The nurse is caring for a client in a hip spica cast. Which intervention should the nurse include in the plan of care?

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Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions

Question 1 of 5

The nurse is caring for a client in a hip spica cast. Which intervention should the nurse include in the plan of care?

Correct Answer: D

Rationale: Distention and vomiting can indicate cast syndrome or bowel obstruction, critical to monitor in a hip spica cast.

Question 2 of 5

The 65-year-old client is diagnosed with macular degeneration. Which statement by the client indicates the client needs more discharge teaching?

Correct Answer: C

Rationale: Low-watt bulbs reduce visibility; macular degeneration patients need bright light to compensate for central vision loss, indicating a need for more teaching.

Question 3 of 5

The elderly male client tells the nurse, 'My wife says her cooking hasn't changed, but it is bland and tasteless.' Which response by the nurse is most appropriate?

Correct Answer: B

Rationale: Age-related taste bud decline reduces taste perception, a normal sensory change, making this the most appropriate and educational response.

Question 4 of 5

Which statement by the daughter of an 80-year-old female client who lives alone warrants immediate intervention by the nurse?

Correct Answer: C

Rationale: Changing furniture can create fall hazards, especially for elderly individuals.

Question 5 of 5

The nurse manager of a medical-surgical unit is asked to determine if the unit should adopt a new care delivery system. Which behavior is an example of an autocratic style of leadership?

Correct Answer: A

Rationale: Autocratic leadership involves unilateral decision-making and informing staff without input.

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