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Question 1 of 5

The nurse is caring for a client with a history of liver cirrhosis who is admitted with ascites. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: furosemide is a diuretic used to reduce ascites in liver cirrhosis

Question 2 of 5

The nurse is talking with a client who has been diagnosed with thyroid cancer. The client is asking about different treatment options. Which response by the nurse is most appropriate?

Correct Answer: C

Rationale: This response encourages open communication and assesses the client's current knowledge, facilitating a patient-centered discussion about treatment options.

Question 3 of 5

The home health nurse is scheduled to visit four clients. Which client should she visit first?

Correct Answer: A

Rationale: The AIDS client with fever and cough may have an acute infection like pneumonia, requiring urgent assessment.

Question 4 of 5

The nurse is preparing to discharge a client following a trabeculoplasty for the treatment of glaucoma. The nurse should instruct the client to:

Correct Answer: D

Rationale: Eye protection prevents injury and supports healing post-trabeculoplasty.

Question 5 of 5

A client in Dunlop traction experiences numbness of the thumb and index finger and cannot move the thumb to touch the tips of the other fingers. The capillary refill time is four seconds. Which of the following actions is indicated?

Correct Answer: A

Rationale: Numbness, impaired thumb movement, and delayed capillary refill suggest compression from a tight elastic bandage. Removing and reapplying it loosely (
A) addresses this. Adjusting weights (B,
D) or countertraction (
C) does not address the symptoms.

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