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A nurse is reinforcing teaching with the caregiver of a client who is
near death. which of the following instructions should the nurse
provide? Correct Answer - "Provide mouth care to them at
least every 2 hours."
-Providing oral care as needed to a client who is near death will help
reduce discomfort from dehydration, nausea, and dry mucous
membranes.
A nurse is working in a community clinic is talking with an older
adult client who states that their life has no purpose. the nurse
should identify that the client is in which of the following stages of
Erikson's theory of Psychosocial Development? Correct Answer -
Ego integrity vs. despair
-The nurse should identify that this client is experiencing the ego
integrity vs. despair stage of Erikson's Theory of Psychosocial
Development, which occurs in the older adult population. The nurse
should assist the client to reflect on past accomplishments and find
pleasure in life rather than focusing on health problems and
limitations. Supporting the client's ego integrity will help the client
cope with the challenges of aging.
A nurse is caring for a client who reports itching 30 min after
receiving a newly prescribed med. which of the following data
should the nurse document in the client's medical record? Correct
Answer - Client states, "I started to itch after taking that
medication."
-The nurse should document information using an objective
description, putting the client's exact words in quotation marks.
, a nurse is reinforcing teaching about carb counting with a client who
has a new dx of diabetes mellitus. which of the following actions
should the nurse take 1st? Correct Answer - Ask the client
what they already know about meal planning.
-The first action the nurse should take using the nursing process is
to collect data to determine the client's current level of knowledge.
Then, the nurse can plan education to meet the client's needs.
a nurse is reinforcing teaching with a client who has Pneumonia and
a productive cough. which of the following instructions should the
nurse include in the teaching? Correct Answer - You should
cover your mouth with a tissue when you cough."
-Pneumonia is spread by droplets. Covering the mouth with a tissue
when coughing is an effective method of containing secretions to
avoid spreading the infection.
a nurse is caring for a client is concerned that the client might have a
fecal impaction. which of the following is the most important
question for the nurse to ask? Correct Answer - "Have you had
small liquid stools?"
-Using the nursing process, the first action the nurse should take is
to collect data from the client to determine if the client has any
findings consistent with a fecal impaction. Therefore, the first
question for the nurse to ask is if the client has had any small liquid
stools, which can indicate that there is seepage of liquid feces
around the impacted mass
a nurse is contributing to the plan of care for a client who is dying.
which of the following interventions should the nurse recommend
to include the clients family care of plan? SATA Correct Answer -
Keep the family updated about the client's status is correct.
Encourage the family to comb the client's hair is correct.Tell the
client's family what to expect as the client's death nears is correct.