Correct Answer: C

Rationale: The correct answer is C: "I should limit the time that I spend sitting in a chair." This statement indicates an understanding of the teaching because prolonged sitting can lead to decreased circulation and increase the risk of thrombus formation. By limiting the time spent sitting, the client is promoting blood flow and reducing the risk of clots.


Choice A is incorrect because keeping legs crossed can impede blood flow and increase the risk of thrombus formation.
Choice B is incorrect as leg exercises should be performed more frequently to prevent blood stasis.
Choice D is incorrect because massaging legs when they hurt does not address the underlying risk factors for thrombus formation.

Correct Answer: D

Rationale:
Rationale: The correct answer is D because during the contemplation stage, the client is still considering changing their behavior. Providing information about the benefits of quitting smoking helps increase awareness and motivation for change. This step is crucial in helping the client move towards the preparation stage where they actively plan to quit smoking.
Incorrect choices:
A: Developing a plan for integrating change is more suitable for the preparation stage.
B: Recommending small changes is more appropriate for the action stage when the client is ready to make immediate changes.
C: Assisting in setting goals is more relevant for the preparation stage.
E, F, G: No information provided.

Correct Answer: D

Rationale: The correct answer is D: Delirium has an abrupt onset. Delirium is characterized by a sudden and fluctuating change in mental status. This sudden onset is a key feature that distinguishes delirium from other cognitive disorders. The other choices are incorrect because delirium does affect a client's perception of their environment (
A), delirium typically progresses quickly rather than slowly (
B), and delirium often disrupts a client's sleep cycle (
C). By focusing on the abrupt onset of delirium, the nurse can help newly hired nurses recognize this condition promptly and intervene effectively.

Correct Answer: B

Rationale: The correct answer is B, preparing the client for a central venous line. PN with high dextrose concentrations and fat emulsions can be hypertonic and irritating to peripheral veins.
Therefore, a central venous line is necessary to deliver PN safely and prevent complications such as phlebitis or thrombosis. Changing the PN infusion bag every 48 hours (
A) is a standard practice but not directly related to the safety of PN administration. Obtaining random blood glucose daily (
C) is important to monitor for hyperglycemia, but it does not address the method of PN delivery. Administering the PN and fat emulsion separately (
D) is not necessary as they can be given together in a single solution.

Correct Answer: A

Rationale: The correct answer is A: Write down the complete prescription. This is the first action the nurse should take to ensure accurate documentation and prevent errors. By writing down the complete prescription, the nurse can verify the details with the provider, confirm any unclear information, and have a record for future reference. Reading back the prescription (
B) is important but comes after writing it down. Documenting the prescription (
C) and ensuring the provider signs it (
D) are important steps but should follow the initial action of writing down the prescription.