When preparing a patient for discharge following fixation of a mandibular fracture, the nurse determines that teaching has been successful when the patient says what?

Correct Answer: C

Rationale: The correct answer is C) I may use a bulk-forming laxative if my liquid diet causes constipation. This answer demonstrates understanding of the potential side effect of constipation that can occur due to the liquid diet following fixation of a mandibular fracture. Bulk-forming laxatives can help alleviate constipation by adding fiber and bulk to the stool. Option A is incorrect because sucking on hard candy can pose a risk of dislodging the wires or causing further injury to the mandibular fracture site. Option B is incorrect because cutting the wires with scissors without proper medical guidance can lead to serious complications. Option D is incorrect because using a moist swab to clean the mouth after eating may not address the issue of constipation resulting from a liquid diet. In an educational context, it is crucial for patients to receive clear and accurate information about post-operative care to ensure optimal recovery and prevent complications. Teaching patients about potential side effects and appropriate interventions empowers them to actively participate in their own care and promotes better outcomes.

Correct Answer: A

Rationale: In this scenario, option A is the correct answer because alendronate (Fosamax) should be taken on an empty stomach first thing in the morning with a full glass of water, at least 30 minutes before eating or drinking anything else, to enhance absorption and reduce the risk of esophageal irritation. Taking it with a meal may interfere with absorption and efficacy of the medication. Option B is incorrect because alendronate does not increase bone density but rather helps prevent further bone loss. Option C is incorrect because the patient should sit or stand upright for at least 30 minutes after taking the medication to minimize the risk of esophageal irritation and ensure proper absorption. Option D is incorrect because calcium supplements should not be taken at the same time as alendronate as they can interfere with its absorption. Educationally, this question highlights the importance of understanding the specific instructions for taking medications, especially those like alendronate that have specific administration requirements to maximize effectiveness and minimize side effects. It emphasizes the need for healthcare providers to provide clear and accurate medication education to patients to ensure safe and optimal treatment outcomes.

Correct Answer: B

Rationale: The correct answer is B) "I should perform most of my daily chores in the morning when my energy level is highest." This statement indicates a misunderstanding of managing activities with rheumatoid arthritis (RA). Individuals with RA often experience fatigue, joint pain, and stiffness, which can vary throughout the day. It is important for patients to prioritize activities and conserve energy by spreading out tasks and taking breaks as needed. Option A is correct because performing prescribed exercises daily helps maintain joint flexibility and muscle strength, which are crucial in managing RA symptoms. Option C is also correct as applying an ice pack can help reduce inflammation during acute flares. Option D is correct as using assistive devices can help reduce joint stress and strain. Educationally, it is important to emphasize to patients with RA the need for energy conservation, proper exercise, and the use of assistive devices to maintain independence and manage symptoms effectively. Understanding the optimal timing for activities and the importance of self-care strategies can significantly improve the quality of life for individuals with RA.

Correct Answer: A

Rationale: In assessing a patient with scleroderma, the nurse should expect to find thickening of the skin of the fingers and hands. This is due to the excessive collagen deposition that is characteristic of scleroderma. Option A is the correct answer because thickening of the skin is a classic manifestation of scleroderma, especially in the fingers and hands. This thickening can lead to decreased mobility and function in these areas. Option B is incorrect as cool, cyanotic fingers with thinning skin over the joints are more indicative of conditions like Raynaud's phenomenon, which can commonly coexist with scleroderma but are not specific to it. Option C, Swan neck deformity or ulnar drift deformity of the hands, is more commonly associated with conditions like rheumatoid arthritis, not scleroderma. Option D, low back pain, stiffness, and limitation of spine movement, are not typical manifestations of scleroderma. These symptoms are more commonly seen in conditions like ankylosing spondylitis. Educationally, understanding the specific manifestations of scleroderma is crucial for nurses to provide comprehensive care to patients with this condition. By recognizing these signs early, appropriate interventions can be initiated to improve patient outcomes and quality of life.