RN lesson 5 Basic Care & Comfort Latest 2024 Already Passed

RN lesson 5 Basic Care & Comfort Latest 2024 Already Passed ref#1385 A nurse on a medical-surgical unit is caring for a client in skeletal traction. Which nursing intervention is appropriate for this client? Maintain a supine position at all times. Remove the weights when turning the client. Maintain correct body alignment. Insert an indwelling urinary catheter. Maintain correct body alignment. ref#1190 The client is grimacing, crying and reports having pain. What is the first step the nurse should take when collecting data about the client's pain? Ask the client to describe the pain's quality and location. Accept the client's report of pain. Determine any aggravating factors of the pain. Inquire about the client's goal for pain relief. Accept the client's report of pain. ref#165 The nurse is reviewing the history of a client with type 2 diabetes mellitus. The client's most recent hemoglobin A1C level was 9.5%. What information about nutritional therapy should the nurse reinforce with the client? Select all that apply. Use carbohydrate counting. Choose foods low in fat content. Limit alcohol intake. Limit protein intake. Use a diabetes exchange list. Use carbohydrate counting. Choose foods low in fat content. Limit alcohol intake. Use a diabetes exchange list. ref#5626 The nurse is reviewing the laboratory results for a client diagnosed with dehydration. Which result is most important to communicate to the health care provider? Serum hemoglobin level of 15.7 g/dL. Serum potassium level of 5.0 mEq/L. Serum creatinine level of 2.8 mg/dL. Blood glucose level of 146 mg/dL. Serum creatinine level of 2.8 mg/dL. ref#5412 The parent of a 5-year-old child is concerned about an outbreak of measles in the community. The nurse understands that additional education about immunizations is needed when the parent makes which of the following statements? Select all that apply. "My child is unlikely to get measles because of their first vaccine at age one." "My child should receive a second dose of the measles vaccine now." "We should avoid playing with children with high fevers." "My child should have passive immunity from the vaccine I had as a child." "If a child develops a rash, the risk of spreading measles is gone." "My child should have passive immunity from the vaccine I had as a child." "If a child develops a rash, the risk of spreading measles is gone." ref#5450 The nurse observes a client using crutches. Which of the following actions by the client would require the nurse to intervene? Select all that apply. While using a three-point gait, the client is bearing weight on both legs. The client is using crutches that have a broken rubber tip. The client is resting their axillae or armpits on top of the crutches. The client has a spare pair of crutches and rubber tips. The handgrips of the crutches are even with the client's hips. While using a three-point gait, the client is bearing weight on both legs. The client is using crutches that have a broken rubber tip. The client is resting their axillae or armpits on top of the crutches. ref#5306 The nurse is providing care for a client with subluxation of the finger joints and deformity of the hands due to rheumatoid arthritis. The client's partner states that it is increasingly difficult for the client to perform activities of daily living. Which assistive devices will the nurse teach the client about and include in the plan of care? Select all that apply. Button hooks. Rolling walker. Hand splints. Raised toilet seat. Built-up eating utensils. Crutches. Button hooks. Hand splints. Built-up eating utensils. ref#232 The nurse is evaluating a client who has been diagnosed with heart failure (HF) to gauge their understanding of the required diet modifications. Which menu items selected by the client indicate to the nurse that the client understood the teaching? Vegetable pizza and ice cream. Grilled cheese sandwich with a glass of skim milk. Cheeseburger and baked potato chips. Leftover turkey on a sandwich and fresh pineapple. Leftover turkey on a sandwich and fresh pineapple. ref#387 The nurse in a health clinic is reviewing recommended nutritional therapy with a client who has a history of emphysema. Which action should the nurse emphasize to the client? Drink lots of liquids with meals. Perform exercises to enhance appetite. Use oxygen during meals. Use the rescue inhaler prior to meals. Use oxygen during meals. ref#5399 The nurse is administering medication to a client who does not speak English. Which of the following strategies should the nurse implement to ensure the client understands the purpose of the medication? Select all that apply. Plan to take a longer amount of time than usual for medication administration. Use the translation phone line to interpret information between the client and nurse. Maintain eye contact with the client, even when speaking to an interpreter. Communicate through a facility-approved interpreter. Use correct medical terminology during instructions. Plan to take a longer amount of time than usual for medication administration. Use the translation phone line to interpret information between the client and nurse. Maintain eye contact with the client, even when speaking to an interpreter. Communicate through a facility-approved interpreter. ref#1146 The nurse is providing care to an older adult client diagnosed with