A nurse is about to give a client a complete bed bath. Which of the following actions should the nurse take to maintain the client's privacy?

Ask family members to leave the room.

Close the curtains around the client's bed.

Use a blanket to cover the client.

Close the door of the client's room.

Answer and Explanation

The Correct Answer is B

A. Asking family members to leave the room might be necessary for privacy, but it depends on the situation and the client's preferences. However, it might not be the only action needed to maintain privacy during the bed bath.

B. Closing the curtains around the client's bed is an essential step to shield the client from the view of others in the room. It helps create a private space for the bed bath procedure.

C. Using a blanket to cover the client might provide some modesty, but it might not offer enough privacy during the bed bath, especially if the client requires a complete bath that involves exposure of different body parts.

D. Closing the door of the client's room can help maintain privacy if there are no other visitors or staff who might inadvertently enter. However, closing the curtains around the bed is more specific to creating a private area during the bed bath itself.

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Correct Answer is D

Explanation

A. Inject the medication deep into the thigh muscle.

This statement is incorrect for subcutaneous heparin administration. Heparin is typically administered subcutaneously in the fatty tissue just under the skin, not into the muscle. Intramuscular injection is not appropriate for heparin.

B. Easy bruising indicates the medication is effective.

This statement is inaccurate. Easy bruising is not an indicator of the effectiveness of heparin. In fact, excessive bruising can be a side effect of anticoagulant therapy, indicating a potential issue with bleeding or clotting.

C. Expect stools to become black and tarry.

This statement is more relevant to medications like iron supplements or upper gastrointestinal bleeding. It is not a common side effect of subcutaneous heparin.

D. Use a soft bristle toothbrush.

This statement is correct. It is important for individuals on anticoagulant therapy, such as heparin, to use a soft bristle toothbrush to minimize the risk of bleeding and gum irritation. Hard bristle toothbrushes can cause gum bleeding, especially in individuals with a tendency for bleeding due to anticoagulant use.

A. "Unlike an x-ray, the MRI allows you to move around a bit." B. "Your exposure to radiation will be minimal." C. "You will not be able to talk to the technician during the procedure." D. "You'll have to remove metal objects such as watches and body jewelry."

Correct Answer is D

Explanation

A. "Unlike an x-ray, the MRI allows you to move around a bit":

This statement is not accurate. During an MRI, it is important for the client to remain as still as possible to obtain clear images. Movement can result in blurred images.

B. "Your exposure to radiation will be minimal":

This statement is not applicable to MRI, as MRI does not use ionizing radiation. It uses a strong magnetic field and radio waves to generate images, making it different from x-rays in terms of radiation exposure.

C. "You will not be able to talk to the technician during the procedure":

While it is essential for the client to remain still during an MRI, communication with the technician is generally possible through an intercom system. The client may be given instructions and reassurance during the procedure.

D. "You'll have to remove metal objects such as watches and body jewelry":

This is the correct statement. Metal objects can interfere with the magnetic field used in MRI and can pose a safety risk. Therefore, clients are required to remove any metal objects before undergoing an MRI.

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A nurse is about to give a client a complete bed bath. Which of the following actions should the nurse take to maintain the client's privacy?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is to start subcutaneous heparin. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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