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While documenting client care, which entry should the nurse identify as an example of implementing client care?
- A. Documenting the client's pain level
- B. Monitoring the client's urine output
- C. Assessing the client's range of motion
- D. Contacting the provider to report client findings
Correct Answer: D
Rationale: The correct answer is D because contacting the provider to report client findings is an example of implementing care. Implementation involves putting the care plan into action based on assessment data. While options A, B, and C are important aspects of client care, they mainly focus on assessment rather than the actual implementation of care.
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A healthcare professional is preparing to administer multiple medications to a client with dysphagia. What action should the healthcare professional take?
- A. Offer the medications with a full glass of water
- B. Crush the medications and mix them together
- C. Provide the medications through a straw
- D. Mix the medications with applesauce
Correct Answer: C
Rationale: Clients with dysphagia have difficulty swallowing, so providing medications through a straw can help control the flow and prevent aspiration. Offering medications with a full glass of water (Choice A) may increase the risk of aspiration. Crushing medications and mixing them together (Choice B) can alter the medication's effectiveness or cause adverse effects. Mixing medications with applesauce (Choice D) may also present a choking hazard for clients with dysphagia.
When teaching about safety risks for adolescents, what should the nurse emphasize?
- A. Adolescents have a decreased risk of injury
- B. Peer pressure can lead to risky behaviors
- C. Increased responsibility reduces risks
- D. Adolescents are less likely to engage in substance abuse
Correct Answer: B
Rationale: The correct answer is B: 'Peer pressure can lead to risky behaviors.' Adolescents are at an increased risk for injury due to peer pressure and the tendency to engage in high-risk behaviors. Emphasizing the impact of peer pressure on decision-making can help adolescents make safer choices. Choices A, C, and D are incorrect because adolescents actually have an increased risk of injury, increased responsibility does not always reduce risks, and many adolescents are at risk of engaging in substance abuse.
When admitting a client with meningococcal meningitis, what should the nurse do first?
- A. Administer antibiotics
- B. Place the client on droplet precautions
- C. Perform a lumbar puncture
- D. Initiate seizure precautions
Correct Answer: B
Rationale: When admitting a client with meningococcal meningitis, the nurse's priority should be to place the client on droplet precautions. This is crucial to prevent the spread of the infection to others. Administering antibiotics, performing a lumbar puncture, and initiating seizure precautions are important interventions but should come after implementing droplet precautions to ensure the safety of both the client and others.
A nurse is preparing to transfer a client from a bed to a chair. The client can bear partial weight and has upper body strength. What device should the nurse use?
- A. Mechanical lift
- B. Gait belt
- C. Slide board
- D. Stand-assist lift
Correct Answer: D
Rationale: A stand-assist lift is the correct choice in this scenario. This device is suitable for clients who can bear partial weight and have upper body strength, as it allows them to actively participate in the transfer process. A mechanical lift is typically used for clients who are non-weight bearing or have limited mobility. A gait belt is used for providing support and stability during walking or transferring short distances. A slide board is used for transferring clients who are unable to bear weight and need assistance moving from one surface to another.
A client who is at risk for developing a deep vein thrombosis (DVT) after surgery. What intervention should the nurse implement to reduce this risk?
- A. Avoid ambulation to prevent injury
- B. Use compression stockings
- C. Use a heating pad for comfort
- D. Elevate the client's legs on a pillow
Correct Answer: B
Rationale: The correct intervention to reduce the risk of deep vein thrombosis (DVT) after surgery is to use compression stockings. Compression stockings help prevent DVT by promoting venous return, which reduces the likelihood of blood pooling in the legs and forming clots. Choices A, C, and D are incorrect because avoiding ambulation can actually increase the risk of DVT, using a heating pad does not directly address DVT prevention, and elevating the client's legs on a pillow alone may not provide sufficient compression to prevent DVT.