Nokea
Which of the following client statements identifies a knowledge deficit about cast care?
- A. I'll elevate the cast above my heart initially.'
- B. I'll exercise my joints above and below the cast.'
- C. I can pull out cast padding to scratch inside the cast.'
- D. I'll apply ice for 10 minutes to control edema for the first 24 hours.'
Correct Answer: C
Rationale: Pulling out cast padding can cause skin irritation or pressure sores, indicating a knowledge deficit.
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The nurse reviews a client's medical history and identifies a diagnosis of presbycusis. The nurse should integrate which intervention in the care plan?
- A. Have educational materials in large print
- B. Provide an eye patch to the affected eye
- C. Request food be seasoned with herbs
- D. Move closer to the better-hearing ear
Correct Answer: D
Rationale: Presbycusis is age-related hearing loss, so moving closer to the better-hearing ear facilitates communication. Large print materials and eye patches address vision issues, and herb-seasoned food is unrelated.
Which of the following is not a risk factor for the development of atherosclerosis?
- A. A family history of early heart attack.
- B. Late onset of puberty.
- C. Total blood cholesterol level greater than 220 mg/dL.
- D. Elevated fasting blood glucose concentration.
Correct Answer: B
Rationale: Late onset of puberty is not a risk factor for atherosclerosis. Family history, high cholesterol, and elevated glucose are established risk factors.
The nurse should tell the client to do which of the following when teaching the client about taking oral glucocorticoids?
- A. Take your medication with a full glass of water.'
- B. Take your medication on an empty stomach.'
- C. Take your medication at bedtime to increase absorption.'
- D. Take your medication with meals or with an antacid.'
Correct Answer: D
Rationale: Taking glucocorticoids with meals or an antacid reduces gastrointestinal irritation, a common side effect.
In developing a teaching plan for the client with a hiatal hernia, the nurse's assessment of which work-related factors would be most useful?
- A. Number and length of breaks.
- B. Body mechanics used in lifting.
- C. Temperature in the work area.
- D. Cleaning solvents used.
Correct Answer: B
Rationale: Poor body mechanics during lifting can increase intra-abdominal pressure, exacerbating hiatal hernia symptoms, making this the most relevant work-related factor.
The nurse is preparing a client for a paracentesis. The nurse should:
- A. Have the client void immediately before the procedure.
- B. Place the client in a side-lying position.
- C. Initiate an I.V. line to administer sedatives.
- D. Place the client on nothing-by-mouth (NPO) status 6 hours before the procedure.
Correct Answer: A
Rationale: Voiding before paracentesis (A) prevents bladder injury during the procedure. Side-lying (B) is incorrect; upright is preferred. IV sedatives (C) are not routine, and NPO status (D) is unnecessary.