The nurse is teaching an 87 year-old client methods for maintaining regular bowel movements. The nurse would caution the client to avoid

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Question 1 of 5

The nurse is teaching an 87 year-old client methods for maintaining regular bowel movements. The nurse would caution the client to avoid

Correct Answer: C

Rationale: The nurse should caution against laxatives for an 87-year-old. Chronic use risks dependency, dehydration, and electrolyte imbalance, common in elders. Suppositories , fiber , and softeners are safer, promoting regularity without overuse risks. C's potential for harm outweighs benefits long-term, making it the item to avoid.

Question 2 of 5

An unlicensed assistive personnel (UAP), who usually works in pediatrics is assigned to work on a medical-surgical unit. Which one of the questions by the charge nurse would be most appropriate prior to making delegation decisions?

Correct Answer: B

Rationale: What type of care did you give in pediatrics?' is most appropriate. It assesses relevant experience for med-surg delegation, unlike tenure , checklist , or comfort . B ensures safe task matching, making it the best question.

Question 3 of 5

When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?

Correct Answer: D

Rationale: Cooperative play with preschoolers is expected for 4-year-olds. Per Erikson/Piaget, initiative and preoperational stages foster social interaction, unlike competitive games , parallel play , or solitary . D matches development, making it the norm.

Question 4 of 5

A client states, 'People think I'm no good, you know what I mean?' Which of these responses would be most therapeutic?

Correct Answer: C

Rationale: I'm not sure what you mean. Tell me a bit more about that' is most therapeutic. It clarifies, encourages elaboration, and builds trust, per communication principles. Projection , reassurance , or analysis assume or judge. C fosters understanding, making it the best response.

Question 5 of 5

The unlicensed assistive personnel (UAP) reports a sudden increase in temperature to 101 degrees Fahrenheit for a post surgical client. The nurse checks on the client's condition and observes a cup of steaming coffee at the bedside. What instructions are appropriate to give to the UAP?

Correct Answer: B

Rationale: Recheck temperature 15 minutes after removing hot liquids' is appropriate. Coffee likely raised oral temp; rechecking ensures accuracy. Fluids (A, C) or charting miss causation. B aligns with protocol, making it correct.

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