours, and remove them at night.
- C. Have the client wear the stockings only when getting up to ambulate.
- D. Have the client wear the stockings only while in bed.
Correct Answer: A
Rationale: Removing and reapplying stockings twice daily ensures skin inspection and hygiene while maintaining continuous compression to prevent thrombosis.
You may also like to solve these questions
The client is diagnosed with vulvar cancer. Which are the most common symptoms of cancer of the vulva?
- A. Red, painful lesions.
- B. Vulvar itching.
- C. Thin, white vulvar skin.
- D. Vaginal dryness.
Correct Answer: B
Rationale: Vulvar itching is the most common symptom of vulvar cancer, often persistent. Red lesions, thin skin, and dryness are less specific or associated with other conditions.
When the nurse administers the parenteral form of the antineoplastic drug, which nursing action is best for preventing accidental self-absorption of the drug?
- A. Use only prefilled syringes.
- B. Wear disposable examination gloves.
- C. Dilute the drug with saline solution.
- D. Mix the drug in a closed vial.
Correct Answer: B
Rationale: Wearing gloves prevents skin contact with antineoplastic drugs, reducing the risk of absorption and toxicity.
The client who has had a mastectomy tells the nurse, 'My husband will leave me now since I am not a whole woman anymore.' Which response by the nurse is most therapeutic?
- A. You're afraid your husband will not find you sexually appealing?'
- B. Your husband should be grateful you will be able to live and be with him.'
- C. Maybe your husband would like to attend a support group for spouses.'
- D. You don't know that is true. You need to give him a chance.'
Correct Answer: A
Rationale: Reflecting the client’s fear validates her emotions and encourages discussion, a therapeutic approach. Gratitude dismisses feelings, support groups are premature, and reassurance without exploration is less effective.
The nurse is preparing the client for an insertion of a pessary. Which information should the nurse teach the client?
- A. The pessary does not need to be changed.
- B. The client should clean the pessary routinely.
- C. The pessary must be inserted in surgery.
- D. Estrogen cream is necessary for effective use of a pessary.
Correct Answer: B
Rationale: Clients should clean the pessary routinely (per HCP guidance) to prevent infection. Pessaries need periodic replacement, are inserted in an office setting, and estrogen cream is optional for some.
The 50-year-old female client complains of bloating and indigestion and tells the nurse she has gained two (2) inches in her waist recently. Which question should the nurse ask the client?
- A. What do you eat before you feel bloated?'
- B. Have you had your ovaries removed?'
- C. Are your stools darker in color lately?'
- D. Is the indigestion worse when you lie down?'
Correct Answer: C
Rationale: Bloating, indigestion, and waist expansion are concerning for ovarian cancer; dark stools may indicate GI bleeding or metastasis, warranting urgent evaluation. Diet, oophorectomy, and positional indigestion are less specific.