Nurse Teaching Client Question & Answer Guide (With Explanation)

This question focuses on applying theory to practical scenarios.

What This Question Is About

This question relates to nurse teaching client and requires a structured academic response.

How to Approach This Question

Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves nurse teaching client. A strong answer should include explanation, application, and examples.

Original Question

A nurse is teaching a client who is to begin long-term therapy with prednisone to treat rheumatoid arthritis The nurse should instruct the client to take which of the following – – supplements while taking this medication? – Folic acid and vitamin c – Pantothenic acid and vitamin B6 Biotin and vitamin B2 – Calcium and vitamin D A nurse is assigned to care for a client who has thrombocytopenia, and the platelet count is 65000 The nurse should prioritize what assessment? – Assess the patient for any side effects of immunosuppressants – Assess The client for pain using the number scale 0-10 – Assess the client for any signs of bleeding – Assess the client for pallor, weakness and fatigue A nurse is preparing to initiate a transfusion of packed red blood cells (RBC) for a client who has anemia. Which of the following actions should the nurse plan for an intervention? – Leave the client 5 min after beginning the transfusion – Stay with the client for 15 min after the start of the blood transfusion Prime the blood – transfusion tubing with Dextrose in Water – Start the blood transfusion at a rate of 400L/hr A nurse is providing teaching to a client who has neutropenia. which of the following information should the nurse include in the teaching? – During flu season live vaccines are best – Avoid crowded areas – Eat plenty of fresh fruit and raw vegetables – Enjoy light exercise such as gardening A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. Because this is often the firth sign of a serious complication of fractures, the nurse should suspect which of the following? A. Fat embolism syndrome B. acute compartment syndrome—- Ans C. pulmonary embolism D. osteomyelitis A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer? Unblanchable Redness full-Thickness Skin Loss Superficial ulcer with Partial Thickness loss Exposed Bone A nurse is assessing a client who complains of constipation and has peritonitis which of the following findings should the nurse expect? – Rigid board like abdomen – Hyperactive bowel sounds Frequent bowel movements Increased urinary output A nurse is presenting a community-based program about human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) A client asks the nurse to describe the criteria for AIDS diagnosis Which of the following should the nurse include in the explanation of the diagnostic criteria? – When an individual with HIV manifest infections such as Kaposi’s sarcoma and CD4 counts less than 200 – When an individual presents with viral pneumonia and a CD4 count greater than 200 – When an individual with HIV begins to manifest fungal infections orally or dark moist areas of the skin ————-When a HIV infected individual begins experiencing Flu-like symptoms and a high viral load A nurse is teaching a client who has a fractured femur about fat emboli syndrome. Which of the following findings should the nurse include as a manifestation of a fat embolism? A. Swollen calf B. Petechiae—— ANS C. Paresthesia distal to the fracture D. Fever A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include? – Avoid using moisturizing lotions on the skin – Apply powder liberally to sensitive skin areas – Use Sun protector factor (SPF) of at least 30 or more – Use Sun tanning lotion daily A nurse is providing teaching for a client who has experienced an acute episode of gastritis Which of the following instructions should the nurse include in the teaching ? – Increase stressful events – Limit drinking milk – Take only NSAIDs for pain – Avoid drinking coffee and alcoholToday, 8:52 PM A nurse is caring for a client who has an active gastrointestinal bleed. After inserting a NG tube into the client, which of the following findings should the nurse anticipate? a. Frothy pink drainage b. Dark amber drainage c. Coffee-grond drainage —-ANS d. Greenish-yellow drainage A nurse is preparing to administer ampicillin 500 mg intravenous Piggy back , Secondary over 30 min Available is 500mg ampicillin in 50 ml dextrose 5% in water ()The nurse knows the volume is 50mls and should set the pump to deliver how many ml/hr in order to administer the medication in 30 minutes ? (Round the answer to the nearest whole numberUse a leading zero if it appliesnot use a trailing zero) A charge nurse is planning to admit several clients to the medical unitWhich of the following should the nurse assign to a private room? -A client who is HIV positive -A CLIENT who had a total hip arthroplasty -A client who has a fever of unknown origin -A client who is neutropenic A nurse is completing a physical assessment of a client who has early osteoarthritis Which of the following manifestations should the nurse expect? -Symmetric bilateral joints affected -Weight loss and anorexia -Pain that worsens with activity -Ulnar deviation and swan neck deformity A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periodsThe client has a hemoglobin level of 7 g/dl and a hematocrit level of 26g/dL The nurse suspect which of the following types of anemia? Folic acid deficiency anemia Sickle cell anemia Pernicious anemia Iron-deficiency anemia A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE) about risk factors that trigger flare-ups. The nurse should recognize all lead to the risks of flare-ups EXCEPT? -Light exercises alternated with periods of rest -Sunbathing and tanning sessions. -Infection, immunosuppressants, and long term steroid use -Stress and hormonal changes such as pregnancy A nurse is assessing a client who is in skeletal tractionWhich of the following findings should the nurse identify as an indication of infection at the pin