bilateral pneumonia. Which intervention should the nurse implement to best promote the client's comfort? Keep conversations short. Encourage visits from family and friends. Increase the client's oral fluid intake. Monitor vital signs frequently. Keep conversations short. ref#564 A client reports to the nurse the passage of hard dry stools at least twice a week. Which of these actions should the nurse suggest that the client take first to improve their bowel function? Use a chemical laxative as needed. Avoid binding foods, such as cheese. Increase daily fiber intake to at least 20 grams. Increase physical activity. Increase daily fiber intake to at least 20 grams. ref#5454 A surgical client with acute pain refuses to participate in physical therapy. The client still has pain despite the administration of pain medication. Based on the information provided, which nonpharmacological intervention(s) would be appropriate for the nurse to add to the plan of care? Select all that apply. Apply ice directly to the surgical incision 30 minutes before therapy. Assist the client in meditating before going to physical therapy. Keep the client on strict bedrest until the pain completely resolves. Provide the client with a light back massage before physical therapy. Ensure the client's room is kept at a comfortable temperature for physical therapy. Assist the client in meditating before going to physical therapy. Provide the client with a light back massage before physical therapy. Ensure the client's room is kept at a comfortable temperature for physical therapy. ref#5464 The nurse has given discharge instructions to a client who underwent abdominal surgery. Which of the following statements indicates that the client correctly understands how to manage their pain at home? Select all that apply. "Listening to my favorite music might help control my pain." "My discomfort should be relieved within 10 minutes of taking my pain pill." "A warm shower before bed might alleviate my pain and help me sleep." "Before I take an herbal supplement for pain, I should check with my provider." "My goal for pain relief should be 0/10 on a pain scale." "Listening to my favorite music might help control my pain." "A warm shower before bed might alleviate my pain and help me sleep." "Before I take an herbal supplement for pain, I should check with my provider." ref#267 A 2-year-old child is brought to the pediatrician's office by the parents, who report that the child has been having diarrhea for two days. What nutritional information should the nurse provide to the parents? Give the child only clear liquids and gelatin for 24 hours. Continue a regular diet and add electrolyte replacement drinks. Give the child bananas, apples, rice and toast as tolerated. Keep the child fasting, give them nothing to eat, and return the next day. Continue a regular diet and add electrolyte replacement drinks. ref#1302 The nurse is caring for a client with trigeminal neuralgia who has been experiencing unplanned weight loss. Which dietary approach should the nurse recommend? Increase intake of fish, liver and chicken. Eat small meals of high calorie, soft foods. Avoid foods high in unsaturated fat. Limit intake of dairy products. Eat small meals of high calorie, soft foods. ref#5403 The nurse is caring for a homeless client recently diagnosed with type 2 diabetes. Which actions demonstrate that the nurse is advocating for the patient? Select all that apply. Consult a social worker to help the client apply for Medicaid. Provide a list of area pharmacies that offer free or reduced-price medications. Arrange for a family member to provide housing for the client. Arrange for home delivery of prepared meals. Arrange for a follow-up appointment at a free clinic. Consult a social worker to help the client apply for Medicaid. Provide a list of area pharmacies that offer free or reduced-price medications. Arrange for a follow-up appointment at a free clinic. ref#2069 The nurse is caring for a client who was admitted with a diagnosis of renal calculi. The client reports moderate-to-severe flank pain and nausea. The client's oral temperature is 100.8 °F (38.2 °C). Which goal is the priority for this client? Control nausea. Prevent infection. Manage pain. Maintain fluid balance. Manage pain. ref#174 The nurse is reinforcing foot care instructions for a client with a history of arterial insufficiency in the legs. Which client statement should the nurse identify as incorrect? "I will use Epsom salt to remove any corns and calluses." "I should wear absorbent cotton socks." "I will ask a family member to help inspect my feet." "I should not walk barefoot around my house." "I will use Epsom salt to remove any corns and calluses." ref#5396 The nurse is planning the discharge of an 80-year-old female client. Which of the following indicates the client needs to be discharged to a skilled nursing facility instead of home? Select all that apply. The client is able to prepare simple meals by herself. The client has a complex surgical dressing change. The client is afraid to go home by herself. The client needs intensive rehabilitation after hip replacement surgery. The client is not able to manage her activities of daily living (ADL). The client has a complex surgical dressing change. The client needs intensive rehabilitation after hip replacement surgery. The client is not able to manage her activities of daily living (ADL).