Extract:

Question 1 of 5

A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?

A. Ecchymosis on the inner left thighB. One fingerbreadth of space between the cast and the skinC. Diminished pulses on the affected extremityD. Client report of muscle spasms of the left leg

Correct Answer: C

Rationale: Diminished pulses indicate potential circulatory compromise, a priority requiring immediate intervention. Ecchymosis may resolve, space is normal, and spasms are less urgent.

Question 2 of 5

A nurse in an adult day care facility is contributing to the plan of care for a client whose family reports recent confusion and memory loss. Which of the following strategies should the nurse include in the plan?

A. Maintain low-level lights in common areas.B. Give the client several meal options at lunchtime.C. Confront the client regarding inappropriate behavior.D. Use symbols in the communal room signage.

Correct Answer: D

Rationale: Symbols on signage aid navigation for clients with memory loss who may struggle with written language, enhancing orientation and independence. Low lighting increases confusion, multiple meal options can overwhelm, and confrontation may heighten agitation.

Question 3 of 5

A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?

A. Ecchymosis on the inner left thighB. One fingerbreadth of space between the cast and the skinC. Diminished pulses on the affected extremityD. Client report of muscle spasms of the left leg

Correct Answer: C

Rationale: Diminished pulses indicate potential circulatory compromise, a priority requiring immediate intervention. Ecchymosis may resolve, space is normal, and spasms are less urgent.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. Which of the following statements should the nurse include?

A. You should take this medication with a high-fat meal.B. You might notice an increase in your bruising.C. This medication might cause your stools to turn black.D. You should avoid drinking grapefruit juice while taking this medication.

Correct Answer: B

Rationale: Clopidogrel increases bleeding risk, leading to more bruising. It's taken regardless of meals, black stools signal GI bleeding (not typical), and grapefruit isn't a concern.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for pregabalin. Which of the following statements should the nurse include?

A. You should take this medication with a high-fat meal.B. You might notice an increase in your energy levels.C. This medication might cause you to feel drowsy.D. You should stop taking this medication if your pain resolves.

Correct Answer: C

Rationale: Pregabalin often causes drowsiness, a key side effect. It's taken without regard to meals, may reduce energy, and stopping abruptly risks withdrawal.