a nurse is providing teaching to a client who is learning to use a cane due to left leg weakness which instruction is correct

ATI LPN

ATI NCLEX PN Predictor Test

1. A client is learning to use a cane due to left-leg weakness. Which instruction is correct?

A. Use the cane on the stronger side of the body
B. Maintain two points of support on the floor at all times
C. Advance the cane and the strong leg together
D. Advance the cane 30 to 45 cm with each step

Correct answer: B

Rationale: The correct instruction when using a cane due to leg weakness is to maintain two points of support on the floor at all times. This provides stability and support while walking. Choice A is incorrect because the cane should be used on the weaker side to provide assistance. Choice C is incorrect as the cane and weak leg should move together for support. Choice D is incorrect as advancing the cane too far with each step may compromise balance and stability.

2. A client has a prescription for ciprofloxacin. Which of the following instructions should the nurse include?

A. Take the medication with an antacid if you experience gastrointestinal upset.
B. You should limit your caffeine intake while taking this medication.
C. This medication may cause your urine to turn dark brown.
D. You should avoid taking this medication with dairy products.

Correct answer: D

Rationale: The correct answer is D: 'You should avoid taking this medication with dairy products.' Ciprofloxacin should not be taken with dairy products as they can interfere with the absorption of the medication. Choice A is incorrect because ciprofloxacin should not be taken with antacids containing aluminum or magnesium. Choice B is incorrect as there is no specific limitation on caffeine intake associated with ciprofloxacin. Choice C is incorrect as ciprofloxacin does not typically cause urine to turn dark brown.

3. What is the role of a nurse in managing a patient with kidney disease?

A. Monitor blood pressure and provide dietary education
B. Monitor urine output and provide IV fluids
C. Administer diuretics and restrict fluid intake
D. Monitor for cardiac arrhythmias and provide dialysis

Correct answer: A

Rationale: The correct answer is A. Nurses play a crucial role in managing patients with kidney disease by monitoring blood pressure and providing essential dietary education. This helps in maintaining kidney function and overall health. Choice B is incorrect because monitoring urine output and providing IV fluids are tasks usually performed by healthcare providers such as physicians or specialized staff. Choice C is incorrect as administering diuretics and restricting fluid intake are typically prescribed by a physician, and nurses may assist in monitoring the effects. Choice D is incorrect as monitoring for cardiac arrhythmias and providing dialysis are tasks that are usually overseen by healthcare providers with specialized training in cardiology and nephrology.

4. How should a healthcare provider manage a patient with pneumonia?

A. Administer antibiotics and provide oxygen therapy
B. Provide bronchodilators and encourage deep breathing
C. Administer fluids and encourage bed rest
D. Monitor for chest pain and provide pain relief

Correct answer: A

Rationale: Correct answer: Administering antibiotics and providing oxygen therapy are essential in managing pneumonia. Antibiotics help treat the infection caused by bacteria, while oxygen therapy improves lung function. Choice B is incorrect because bronchodilators may not be the primary treatment for pneumonia. Choice C is not the priority in pneumonia management, although fluids and rest are important for recovery. Choice D is also not a primary intervention in pneumonia management.

5. A nurse is maintaining droplet precautions for a client who has meningitis. Which of the following actions should the nurse take?

A. Wear a gown within 3 feet of the client
B. Maintain a distance of 6 feet from the client
C. Wear a surgical mask within 3 feet of the client
D. Remove gloves before leaving the room

Correct answer: C

Rationale: The correct action for the nurse to take when maintaining droplet precautions for a client with meningitis is to wear a surgical mask within 3 feet of the client. This is essential to prevent the transmission of meningitis via respiratory droplets. Choice A is incorrect because wearing a gown is not specifically required for droplet precautions. Choice B suggests maintaining a distance of 6 feet, which is more applicable to airborne precautions, not droplet precautions. Choice D is incorrect as gloves should be removed and disposed of properly, but it is not related to droplet precautions specifically.