A nurse is assisting a client who had a lower extremity amputation with a bath. Which of the following actions should the nurse take?
Instruct the client to stay in the bathtub no longer than 20 min.
Fill the bathtub with water at 48 C (118.4° F).
Use bath oil in the client’s bathtub
Provide the client with non-slip bath strips in the bathtub.
The Correct Answer is D
A. The duration of time in the bathtub should be based on the client's tolerance but should not exceed 20 minutes.
B. Water temperature should be warm but not excessively hot to avoid burns or discomfort.
C. Bath oils can make the bathtub slippery and increase the risk of falls. They should be avoided.
D. Providing non-slip bath strips enhances safety and helps prevent the client from slipping in the bathtub.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Alcohol can contribute to increased levels of uric acid, exacerbating gout symptoms.
B. While citrus fruits are sometimes associated with gout, orange juice is generally not as problematic as alcohol.
C. Dairy products, including milk, do not typically exacerbate gout symptoms.
D. Moderate coffee consumption is generally considered safe for individuals with gout and may even have a protective effect.
Correct Answer is B
Explanation
A. A client who has a sprained left ankle is typically categorized as a lower priority in triage.
B. A client who has an open traumatic brain injury and agonal breaths should be assigned a red tag and indicates immediate or emergent care; this client requires immediate attention.
C. A client who has sustained a partial amputation of the right leg requires urgent care but may not be as immediately life-threatening as option B.
D. A client who is deceased typically does not receive further medical intervention in a mass casualty situation.
E. While serious, the severity may not necessitate immediate intervention compared to option B.
F. This is typically categorized as a lower priority in triage.
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