NCSBN Practice Questions and Answers| VERIFIED ANSWERS

The nurse is providing discharge teaching for a client with a long leg cast. During instructions, the nurse should recommend which of these exercises for the affected extremity? A. Aerobic B. Range of motion C. Isometric D. Isotonic C A nurse should instruct the client on isometric exercises for the muscles of the casted extremity. This means the client should be instructed to alternately contract and relax muscles without moving the affected part. The client should also be instructed to do active range of motion exercises for every joint that is not immobilized at regular and frequent intervals of at least every four hours. The nurse is caring for a client with chronic renal failure who is undergoing peritoneal dialysis. The nurse notes that the dialysate solution is instilling very slowly. Which of the following actions would be appropriate for the nurse to implement? (Select all that apply.) A. Reposition the client B. Assess for headache and hypertension C. Assess for bruit or vibration D. Check tubing and catheter for kinks A,D Slow dialysate instillation may be due to a partially obstructed tube or catheter. Checking for kinks and repositioning may facilitate improved instillation of this fluid. Assessment for bruit or headache and hypertension are appropriate for hemodialysis situations, not peritoneal dialysis. A client exhibiting confusion has been placed in physical restraints by order of the health care provider. Which task could be assigned to an unlicensed assistive person (UAP)? A. Assist the client with activities of daily living B. Document mental status and muscle strength C. Monitor the client's physical safety D. Document client's status every two hours A The person to whom the activity is delegated must be capable of performing it. The UAP is capable of assisting clients with basic needs and routine tasks. Only the nurse can monitor and evaluate the client's condition. The nurse is reviewing medications with a client diagnosed with heart failure. The client asks the nurse how much longer he has to take the prescribed diuretic. Which is the best response by the nurse? A. "Please talk to your health care provider about medications and treatments." B. "You will have to take this medication for about a year." C. "The medication must be continued as long as the fluid problem needs to be controlled." D. "As you urinate more, you will need less medication to c