The nurse is responsible for several elderly clients, including a client on bed rest with a skin tear and hematoma from a fall 2 days ago. What is the best care assignment for this client?

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Question 1 of 5

The nurse is responsible for several elderly clients, including a client on bed rest with a skin tear and hematoma from a fall 2 days ago. What is the best care assignment for this client?

Correct Answer: D

Rationale: Supervising a nursing assistant for skin care is best. Skin tears need RN oversight, but UAP can assist, unlike total RN care , self-care , or full delegation . D balances skill and safety.

Question 2 of 5

Which blood serum finding in a client with diabetic ketoacidosis alerts the nurse that immediate action is required?

Correct Answer: A

Rationale: pH below 7.3 alerts for immediate action in DKA. Acidosis (pH <7.35) signals severe metabolic imbalance, needing urgent correction. Potassium , HCT , and PaO2 are secondary. A drives intervention, making it critical.

Question 3 of 5

A two year-old child is brought to the provider's office with a chief complaint of mild diarrhea for two days. Nutritional counseling by the nurse should include which statement?

Correct Answer: B

Rationale: Continue regular diet and include oral rehydration fluids' is best for mild diarrhea. It maintains nutrition, corrects fluids, per AAP. Clear liquids , BRAT , or NPO risk imbalance. B supports recovery, making it correct.

Question 4 of 5

A client who has been diagnosed with angina has been placed on the beta blocker atenolol (Tenormin). Later in the day the client says to the nurse, 'I don't understand why I have to take this pill when my chest doesn't hurt now.' Which reply by the nurse would be most appropriate?

Correct Answer: A

Rationale: This medication will help to prevent chest pain' is most appropriate. Atenolol reduces heart rate and demand, preventing angina per its beta-blocker action. Offering PRN meds ignores prophylaxis, strengthening is inaccurate, and breathing is unrelated. A educates on purpose, aligning with treatment goals, making it the best reply.

Question 5 of 5

A client says to the nurse, 'My doctor says my heart beat isn't regular, but he doesn't want me to worry about it.' Which response by the nurse is most appropriate?

Correct Answer: D

Rationale: Tell me what you know about an irregular heart beat' is most appropriate. It assesses understanding, encouraging dialogue, per education principles. Assurance , checking , or pulse-taking bypass engagement. D empowers the client, making it the best response.

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