1. A nurse is reinforcing discharge teaching about wound care with a family member of

a client who is postoperative. Which of the following should the nurse include in the

teaching?

a) Administer an analgesic following wound care. (The nurse should remind the family

member to administer an analgesic prior to wound care to prevent discomfort.)

b) Irrigate the wound with povidone iodine. (The nurse should remind the family

member to irrigate the wound with 0.9% sodium chloride.)

c) Cleanse the wound with a cotton-tipped applicator. (The nurse should remind the

family member to avoid using a cotton-tipped applicator to cleanse the wound

because the fibers can become embedded in the wound, cause infection, and delay

wound healing.)

d) Report purulent drainage to the provider. (The nurse should remind the family

member to report signs of infection, including purulent drainage.)

2. A nurse is caring for a client who has bacterial meningitis. Upon monitoring the

client, which of the following findings should the nurse expect?

a) Flaccid neck (The nurse should recognize that nuchal rigidity, rather than a flaccid

neck, is a manifestation of meningitis.)

b) Stooped posture with shuffling gait (The nurse should recognize that a stooped

posture with shuffling gait is a manifestation of Parkinson's disease, not a

manifestation of meningitis.)

c) Red macular rash (The nurse should expect to find a red macular rash, sometimes

called a petechial rash, which is a manifestation of meningococcal meningitis.)

d) Masklike facial [removed]The nurse should recognize that a masklike expression

is a manifestation of Parkinson's disease, not a manifestation of meningitis.)

3. A nurse is contributing to the plan of care for an older adult client who is at risk for

osteoporosis. Which of the following interventions should the nurse include to prevent

bone loss?

a) Increase fluid intake. (Fluid intake is beneficial for general health and wellness, and

it helps to treat some disorders. Caffeine and alcohol intake can increase the client's

risk of developing osteoporosis. However, fluid intake does not prevent bone loss.)

b) Encourage range-of-motion exercises. (Range-of-motion exercises are beneficial for

general health and wellness, and they help to maintain flexibility and prevent

contractures. However, range-of-motion exercises do not prevent bone loss.)

c) Massage bony prominences. (Massaging bony prominences should be avoided

because it can traumatize deep tissues.)

d) Encourage weight-bearing exercises. (Weight-bearing exercises, such as walking,

can maintain bone mass by reducing bone demineralization, thus helping to prevent