Which nursing intervention is important in preventing urinary complications in immobilized patients?

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Dewitt Fundamentals Quizlet LPN Pass Medications Questions

Question 1 of 5

Which nursing intervention is important in preventing urinary complications in immobilized patients?

Correct Answer: C

Rationale: Implementing bladder training programs, with scheduled voiding, prevents urinary complications like retention or infections in immobilized patients by promoting bladder control and function. More fluids alone don't address voiding issues, while less assistance or constant bedpan use can worsen retention risks. Nurses use this to encourage continence, adapting care to immobility's impact on urinary health, ensuring complications are minimized through structured support.

Question 2 of 5

The nurse is assessing a client who is receiving high-flow oxygen therapy via a non-rebreather mask. Which finding requires immediate intervention?

Correct Answer: D

Rationale: A loose mask fit (D) requires immediate intervention in non-rebreather therapy, as it reduces oxygen delivery (target 60-95%), compromising efficacy. 10 L/min (A) is appropriate. SpO2 95% (B) is normal. Condensation (C) is manageable. Tightening the mask, per respiratory care, restores high-flow effectiveness.

Question 3 of 5

The client scheduled for electroconvulsive therapy tells the nurse, 'I'm so afraid. What will happen to me during the treatment?' Which of the following statements is most therapeutic for the nurse to make?

Correct Answer: A

Rationale: Saying, 'You will be given medicine to relax you during the treatment,' is most therapeutic, addressing fear with reassurance about comfort and safety during electroconvulsive therapy (ECT), a common anxiety for clients. Detailing seizures, side effects, or post-treatment confusion might heighten fear rather than soothe it. Nurses use this approach to build trust, easing emotional distress while preparing clients for the procedure effectively.

Question 4 of 5

The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:

Correct Answer: A

Rationale: For an infant, 1.25mL exceeds the 0.5-1mL per-site limit for small muscles, so dividing it into two 0.625mL injections in each vastus lateralis ensures safe absorption without tissue damage. Dorsogluteal and ventrogluteal sites are risky or underdeveloped in infants. Nurses split doses this way, using preferred sites to minimize pain and optimize delivery, critical for pediatric dosing.

Question 5 of 5

A client with hypothyroidism is prescribed Synthroid (levothyroxine). The nurse should tell the client to take the medication:

Correct Answer: C

Rationale: Synthroid (levothyroxine) should be taken 30 minutes before breakfast on an empty stomach, maximizing absorption for hypothyroidism treatment, as food especially calcium or iron reduces uptake, per endocrine guidelines. Meal timing or bedtime dosing lowers efficacy. Nurses instruct this timing, ensuring consistent thyroid hormone levels, improving energy, metabolism, and symptom control for the client.

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