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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Position the client on her side:
While placing the client on her side is important, especially if there is a risk of aspiration during the seizure, maintaining the airway takes precedence as the priority action.
B. Maintain the patency of the client's airway:
This is the correct answer. Ensuring the airway is open and unobstructed is the immediate priority during a seizure. This involves positioning the client to prevent airway compromise and potentially using suction if necessary.
C. Identify the poison the client ingested:
While identifying the poison is important for subsequent management, it is not the immediate priority during an active seizure. The focus is on stabilizing and ensuring the client's safety.
D. Measure the client's blood pressure:
Monitoring vital signs, including blood pressure, is an essential aspect of care, but it is not the immediate priority during an active seizure. Airway management takes precedence to prevent complications such as hypoxia.
Correct Answer is ["2"]
Explanation
To calculate the dosage of lorazepam, the nurse needs to use the formula D/H x Q, where D is the desired dose, H is the dose on hand, and Q is the quantity. In this case, D is 2 mg, H is 1 mg, and Q is 1 tablet. Plugging these values into the formula, we get:
2 mg / 1 mg x 1 tablet = 2 tablets
Therefore, the nurse should administer 2 tablets of lorazepam to the patient.
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