Question 1: A client receiving chemotherapy is experiencing stomatitis. What is the nurse’s best recommendation?
Rationale: Rinsing the mouth with saline helps soothe irritation and maintain oral hygiene without further damaging sensitive tissue.
Question 2: A nurse is caring for a client who just had a thyroidectomy. What is the priority assessment?
Rationale: After a thyroidectomy, hypocalcemia caused by accidental removal of the parathyroid glands is a priority concern.
Question 3: A client with heart failure is prescribed furosemide. Which statement indicates the client needs further teaching?
Rationale: Clients should not skip doses of furosemide, even if they feel better, as it helps manage fluid overload and blood pressure.
Question 4: A nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Rationale: Clients with colostomies may need to modify their diet to reduce complications like blockages or excessive gas production.
Question 5: A nurse is monitoring a client with sepsis. Which finding requires immediate intervention?
Rationale: A blood pressure of 88/52 mmHg indicates hypotension, a hallmark of septic shock that requires immediate intervention.