sites? -Purulent drainage odor and streaking redness from the pin site -Warm pink, and dry skin around the pin site -Cool skin and clear drainage from the pin site -Serosanguineous drainage with no odor from the pin site A nurse is assessing a client who is in sickle cell crisis and is experiencing severe pain The nurse suspect the severe pain manifest due to what process? -Low-grade fever due to dehydration -Hypovolemia and tachycardia -Constipation resulting from gastrointestinal paresis -ischemia due to reduced tissue perfusion A nurse is planning care for a client who has pernicious anemiaWhich of the following interventions should the nurse plan to implement? -Iron supplements -VitaminB12 supplements -Vitamin B6 injections -Blood transfusions A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicated an understanding of the teaching? A. “I can use either heat or ice to help relieve the discomfort.” —-ans B. “Ibuprofen is the first step in medication therapy for osteoarthritis.” C. “I should limit physical activity to prevent further injury.” D. “I will elevate my legs by placing two pillows under my knees when I go to bed. A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client’s skin? a. Reposition the client every 3 hr. b. Massage bony prominences to promote circulation. c. Provide the client with a diet high in protein. —- ans d. Apply cornstarch to keep the skin dry. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices The nurse should initiate a referral with which of the following members of the interprofessional health care team ? – Speech pathologist – Occupational Therapist – Social worker – Registered Dietician A nurse is assessing a client who is at risk for deep-vein thrombosis (DVT)Which of the following findings is a manifestation of DVT? -Pallor in the affected extremity -Swollen, achy, and warm ankle. -Unilateral calf pain and swelling -Bilateral lower extremities with rashes A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn’s disease. Which of th following information should the nurse include? -Fistula formation with a cobble stone appearance is a common link -Neither needs surgical interventions -Both disease processes are inflammatory -Similarly both disease processes begins in the rectum A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis with severe diarrheaWhich of the following actions should the nurse take first? -Investigate the client’s emotional concerns -Review the client’s electrolyte values -Assume it is only a dietary issue. -Check the client’s perianal skin integrity A nurse is assessing a client who endured a motor vehicle accident. The client is anemic due to acute blood loss from an injuryWhich of the following clinical manifestations should the nurse expect? -Diarrhea -Hypertension -Bradycardia -Hypotension An adult patient has been diagnosed with iron-deficiency anemia. What nursing diagnosis is most likely to apply to this patients health status? A) Risk for deficient fluid volume related to impaired erythropoiesis B) Risk for infection related to tissue hypoxia C) Acute pain related to uncontrolled hemolysis D) Fatigue related to decreased oxygen-carrying capacity —ans A nurse is reviewing a client’s laboratory results and finds the hemoglobin is 9 g/dl and the hematocrit is 28% The nurse should recognize that the client is at risk for which of the following? -Prolonged bleeding -Cellular hypoxia -Impaired immunity -Fluid retention A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (RA)Which are the clinical manifestations of RA? -Low-grade fever and joint point -Heberden’s nodes -Morning stiffness lasting less than 30 minutes -Bilateral Hyperflexiability A nurse in an emergency department is caring for a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following interventions should the nurse perform first? -Apply a tourniquet just above the wound. -Apply pressure directly to the wound. —-ans -Start two large-bore IV catheters. -Place the client in a modified Trendelenburg position A nurse is caring for a client who has a fractured tibia as a result of a fallThe client’s xray shows that the bone is broken into several pieces around the shaft. The nurse should identify that the client has which of the following types of fractures? -Impacted -Comminuted —-Ans -Transverse -Oblique A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? A: Wrinkles in the skin B: Constipation C: Iritis D: Facial rash —- ANS A group of nurses is discussing risk factors for transmission of human immunodeficiency virus (HIV) from clientsWhich of the following Individuals should the nurses identify as being at the greatest risk for contracting HIV? – A physical therapist that works with a client with HIV on transfers and ambulation -A personal trainer that works with a client with HIV to build strength -A nurse that works for an insurance company collecting urine samples from CLIENT with HIV -A phlebotomist that routinely collects blood specimens from clients with HIV A nurse is assessing a client following the application of a left leg cast for the treatment of a fracture Which of the following is a focused assessment the nurse should implement? -Assess the right leg for edema. -Assess for poor skin tugor -Assess for changes of color and sensation of the toes. -Auscultate the apical pulse A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago With distress, the client tells the nurse he can’t breath and has chest pain. The nurse should suspect what complication? -Fat embolism syndrome -Venous thromboembolism -Compartment syndrome -Hypovolemic shock A nurse is preparing to administer fosamprenaviir 1400 mg PO bid. Available is fosamprenavir 700 mg tablets. How many tablets should the nurse administer? 2 tablets A nurse is teaching a client who has a fractured femur about fat emboli syndrome. Which of the following findings should the nurse include as a manifestation of a fat embolism? Paresthesia distal to the fracture High Grade Fever Bilateral swollen legs Petechiae

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