How to Answer Nurse Reinforced Home Questions (Complete Guide)

Students often encounter this when studying fundamental concepts.

What This Question Is About

This question relates to nurse reinforced home and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves nurse reinforced home. A strong answer should include explanation, application, and examples.

Original Question

101. A nurse has reinforced home-care instructions to a hypertensive client about nonfood items that contain sodium. The nurse determines that the client understands the information presented if the client states that which of the following may be used? a.Toothpaste B. Mouthwash C. Cold remedies D. Demineralized water 102. A nurse reinforces horne-care instructions to a client with Raynaudl’s phenomenon and encourages the client to engage in measures that will minimize the effects of the disorder. Which statement by the client indicates an understanding of these measures? a. “I will take daily cool baths.’ B. “| will cut down on smoking. C. “I will eat a high-protein diet.” D. “I will keep my hands and feet warm and dry.” 103. A nurse is caring for a client with Deep Vein Thrombosis who is on bed rest at home and has reinforced teaching about the signs of pulmonary embolism(PE), which is a complication of DVT. Which client statement indicates that the client identifies the clinical manifestations of PE? a.”I will call you if I begin to get dizzy.” B. “I will notify you if anything unusual occurs.’ C. “I will notify the doctor immediately if I become nauseated start vomiting and have diarrhea.’ D. “I will notify the doctor immediately if I develop coughing, profuse sweating, difficulty breathing, chest pain or a combination of any of these symptoms.’ 104. A nurse is preparing to leave the room of a client with a tracheotomy. The nurse ensures that the client has which of the following means of communication readily available before leaving the room? A. Call bell B. Letter board C. Picture board D. Pen and paper 105. A client has a tracheostomy with a non disposable inner cannula. After completing tracheostomy care, the nurse reinserts the inner cannula into the tracheostomy tube immediately which of the following? a.Suctioning the airway. B. Rinsing it in sterile water. C. Drying it with a sterile cotton ball. D. Lightly tapping it dry against a sterile surface. 106. A nurse is caring for a client who has an endotracheal tube in place and is receiving enteral feedings by nasogastric tube. When suctioning the client through endotracheal tube, the nurse suctions creamy-colored secretions. The nurse should do which of the following? a.Stop the feeding and note if the secretions diminish, B. Notify the registered nurse. C. Decrease the tube feeding rate. D. Change the feedings from “continuous to intermittent.” 107. A nurse is caring for a client who is on a mechanical ventilator. The low-pressure alarm sounds. The nurse suspects that which of the following is the cause? A. tubing construction or kink. B. The accumulation of secretions. C. Condensation of water in the ventilator tubing. D. Disconnection of the ventilator tubing. 108. A nurse is caring for a client with a chest tube drainage system. While sitting the client up in bed to assist with ambulation, the chest tube accidentally disconnects from the drainage system. The initial nursing action is which of the following? a. Place the end of the chest tube in a container of sterile water. B. Contact the registered nurse. C. Call the respiratory therapist. D. Encourage the client to perform Valsalva maneuver. 109. A nurse is caring for a client who has pneumothorax with a chest tube drainage system. While turning the client to the side the chest tube accidentally pulls out of the pleural cavity. The initial nursing action is to: a. Contact the registered nurse. B. Contact the respiratory therapist. C . Apply an occlusive dressing. D. Reinsert the tube quickly. 110. A nurse is assigned to a client who has history of Asthma. If the client experiences an Asthma attack. the nurse should do which of the following first? a. Place the client in high Fowler’s position. B. Obtain a set of vital signs. C. Start an IV D. Prepare to administer oxygen at 21%. 111. A nurse is reinforcing interventions to an older adult client who received a tuberculin skin test. The nurse determines that further teaching is necessary when the client states which of the following? A.”If this is positive, I will need to have a chest radiograph done.” B. “I should come back in 2 t0 3 days to have the reaction on my arm checked.” C. “I do not have tuberculosis if there is no reaction.” D. “Redness on my arm does not mean that I have tuberculosis.” 