A nurse assisting a client who requests to take a tub bath. Which of the following actions should the nurse take?
Drain the tub water before the client gets out
Check on the client every 10 min during the bath.
Add bath oil to the water after the client gets into the tub
Allow the client to remain in the bath for 30 min.
The Correct Answer is A
A) Drain the tub water before the client gets out: Draining the water before the client gets out of the tub is the safest option. This helps prevent the risk of slipping or falling, as the water level will lower once the client begins to stand. Additionally, it ensures that the client can safely exit the tub without the danger of being unbalanced or disoriented by the water.
B) Check on the client every 10 min during the bath: While monitoring the client during the bath is important, checking every 10 minutes may not be frequent enough to ensure their safety, especially for clients who have mobility or cognitive issues. Ideally, the nurse should stay with or observe the client more closely or provide assistance if needed. Continuous supervision is preferred, particularly if the client is at risk for falls or other complications.
C) Add bath oil to the water after the client gets into the tub: Bath oils can create a slippery surface, which could increase the risk of falls or accidents. It's generally better to avoid adding oils to the bath water, as they can make the tub and the client’s skin slick, posing safety hazards. If oil is necessary for skin care, it should be applied to the skin after the bath, not in the water.
D) Allow the client to remain in the bath for 30 min: While the client may enjoy a bath, staying in the tub for too long can lead to skin irritation, dehydration, or overheating, especially for older adults or clients with medical conditions. The client should not stay in the water for prolonged periods. A typical recommendation would be to allow the bath to last about 10-20 minutes, depending on the client’s condition and safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Increase in concentration: Chlorpromazine is an antipsychotic medication used to manage symptoms of schizophrenia and other psychotic disorders. While it may have some effects on cognition, an increase in concentration is not the primary therapeutic effect of chlorpromazine.
B) Decrease in delusions: Chlorpromazine is effective in reducing symptoms of psychosis, such as delusions and hallucinations, which are common in conditions like schizophrenia. A decrease in delusions is a direct indicator that the medication is having its intended therapeutic effect.
C) Increase in alertness: Chlorpromazine can cause sedation and drowsiness as side effects, particularly during the initial stages of treatment. An increase in alertness would not be a typical therapeutic outcome, and it may even suggest a side effect like overstimulation or anxiety rather than the intended effect.
D) Decrease in anxiety: While chlorpromazine may have some calming effects, it is primarily used to treat symptoms of psychosis, not anxiety disorders. A decrease in anxiety is not the main therapeutic effect of chlorpromazine. Other medications, such as benzodiazepines, are typically used for anxiety management.
Correct Answer is D
Explanation
A) Weight loss: Weight loss is not a typical manifestation of nicotine withdrawal. While some individuals may experience changes in appetite, particularly an increase in appetite leading to weight gain, weight loss is not a common symptom associated with quitting smoking.
B) Diaphoresis: Diaphoresis, or excessive sweating, is not typically associated with nicotine withdrawal. While some individuals may experience mild symptoms like irritability or nervousness, sweating is not a prominent feature of withdrawal from nicotine.
C) Diarrhea: Diarrhea is not a characteristic symptom of nicotine withdrawal. Some gastrointestinal disturbances such as constipation or changes in appetite may occur, but diarrhea is not a common withdrawal symptom.
D) Insomnia: Insomnia is a well-documented symptom of nicotine withdrawal. Nicotine has stimulating properties, and when an individual stops using nicotine, they may experience difficulty sleeping. This can lead to trouble falling or staying asleep and is a common part of the withdrawal process.
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