A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?

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Question 1 of 5

A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?

Correct Answer: D

Rationale: Good morning. You're in the hospital. I am your nurse Elaine Jones' provides the best reality orientation. It clearly states place and person, aiding a confused client, unlike vague recall prompts (A, C) or intro-only . D supports cognition, making it the top choice.

Question 2 of 5

The nursing student is discussing with a preceptor the delegation of tasks to an unlicensed assistive personnel (UAP). Assigning which of these tasks to a UAP indicates the student needs further teaching about the delegation process?

Correct Answer: D

Rationale: Collecting an AFB sputum specimen indicates need for teaching. It's a skilled task beyond UAP scope, unlike ambulation , feeding , or discharge care . D risks safety, needing RN oversight.

Question 3 of 5

A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to

Correct Answer: D

Rationale: Elevating the casted leg improves venous return . Post-trauma swelling impairs flow, risking edema; elevation reduces pressure, preventing complications. Comfort , drying , and skin are secondary. D addresses physiology, making it critical.

Question 4 of 5

A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours ago. Which statement from the parent indicates that teaching has been inadequate?

Correct Answer: D

Rationale: Child should not stand until after 72 hours' indicates inadequate teaching. Synthetic casts dry quickly; weight-bearing is often allowed sooner, per provider. Uncovered cast , ice , and elevation are correct. D shows misunderstanding, needing correction.

Question 5 of 5

The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours should observe for signs of which overall imbalance?

Correct Answer: B

Rationale: Metabolic alkalosis is expected after vomiting 9 times in 6 hours. Loss of HCl raises pH, per physiology. Acidosis fits diarrhea, hemoglobin and potassium are secondary. B drives care, making it correct.

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