112. A client with Chronic Obstructive Pulmonary Disease (COPD) has received dietary instructions to reduce the metabolic demands on the body. This teaching has been effective if the client which of the following from the dietary menu? A. Cabbage B. Grapes C. Broccoli D. Milkshake 113. A client will be discharge to home with a tracheostomy that will require suctioning by a family needed about tracheostomy suctioning? member. Which statement, if made by a family member, would alert the nurse that further teaching is A.”When I am finished suctioning the trachea, I can suction the mouth.” B. “I will wait 30 seconds to 1 minute between insertions of the suction catheter.” C. “I will not apply suction for more than 120mmHg.” D. “I will leave the suction catheter in place until the mucus is removed.” 114. A nurse is caring for a client with a chest tube attached to a Pleur-evac drainage system. The nurse should avoid which of the following? a. Keeping the collection chamber below the client’s waist. B. Clamping the chest tube when the client gets out of bed. C. Assisting with adding water to the suction chamber as the water evaporates. D. Taping the connection between the chest tube and the drainage system. 115. The nurse sending an arterial blood gas specimen to the laboratory for analysis. Which of the following pieces of information should the nurse write on the laboratory requisition? Select all that apply: a. Ventilator settings B. Client allergies C. Client temperature D. Date and time the specimen is drawn E. Details about any supplemental oxygen that the client is receiving F. Extremity from which the specimen was obtained 116. A nurse is caring for a client with chest tube attached to a closed drainage system. The nurse determines that the client’s lungs has completely expanded if: a. Pleuritic chest pain has resolved. B. The oxygen saturation is more than 92%. C. Fluctuation in the water seal chamber has ceased. D. Suction in the chest drainage system is no longer needed. 117. A nurse is teaching a client with chronic obstructive pulmonary disease(COPD) pursed-lip breathing. The nurse tells the client: a.That exhalation should be twice as long as inhalation. B. That inhalation should be twice as long as exhalation. C. To loosen the abdominal muscles while breathing out. D. To inhale with pursed lips and exhale with the mouth open wide. 118. A nurse is asked to obtain dressing supplies for a client who is scheduled to have a chest tube inserted by the physician. The nurse selects which material to be used as the first layer of the dressing at the chest tube insertion site? A. Petrolatum jelly gauze B. Sterile 4×4 gauze pad C. Absorbent Kerlix dressing D. Gauze impregnated with povidone-iodine. 119. A nurse is caring for a client with active tuberculosis who has started medication therapy that includes rifampin(Rifadin). Which of the following is an expected observation? A.Bilious urine B. Yellow sclera C. Clay-colored stools D. Orange-colored body secretions 120. A nurse is reinforcing home care measures with the client Addison’s disease regarding ways to prevent Addisonian crisis. The nurse tells the client to: a.”Eat a diet high in protein. B. “Eat a diet high in glucose. C. “Avoid stressful situations whenever possible. D. “Stop medication therapy if infection or illness occurs.’ 121. A nurse has taught the client with myxedema about dietary changes to help manage the disorder. The nurse determines that the client understands the information if the client states that it is permissible to continue eating which of the following foods? a.Shrimp, green beans and butter. B. Peanut butter, cheese and red meat. C. Beef liver, carrots and fried potatoes. D. Apples, whole-grain breads and low fat milk. 122. A nurse determines that a client with Cushing’s Syndrome understands the hospital discharge instructions if the client makes which of the following statements? a.”I should eat foods low in potassium.’ B. “I should check the color of my stools.’ C. “I should check the temperature of my legs at least once a day.” D. “I should take aspirin rather than acetaminophen for a headache.” 123. A nurse has taught the principles of foot care to a client with Diabetes Mellitus. The nurse determines that the client understood the information if the client states the need to; a.Cut the toenails down to the cuticles. B. Wear shoes that are closed at the heel and toe. C.Put a hot water bottle on the feet if they become cold. D. Apply lotion to areas of dry skin between the toes. 124. A nurse is collecting data about a lethargic client who was brought to the emergency department by the emergency medical service. The nurse notes fruity odor to the client’s breath and immediately suspects: A.Hypoglycemia B. Ethanol oxide intoxication C. Diabetic ketoacidosis D. Hyperglycemic hyperosmolar nonketotic syndrome 125. A client has just undergone the transsphenoidal resection of a pituitary adenoma. The nurse includes which of the following plan of care? A. Remove the nasal packing in 12 hours. B. Observe the client from frequent swallowing C. Remind the client to cough and deep breath deeply. D. Administer acetyl salicylic acid for severe headache. 