Earlier this morning, an elderly Hispanic female w

Question 1 of 5

Earlier this morning, an elderly Hispanic female was discharged to a LTC facility. The family members are now gathered in the hallway outside her room. What is the best action?

A. Ask the family to wait in the cafeteria while the next of kin makes the necessary arrangements B. Provide space and privacy for the family to share their concerns about the client's discharge C. Ask the social worker to encourage the family to clear the hallway D. Explain to the family the client's need for privacy so that she can make independent decisions

Correct Answer: B

Rationale: In this situation, providing space and privacy for the family allows them to openly discuss their concerns regarding the client's discharge. It respects the family's need for support, communication, and involvement in the decision-making process, ultimately fostering a more effective and compassionate care environment.

Question 2 of 5

A healthcare professional is teaching a new colleague about the correct administration of subcutaneous (subQ) injections. Which instruction should the healthcare professional include?

A. Insert the needle at a 90-degree angle for subQ injections B. Aspirate for blood return before injecting the medication C. Pinch the skin before inserting the needle D. Massage the site after administering the injection

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A client with a suspected kidney infection is admitted to the hospital for observation. Which action should the nurse implement to assess the client's kidney function?

A. Monitor the client's urine output B. Check for abdominal tenderness C. Evaluate the client's fluid intake D. Inspect the client's skin for edema

Correct Answer: A

Rationale: Monitoring urine output is the most direct way to assess kidney function as it provides crucial information about the kidneys' ability to filter waste and produce urine. Changes in urine output can indicate potential issues with kidney function, such as decreased filtration or impaired excretion of waste products.

Question 4 of 5

A client is scheduled for a colonoscopy. What instruction should the nurse provide to prepare the client for the procedure?

A. Drink clear liquids for 24 hours before the procedure B. Take a laxative the morning of the procedure C. Eat a light meal before the procedure D. Avoid drinking fluids for 4 hours before the procedure

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

During a home visit, an elderly female client who had a brain attack three months ago and can now ambulate with a quad cane is assessed by the nurse. Which assessment finding has the greatest implications for this client's care?

A. The husband, who is the caregiver, begins to weep when the nurse asks how he is doing. B. The client tells the nurse that she does not have much of an appetite today. C. The nurse notes that there are numerous scatter rugs throughout the house. D. The client's pulse rate is 10 beats higher than it was at the last visit one week ago.

Correct Answer: C

Rationale: The presence of numerous scatter rugs throughout the house poses a significant safety hazard to the client who is ambulating with a quad cane. These rugs increase the risk of tripping and falling, making it the most critical finding that needs immediate attention to prevent potential injuries and ensure the client's safety during ambulation.

Earlier this morning, an elderly Hispanic female was discharged to a LTC facility. The family members are now gathered in the hallway outside her room. What is the best action?

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