Question

A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?

Answer 1

Correct Answers:

Face the client when speaking to them.

Rationale :

💥For clients with moderate vision impairment, facing them while speaking ensures that nonverbal cues such as facial expressions and lip movements can assist in comprehension. 💥It also helps orient the client spatially and reinforces verbal communication. 💥Maintaining this respectful and direct communication approach supports client safety, confidence, and engagement.

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Answer 2

Correct Answers:

Respiratory therapist

Rationale :

✅A respiratory therapist possesses the specialized training necessary for managing airway interventions, including tracheostomy care. ✅This professional can assess airway patency, perform suctioning, and assist with ventilator settings or humidification systems. ✅Their involvement ensures that the client receives expert care tailored to respiratory support and airway maintenance.

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Answer 3

Correct Answers:

Occupation
Furosemide
Naproxen

Rationale :

💥A construction worker is often exposed to prolonged loud noise, a primary risk factor for noise-induced hearing loss due to continuous auditory damage. 💥Furosemide is known to be ototoxic, particularly with long-term use or in high doses, and can lead to sensorineural hearing impairment. 💥Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), has ototoxic potential and can cause symptoms such as tinnitus or diminished hearing over time.

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Answer 4

Correct Answers:

It absorbs liquid to form stool-

Rationale :

✅The primary function of the large intestine is to absorb water and electrolytes from indigestible food residue, allowing the conversion of liquid chyme into formed stool. ✅This process facilitates normal bowel elimination and contributes to fluid balance in the body.

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Answer 5

Correct Answers:

Sodium polystyrene

Rationale :

💥Sodium polystyrene sulfonate is a potassium-exchange resin used to lower elevated serum potassium levels by promoting potassium elimination via the gastrointestinal tract. 💥In a client with a critical potassium level of 6.8 mEq/L, this medication helps prevent life-threatening cardiac arrhythmias by rapidly reducing hyperkalemia.

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Answer 6

Correct Answers:

"You will have a stoma in your left lower abdomen"

Rationale :

✅A sigmoid colostomy involves diverting the sigmoid colon to the abdominal surface, typically on the left lower quadrant. ✅This location aligns with the anatomical path of the sigmoid colon and allows for the excretion of formed stool. ✅Teaching clients about the stoma's position prepares them for self-care and appliance management postoperatively.

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Answer 7

Correct Answers:

"l will need to wipe my perineal area from back to front after urination:'

Rationale :

💥Wiping from back to front increases the risk of introducing fecal bacteria, such as E. coli, into the urinary tract, which can lead to infection. 💥Proper perineal hygiene—wiping from front to back—is essential to preventing urinary tract infections, especially in female clients who have a shorter urethra.

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Answer 8

Correct Answers:

Dark-colored urine

Rationale :

✅Dehydration results in decreased fluid volume and concentrated urine, which appears dark amber or brownish. ✅This finding is a key clinical indicator of reduced hydration status and is often accompanied by other symptoms such as dry mucous membranes, tachycardia, and low urine output.

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Answer 9

Correct Answers:

Reflex incontinence

Rationale :

💥Reflex incontinence occurs due to neurological impairment, such as spinal cord injury, which disrupts voluntary control of bladder function. 💥Clients with this condition often experience involuntary loss of urine without awareness of bladder fullness, as the reflex arc remains intact but conscious sensation and control are absent.

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Answer 10

Correct Answers:

The stoma is pale in color

Rationale :

✅A pale stoma may indicate impaired blood flow or ischemia, which requires immediate evaluation by the provider. ✅A healthy stoma should appear moist and pink or red, reflecting adequate perfusion. ✅Pale or dusky appearances can be early signs of tissue compromise following stoma formation.

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QLexNursing

1 : A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?

2 : A nurse is planning care for a client who has a tracheostomy. Which of the following inter professional team members should the nurse anticipate a provider's prescription for a referral to manage the client's tracheostomy?

3 : History and Physical

Answer Options

4 : A nurse is teaching a newly licensed nurse about the function of the large intestine. Which of the following information should the nurse include?

5 : A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer?

6 : A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

7 : A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs). Which of the following client statements indicates a need for further teaching?

8 : A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?

9 : A nurse is caring for a client who has urinary leakage due to nerve damage following a spinal erd injury. The nurse should identify that the client is experiencing which of the following types of urinary incontinence?

10 : A nurse is assessing a client who has a colostomy. Which of the following findings show the nurse report to the provider?