126. A nurse is assigned to care for a chent who has undergone a subtotal thyroidectomy. When collecting data about whether there is bleeding at the surgical site, the nurse should do which of the Following? A .Keep a pressure dressing applied over the neck area. B. Slip a gloved hand behind the neck and push down on the mattress; look for blood on the neck or linens. C. Apple a Montgomery straps at the incision area to aid in frequent inspection. D. Change the dressing every two hours; maintain principles of sterile technique. 127. a nurse is assisting with the care of a client with hyperparathyroidism. The nurse does which of the following to help safely minimize the effects of the disease process? a.Restrict fluids to 1000mL per day. b.Explain the benefits of a diet that high in milk-products c.Encourage the liberal use of calcium carbonate antacids(Tums). d.Assist the client to ambulate in the hall three times a day for 15 minutes. 128. A client has recently been diagnosed with type 1 diabetes mellitus tell the nurse that he is anxious about proper diabetic self-management during an upcoming 6-hour airplane flight. Which piece of information should the nurse give the client to help allay his anxiety about traveling? a.Keep snacks in a carryon luggage bag to prevent hypoglycemia during the flight. b.store insulin and syringes in a padded compartment of stowed luggage to prevent breakage. c.Check his blood glucose level hourly during the flight. d.Obtain a referral to a physician in the destination city. 129. A nurse is caring for a client who recently has an adrenalectomy. Which intervention is essential for the nurse to include in the client’s plan of care? a.Prevent social isolation. b.Avoid stressful situations. c.Consider occupational therapy. d.Discuss changes in the body image. 130. A client who was admitted to the hospital for recurrent thyroid storm is preparing for discharge. The client is anxious about the illness and at times emotionally labile. Which approach for the nurse to suggest including in the care plan for this client? a.Assist the client with identifying coping skills, support systems and potential stressors. b.Avoid teaching the client anything about the disease until he or she is in the home environment. c.Reassure the client that everything will be fine when he or she must control the anxiety if he or she wants to go home. d.Confront the client and explain that he or she must control the anxiety if he or she wants to go home. 131. A client has been given a prescription for levothyroxine sodium. The nurse is asked to reinforce home-care instructions to the client regarding this medication and tells the client that an expected effect is: a.Weight gain b.Increased energy level. c.Decreased acid production d.Lowered body temperature. 132. A nurse is monitoring a client with Addison’s disease for signs of hyperkalemia. The nurse expects to note which of the following if hyperkalemia is present? a.Polyuria b.Cardiac dysrhythmias c.Dry mucous membrane d.Prolonged bleeding time 133. A client with type 2 diabetes mellitus was recently hospitalized for hyperglycemic hyperosmolar nonketotic syndrome (HHNKS). Upon discharge from the hospital, the client expresses concern about the recurrence of HHNKS. Which statement by the nurse is therapeutic? a.”I’m sure this won’t happen again.” b.”Don’t worry, your family will help you. c.”I think you might need to go to a nursing home.” d.”You have concerns about the treatment of your condition.” 134. A nurse is monitoring a hospitalized client with Diabetes mellitus for signs of hyperglycemia. Select all of the signs of hyperglycemia. a.Hunger b.Sweating c.Diaphoresis d.Excessive thirst e.Increased urine output f.kussmaul’s respirations 135. Which of the following data indicate potential complication associated with type 1 diabetes mellitus? a.Ketonuria b.Potassium 4.2 mEg/L c.Blood glucose 112 mg/dL d.Blood urea nitrogen 18 mg/dL 136. A nurse is caring for a hospitalized older client with diabetes mellitus who has been diagnosed with dehydration. The client is alert but disoriented, pale and slightly diaphoretic and the nurse suspects that the client is hypoglycemic. The initial nursing intervention is to: a.Administer oral glucose. b.Obtain a finger stick blood sample and test the glucose level. c.Assist the client to bed, put the side rails up and call the physician. d.Seat the client at the nurse’s desk while checking the physician’s order. 