A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?

A young adult develops a close, personal relationship.

A young adult focuses on their career.

A middle adult assumes their parent's responsibilities.

A middle adult experiences physical changes.

Answer and Explanation

The Correct Answer is C

A.   Developing close personal relationships is a common aspect of adult life and may not necessarily indicate a change in the family system.
B.   Focusing on a career is a common aspect of adult life and may not necessarily indicate a change in the family system.
C.   Assuming the responsibilities of a parent can indicate a shift in family dynamics, such as when a child becomes a caregiver for an aging parent.
D.   Experiencing physical changes is a normal part of aging but may not necessarily indicate a change in the family system.

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Correct Answer is B

Explanation

A. Moving items away from the client can prevent injury during the seizure, but it is not the first action to take.
B. If a client begins to experience a seizure, the first action the nurse should take is to help them lie on the floor safely to prevent injury from falling.
C. Turning the client onto their side helps maintain a clear airway and prevents aspiration during the seizure but should only be done after helping the client to lie in the floor.
D. Loosening the client's clothing is important for ensuring adequate ventilation but is not the first priority during a seizure.

A. Flex the client's knees. B. Roll the client as one unit in a smooth, continuous motion. C. Place the client on the side of the bed nearest the direction they will be turned. D. Place the client's arms at their sides.

Correct Answer is B

Explanation

A. Flex the client's knees:
While knee flexion can reduce back strain in some situations (e.g., when lying supine), it is not recommended during repositioning for a back injury as it may cause unnecessary spinal movement.

B. Roll the client as one unit in a smooth, continuous motion:
Logrolling maintains spinal alignment and reduces stress or twisting of the spine, which is crucial for clients with back injuries or spinal conditions.

C. Place the client on the side of the bed nearest the direction they will be turned:
The client should be positioned centrally on the bed to prevent falls and ensure adequate space for a safe, controlled logroll.

D. Place the client's arms at their sides:
The client’s arms should typically be crossed over their chest to prevent them from becoming trapped or causing unnecessary spinal movement during the roll.

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A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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