A client with a diagnosis of deep vein thrombosis (DVT) is receiving anticoagulation therapy. Which statement by the client indicates a need for further teaching?

Correct Answer: D

Rationale: The statement 'I should continue taking my over-the-counter herbal supplements' (D) indicates a need for further teaching because some herbal supplements can interact with anticoagulants, increasing the risk of bleeding. It is crucial to inform healthcare providers about all medications, including herbal supplements, to prevent adverse interactions. The other statements reflect appropriate understanding of precautions related to DVT and anticoagulation therapy.

Correct Answer: C

Rationale: The correct answer is C - Healthcare-associated infection rate. Acrylic nails can harbor bacteria, increasing the risk of healthcare-associated infections. By implementing a policy to remove acrylic nails, the goal is to reduce the infection rate. Monitoring the healthcare-associated infection rate will provide a direct measure of the policy's effectiveness in achieving its intended outcome. This measure is more specific and directly related to the objective of reducing the risk of infections compared to the other choices.

Correct Answer: C

Rationale: In the context of nursing fundamentals, the correct initial approach to a weight loss plan for a client with a BMI of 30 would be to recommend keeping a record of food and drinks consumed daily (Option C). This recommendation is important because it helps the client and healthcare provider identify eating patterns, calorie intake, and potential areas for modification. Keeping a food diary can increase awareness of eating habits, promote mindfulness, and facilitate better decision-making regarding food choices. It allows for a comprehensive assessment of the client's current dietary intake and aids in setting realistic and personalized goals for weight loss. The other options are not the most appropriate initial approach for weight loss. Planning low carbohydrate and high protein meals (Option A) may be beneficial but should be based on individual needs and preferences after a thorough assessment. Engaging in strenuous activity for an hour daily (Option B) may not be feasible or safe for everyone, especially as an initial step. Participating in a group exercise class 3 times a week (Option D) is a good recommendation for physical activity, but without addressing dietary habits first, the effectiveness of the weight loss plan may be limited. In nursing education, it is crucial to emphasize evidence-based practice and personalized care when addressing weight management. Educating clients on sustainable lifestyle changes, starting with simple modifications like food tracking, can lead to successful long-term weight loss outcomes.

Correct Answer: D

Rationale: In this scenario, the correct action for the nurse to take is option D: Page the healthcare provider to return and provide additional explanation. This choice is the most appropriate because the healthcare provider is the individual who holds the expertise to provide detailed information about the procedure, address the client's concerns, and ensure informed consent. Option A is incorrect because answering the client's questions with a short explanation may not sufficiently address the client's concerns and could potentially lead to misunderstandings. Postponing the procedure, as suggested in option B, is not ideal because it may cause unnecessary delays in the client's care without addressing the root issue of lack of understanding. Calling the client's next of kin for verbal consent, as in option C, is not appropriate in this situation as the client is present and capable of making their own decisions regarding their healthcare. From an educational perspective, this scenario highlights the importance of clear communication, patient education, and the role of healthcare providers in ensuring that patients fully comprehend procedures before giving consent. It underscores the significance of advocating for patients' understanding and involvement in their care to promote informed decision-making.

Correct Answer: C

Rationale: Observing a client using accessory neck muscles during respiration indicates respiratory distress. The priority action should be to measure oxygen saturation to assess the adequacy of oxygenation. This intervention provides crucial information about the client's respiratory status and helps guide further assessment and interventions.