137. A client with Cushing’s syndrome is being instructed by the nurse regarding follow-up care. Which statement by the client indicates the need for further instruction? a.”I should avoid contact sports.” b.”I should avoid food rich in potassium.” c.”‘I should check my ankles for swelling.” d.”I should check my blood sugar regularly.” 138. A nurse is assisting with monitoring a client for signs of hypocalcemia. Which of the following should the nurse note on data collection if hypocalcemia is present? a.Positive Homan’s sign. b.Positive Trousseau’s sign. c.Negative Chvostek’s sign d.Hypoactive deep tendon reflexes. 139. To promote the successful postoperative recovery of a client who had one adrenal gland removed. The nurse plans to reinforce which of the following instructions? a.The reason for maintaining a diabetic diet. b.The proper application of the ostomy pouch. c.Instructions about early signs of a wound infection. d.The need for the lifelong replacement of all adrenal hormones. 140. a nurse is caring for a client who has diabetes mellitus and gathering data from the client about the events that led to the client’s request for medical attention. The nurse identifies which of the following as the major symptoms of diabetes mellitus? a.Polydipsia, polyuria and polyphagia b.Dyspepsia, polyuria and polyphagia c.Hypoglycemia, polyuria and dysphagia d.Hyperglycemia, dyspepsia and dysphagia 141. A nurse is caring for a client with a diagnosis of thyroid crisis(thyroid storm). Which of the following should the nurse include in the plan of care for this client? A high fiber diet. B. Use of hypothermia blanket. C.Administration of levothyroxine. D. Administration of enemas and stool softener. 142. A nurse is caring for client after thyroidectomy and monitoring for complications. Which of the following, if noted in the client indicates the need for physician notification? a.Voice hoarseness. b.Weakness of the voice. c.Surgical pain in the neck area. d.Numbness and tingling around the mouth. 143. A client with diabetes mellitus who takes NPH insulin tell the nurse, “I usually begin to feel sick late in the afternoon. Is there something wrong with me?” The appropriate response by the nurse is which of the following? a.”Let me know if that happens today.” b.”Most people feel tired late in the afternoon.” c.”Can you describe what you mean by feeling sick?” d.”Don’t worry about that. Most diabetics feel that way.” 144. A client has an order to receive glyburide once per day. The nurse schedules this medication so that it is administered at which of the following times? a.At bedtime b.With the noon meal c.2 hours after breakfast d.30 minutes before breakfast. 145. When the nurse was taking the blood pressure in a patient post operative thyroidectomy, the nurse notices the client complains of spasm of the wrist and hand. The nurse document the findings knowing that this sign signifies the presence of which of the following sign? a.Positive Allen’s test. b.Positive deep tendon reflexes c.Trousseau’s sign d.Chvostek’s sign. 146. A nurse is collecting data from a client with hypoparathyroidism. The nurse should do which of the following to check for Chvostek’s sign? a.Dorsiflex the foot briskly. b.Tap the face over the facial nerve. c.Stroke upward on the sloe of the feet. d.Inflate a blood pressure cuff on the arm for 3 minutes. 147. Which of the following is considered as Insulin Glargine? a.Levemir b.NPH c.PZI d.LISDrO 148. A client is scheduled to have a serum glycosylated hemoglobin level drawn. The nurse determines that the client understands the nature of the test if the client makes the statement about preparation? a.”I shouldn’t eat anything after midnight.” b.”| can eat and drink as usual before the test.” c.’I shouldn’t eat very fatty foods the day before the test.” d.”I shouldn’t eat red meats 3 days before the test.” 149. A client with Cushing’s disease is admitted to the hospital after a motor vehicle crash that resulted in multiple lacerations. The nurse determines which problem as the highest priority concern based on the history of Cushing’s disease? a.Risk for infection b.Fluid volume deficit c.Altered health maintenance d.Sensory-perceptual alterations. 150. A client is admitted to the hospital with severe hyperparathyroidism. The nurse should do which of the following activities to promote client safely? a.Keep the room slightly cool. b.institute seizure precautions. c.Keep the head of bed lowered.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."