Correct Answer: A

Rationale: A diuretic increases urine production by the kidneys helping to reduce swelling (edema) by removing excess fluid. The nurse should teach the client that the medication will increase urinary output leading to more frequent urination and higher urine volume. Changes in urine color or odor may occur but are not directly related to the diuretic's primary effect on output. Normal foot Foot with edema

Correct Answer: B

Rationale: An appropriate outcome statement for a client with a discharge goal of improved mobility should be specific measurable achievable relevant and time-bound. The statement "Client will ambulate without a walker by 6 weeks" meets these criteria specifying the desired outcome providing a measurable goal and including a time frame. Other statements are either too vague or not measurable enough to be considered appropriate.

Correct Answer: B

Rationale: Explaining the procedure and reassuring the client that it should not be painful helps alleviate anxiety by providing information and comfort. Other statements may dismiss the client’s feelings or cause unnecessary worry.

Correct Answer: B

Rationale: When selecting interventions for a care plan a key principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. This ensures interventions are targeted and effective in resolving the problem. There is not always one best intervention interventions can include both doing and monitoring and both independent and collaborative interventions may be appropriate.

Correct Answer: D

Rationale: It would be inappropriate to delegate an unsupervised transfer to a UAP if it is the client's first time out of bed after surgery as the client may have specific needs or limitations requiring a licensed nurse's assessment and supervision to ensure safety.