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"All of a sudden, I see these black spots floating in the air."
"All of a sudden, I see these black spots floating in the air." Correct - This is a sign of
proliferative diabetic retinopathy. Further assessment of vison is required to determine if
vision is adequate for self-management of diabetes - CORRECT ANSWER: The nurse
is preparing to teach a client with type 2 diabetes mellitus (DM) on self-injection of
insulin. Which statement by the client changes the teaching plan?
1
"I need to put on my glasses to make sure I have the right amount."
2
"All of a sudden, I see these black spots floating in the air."
3
"I am feeling shaky and my heart is racing."
4
"Can you come back later, I am sleepy."
"I am starting to feel tingling in the right arm." - CORRECT ANSWER: The nurse is
participating in the discharge plans for a client who has a cast on the right forearm due
to a fracture. Which statement by the client requires additional follow-up?
1
"I am starting to feel tingling in the right arm."
2
"I need some pain medication before I go home."
,3
"I can't wait to have my family members to sign my cast."
4
"My cast feels a little tight if I don't keep my arm elevated."
"I can continue smoking as long as I smoke outside." - CORRECT ANSWER: The nurse
is performing discharge education for a client who is going home with continuous
oxygen therapy. Which statement by the client requires further teaching?
1
"I can continue smoking as long as I smoke outside."
2
"I should make sure cleaning supplies are not flammable."
3
"I'm so glad I can travel out of town to visit my grandkids."
4
"I will make sure my oxygen tank is always standing upright."
"I know that my blood pressure is high when my nose starts bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high blood
pressure, but it can occur for many other reasons as well. It is quite common that the
client's blood pressure is high and the client experiences no symptoms. It is important to
help clients understand that they cannot rely on one particular symptom to tell if their
pressure is elevated. It would be very dangerous for clients to think their blood pressure
is only high if they have a nose bleed. - CORRECT ANSWER: The nurse is participating
in the discharge plans for a client with hypertension. Which statement by the client
would cause concern?
1
"I am at risk for stroke or heart attack if my blood pressure is not controlled."
,2
"I know that my blood pressure is high when my nose starts bleeding."
3
"I will take my blood pressure two times a day for at least 7 days."
4
"I will ask my spouse to start walking with me in the mornings."
"I need to take the medication on an empty stomach."
"I need to take the medication on an empty stomach." Correct - Should be taken with
meals to minimize gastric irritation - CORRECT ANSWER: The nurse is providing
discharge instructions for a client who has been prescribed prednisone for pneumonia.
Which response by the client indicates the need for further teaching?
1
"I may eat more food than usual."
2
"I need to take the medication on an empty stomach."
3
"I need to gradually decrease the dose."
4
"I should notify my doctor is my urine has a foul odor."
"I need to throw away my grapefruit juice."
"I need to throw away my grapefruit juice." - Correct - Grapefruit and grapefruit juice are
contraindicated
, "I will have to stop eating a banana for breakfast." - Food high in potassium should be
consumed
"I should report any problems with sex to my doctor." - not related
"I should look for lip swelling and report to my doctor." - Not related - CORRECT
ANSWER: The nurse is teaching a client about verapamil. Which statement by the client
indicates an understanding of the teaching?
"I should bathe daily with antibacterial soap."
"I need to tell my spouse to sleep in the guest bedroom until my wound heals." Client
should sleep in separate bed from others until infection has cleared
"I should wash my hands before and after changing the bandage." Client should wash
hands before and after wound care
"I will stop by the store to buy some bleach before I go home." Surfaces that come in
contact with infection should be cleaned with bleach water
"I should bathe daily with antibacterial soap." Correct - Showering rather than bathing is
recommended - CORRECT ANSWER: The nurse is preparing to teach a client on
preventing the spread of methicillin-resistant staph areus (MRSA). Which statement by
the client causes concern?
1
"I need to tell my spouse to sleep in the guest bedroom until my wound heals."
2
"I should wash my hands before and after changing the bandage."
3
"I will stop by the store to buy some bleach before I go home."
4
"I should bathe daily with antibacterial soap."
"I stopped wearing a condom because I have been with my partner for over a year."