A nurse is caring for a client who is 1 day postoperative following a total knee replacement. The client reports pain of 8 on a scale of 0 to 10. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: In this scenario, the appropriate action for the nurse to take when a client reports severe postoperative pain of 8 out of 10 is to administer oxycodone 10 mg PO. Oxycodone is a potent analgesic that is more effective in managing severe pain compared to ibuprofen, making choice A incorrect. Repositioning the client to the unaffected side or applying a cold compress may provide some comfort but are not the priority interventions for severe postoperative pain, making choices C and D less appropriate.

Correct Answer: B

Rationale: The correct instruction that the nurse should include for a client prescribed hydrochlorothiazide is to increase their intake of potassium-rich foods. Hydrochlorothiazide is a diuretic that can lead to potassium depletion, so increasing potassium-rich foods helps prevent hypokalemia. Option A is incorrect because hydrochlorothiazide is usually taken in the morning to prevent diuresis at night. Option C is not necessary as hydrochlorothiazide can be taken with or without food. Option D is incorrect because hydrochlorothiazide is used to lower blood pressure, not increase it.

Correct Answer: D

Rationale: The correct action for the nurse to take when caring for a client with schizophrenia who is pacing the hall and agitated is to walk with the client at a gradually slower pace. This approach can help reduce the client's agitation and prevent the situation from escalating. Choice A is incorrect because directly asking about harm may increase the client's anxiety. Choice B is inappropriate as it may worsen the client's agitation. Choice C is not recommended as the client may benefit from the nurse's presence and support during this time of distress.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A) Hemoglobin 11.2 g/dL. During pregnancy, it is common for a woman's hemoglobin levels to decrease due to the expansion of plasma volume, leading to dilutional anemia. A hemoglobin level of 11.2 g/dL at 36 weeks of gestation is lower than the normal range and could indicate the presence of anemia, which can have implications for both the mother and the fetus. Therefore, it is crucial to report this result to the healthcare provider for further evaluation and management. Option B) Platelet count 148,000/mm3 is within the normal range. While thrombocytopenia can occur during pregnancy, a platelet count of 148,000/mm3 is not typically concerning unless it significantly decreases. Option C) Leukocyte count 9,000/mm3 falls within the normal range and is a common finding during pregnancy due to the physiological changes in immune function. Therefore, it does not require immediate reporting. Option D) Blood glucose 80 mg/dL is within the normal range. While monitoring blood glucose levels is essential during pregnancy, a value of 80 mg/dL is not indicative of any immediate concerns. In an educational context, understanding the normal physiological changes and potential complications during pregnancy is crucial for nurses caring for pregnant clients. Recognizing abnormal laboratory values and knowing when to escalate them to the healthcare provider is essential in ensuring the well-being of both the mother and the fetus. This question reinforces the importance of monitoring laboratory results in prenatal care and the significance of early intervention when abnormalities are detected.

Correct Answer: C

Rationale: The correct answer is 'Lean beef.' Lean beef is a good source of protein, which is essential for a balanced diet. While carrots and bananas are healthy food choices, they are not specifically recommended for clients with hypertension. Whole grains are a better alternative to refined grains for individuals with hypertension, but lean beef is a more suitable recommendation due to its protein content.