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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Understanding: A, D, E, F

No understanding: B, C
A. This indicates understanding. Distractions during meals are discouraged to focus on chewing and swallowing.
B. This indicates no understanding. This is not a recommended technique for managing dysphagia. It's important to maintain a neutral head position during swallowing.
C. This indicate no understanding. Nuts are a common choking hazard and are often restricted for individuals with dysphagia to prevent aspiration.
D. This is a correct understanding. It's important to separate drinking liquids and eating to prevent choking and aspiration.
E. This is a correct understanding. Depending on the severity of dysphagia, a soft or pureed diet may be recommended.
F. Cream soups are generally allowed on a dysphagia diet, as they are usually smooth and do not pose a high risk of aspiration.

A. Feedback B. Environment C. Message D. Channel

Correct Answer is A

Explanation

A. Asking the client to describe one physical effect after teaching is seeking feedback to ensure understanding.
B. The environment refers to the physical surroundings and context of communication, not the client's response.
C. The message is the information conveyed during teaching.
D. The channel is the method or medium through which communication occurs, such as verbal or written communication.

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A nurse is assisting a client who had a lower extremity amputation with a bath. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

A nurse is reinforcing teaching with a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?

Correct Answer is A

Explanation

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