Adherence

A client is admitted to the hospital for a laparoscopic cholecystectomy. What should the nurse encourage the client to add to the diet to help normalize bowel function after surgery?

Whole bran

A client is scheduled to receive phenytoin (Dilantin) 100 mg orally at 6 PM but is having difficulty swallowing capsules. What method should the nurse use to help the client take the medication?

Administer 4 mL of phenytoin suspension containing 125 mg/5 mL.

An obese client with type 2 diabetes asks about the intake of alcohol or special "dietetic" food in the diet. The nurse teaches the client that:

Alcohol can be consumed, with its calories counted in the diet

A nurse is providing instructions for a client who is receiving phenytoin (Dilantin) but has limited access to health care. What side effect is the basis for the nurse's emphasis on meticulous oral hygiene?

Hyperplasia of the gums

A nurse is teaching a client who has a full-time job how to care for a new colostomy. At which time should the nurse suggest scheduling the colostomy irrigations?

Approximately a half hour after breakfast

After 3 weeks of mental health therapy a client tells the nurse, "I feel ready to go home." How can the nurse best evaluate the client's readiness for discharge?

By requiring the client to explain any changes in behavior since admission

A nurse is preparing to administer an intravenous piggyback medication to a client who is receiving a continuous infusion of intravenous fluids. What is the priority nursing intervention?

Check the compatibility of the medication and the continuous IV solution.

The nurse provides discharge teaching to a client with a history of angina. The nurse instructs the client to call for emergency services immediately if the client's pain:

Continues after rest and nitroglycerin

A client on a 2-gram-sodium diet states, "I never add salt to my food when I cook. I just need help selecting low sodium foods." After receiving dietary education, the client creates sample menus. The nurse concludes that the client needs further teaching when the client selects:

Cottage cheese, crackers, relish dish (celery, olives, sweet pickles)

A client is found to have preeclampsia, and bedrest at home is prescribed. It is doubtful that this client will be able to comply because she has two preschool children. What should be included in the plan of care that may help the client follow the prescribed regimen?

Discuss why bedrest is necessary.

What instructions should the nurse provide to a client after a long leg cast is removed?

Elevate the extremity when sitting.

A client is diagnosed with hyperthyroidism and surgery is scheduled because the client refuses ablation therapy. While awaiting the surgical date, the nurse plans to instruct the client to:

Eliminate coffee, tea, and cola from the diet

A client is to be discharged on a regimen of lithium carbonate. What should the nurse include in the discharge teaching plan?

Encouraging the client to have the lithium blood level tested regularly

Which statement made by the client indicates correct understanding of gastroesophageal reflux disease (GERD) management?

I will place a 6-inch block under the head of my bed to help with digestion."

A nurse provides smoking cessation education to a client with chronic obstructive pulmonary disease (COPD). The nurse concludes that the client is ready to quit smoking when the client states:

I'll cut back to a half pack a day.

A client's diet is modified to eliminate foods that act as cardiac stimulants. The nurse should teach the client to avoid what foods? Select all that apply.

Iced Tea Hot Cocoa Chocolate Pudding

A client with a tentative diagnosis of cholecystitis is being discharged with instructions to make an appointment for a definitive diagnostic workup. What should the nurse include in the client's discharge teaching?

Keep a journal of the pain you experience, being as descriptive as possible.

During a follow-up visit three weeks after a laryngectomy, a client exhibits concern that the laryngectomy tube may become dislodged. What should the nurse teach the client to do if the tube becomes dislodged?

Keep calm because there is no immediate emergency

The nurse is teaching a client about the prescribed diet after a Whipple procedure for cancer of the pancreas. Which statement should the nurse include in the dietary teaching?

Low-fat meals should be eaten to prevent interference with your fat digestion mechanism.

The nurse knows that additional discharge instructions are needed for parents whose infant has just undergone corrective surgery for cleft palate when the mother says:

Lying on the abdomen is prohibited, so we'll keep him in an infant seat."

A client is to receive a transfusion of packed red blood cells (PRBCs). The nurse should prepare for the transfusion by priming the blood IV tubing with which solution? 1 Ringer's lactate

Normal saline

The nurse encourages a client with Raynaud's disease to stop smoking because it causes:

Peripheral vasoconstriction

A client has a hiatal hernia. The client is 5 feet 3 inches tall and weighs 160 pounds. When the nurse discusses prevention of esophageal reflux, what should be included?

Reduce your caloric intake to foster weight reduction.

When interacting with an adolescent client with the diagnosis of anorexia nervosa, it is most important that the nurse:

Set and maintain limits.

The nurse is proving education to a client who has a serum albumin value of 2.8 g/dL. The nurse evaluates that teaching is successful when the client says, "For lunch I am going to have:

Sliced turkey

A client with heart failure is to receive digoxin (Lanoxin) and asks the nurse why the medication is necessary. The nurse explains that digoxin

Slows and strengthens cardiac contractions

A client with a 40-year history of drinking two alcoholic beverages and smoking two packs of cigarettes daily comes to the outpatient clinic with an ischemic left foot. It is determined that the cause is arterial insufficiency. The nurse concludes that the pain in the client's foot is a result of inadequate blood supply, which may be diminished further by:

Smoking cigarettes

The nurse provides a list of appropriate food choices to a client with newly diagnosed diabetes. The client reviews the list and says, "I do not like and refuse to eat asparagus, broccoli, and mushrooms." In response, the nurse teaches the client about the food exchange list. The nurse evaluates that the teaching is understood when the client states, "Instead of asparagus, broccoli, and mushrooms, I can eat

String beans, beets, or carrots.

A nurse is caring for a client diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) in the urine. The health care provider orders an indwelling urinary catheter to be inserted. Which precaution should the nurse take during this procedure?

Surgical asepsis

A client is being discharged after having a total thyroidectomy. Which instruction would be most important for the nurse to include?

Take thyroid replacement medications as prescribed.

A client has been instructed to stop smoking. The nurse discovers a pack of cigarettes in the client's bathrobe. What is the nurse's initial action?

Tell the client that the cigarettes were found

A nurse evaluates that a client understands appropriately how to take the antacids prescribed by the primary health care provider when the client states, "I will take my antacids:

Thirty minutes after meals.

A client is cautioned to avoid vitamin D toxicity while increasing protein intake. The nurse evaluates that dietary teaching is understood when the client states, "I must increase my intake of:

Tofu products

The nurse is providing education about care of the residual limb to a client that had a below-the-elbow amputation. The teaching should include:

Washing and drying the residual limb at least once a day

A client who is receiving a 2-gram sodium diet asks for juice. How should the nurse respond?

"I suggest you have either apple juice or pear nectar."

A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client:

Hangs the irrigation bag on the door clothes hook during fluid insertion