The healthcare provider is conducting an initial a

Question 1 of 5

The healthcare provider is conducting an initial admission assessment for a woman who is Mexican-American and who is scheduled to deliver a baby by C-section in the next 24 hours. What should the healthcare provider include in the assessment?

A. Provide an interpreter to convey the meaning of words and messages in translation B. Commend the client for her patience during a long wait in the admission process C. Arrange for the hospital chaplain to visit the client during her hospital stay D. Rely on cultural norms as the basis for providing healthcare for this client

Correct Answer: D

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

Question 2 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 3 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 4 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.

Question 5 of 5

Which client care task requires the nurse to wear barrier gloves as mandated by the Standard Precautions protocol?

A. Removing the empty food tray from a client with a urinary catheter. B. Washing and combing the hair of a client with a fractured leg in traction. C. Administering oral medications to a cooperative client with a wound infection. D. Emptying the urinary catheter drainage bag for a client with Alzheimer's disease.

Correct Answer: D

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

The healthcare provider is conducting an initial admission assessment for a woman who is Mexican-American and who is scheduled to deliver a baby by C-section in the next 24 hours. What should the healthcare provider include in the assessment?

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