Following change-of-shift report on an orthopedic unit, which client should the nurse see first?

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Question 1 of 5

Following change-of-shift report on an orthopedic unit, which client should the nurse see first?

Correct Answer: C

Rationale: The 72-year-old 2 hours post-hip replacement needs first attention. Early post-op risks (e.g., bleeding) require RN assessment, unlike stable 16-year-old , chronic 20-year-old , or pre-op 75-year-old . C prioritizes acuity, making it urgent.

Question 2 of 5

The nurse is teaching parents about the appropriate diet for a 4 month-old infant with gastroenteritis and mild dehydration. In addition to oral rehydration fluids, the diet should include

Correct Answer: A

Rationale: Formula or breast milk is appropriate for a 4-month-old with gastroenteritis. It provides nutrition, unlike broth , cereal/juice , or gelatin , which risk diarrhea. A aligns with guidelines, making it best.

Question 3 of 5

The nurse is preparing to discharge a client who has had outpatient surgery. Which statement by the client indicates the need for further discharge teaching by the nurse?

Correct Answer: D

Rationale: I'll take my antibiotic until I run out in 2 weeks' indicates need for more teaching. Antibiotics post-surgery have specific durations (e.g., 7-10 days); taking until 'running out' risks incomplete treatment or resistance. Avoiding driving , follow-up , and showering are correct. D shows misunderstanding, needing clarification on duration, making it the teachable moment.

Question 4 of 5

A client who had a transurethral resection of the prostate yesterday has a three-way indwelling catheter system with continuous irrigation. Which assessment finding warrants immediate action by the nurse?

Correct Answer: B

Rationale: Bright red urine with clots warrants immediate action post-TURP. It suggests active bleeding, needing irrigation adjustment or provider notification, per protocol. Low output , spasms , and mild fever are less urgent. B addresses hemorrhage, making it priority.

Question 5 of 5

A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which statement by the client indicates the need for further teaching by the nurse?

Correct Answer: C

Rationale: I can take ibuprofen if I have a headache' indicates need for teaching. Ibuprofen increases bleeding risk with warfarin, per pharmacology; acetaminophen is safer. Blood checks , avoiding greens , and reporting bruising are correct. C risks harm, making it the teachable moment.

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