A nurse is assisting a client who is 4 hr postoperative with getting out of bed. The client states, "Do not touch me! I can get up by myself." Which of the following responses should the nurse make?

"Why don't you want to be touched?"

"Would you like some pain medication before getting out of bed?"

"I will stand next to you and help if you need me to."

"We can talk about this after you have gotten out of bed."

Answer and Explanation

The Correct Answer is C

A. "Why don't you want to be touched?": Asking "Why" can make a client feel defensive and is considered non-therapeutic communication.

B. "Would you like some pain medication before getting out of bed?": This ignores the client's immediate assertion of independence and safety risk.

C. "I will stand next to you and help if you need me to.":. This response respects the client's autonomy while ensuring safety by maintaining proximity in case the client becomes unsteady.

D. "We can talk about this after you have gotten out of bed.": This dismisses the client's immediate concern and the potential risk of a fall.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Decreased edema formation: Cold causes vasoconstriction, which reduces capillary permeability and decreases fluid leakage into tissues (edema).

B. Increased tissue metabolism: Cold therapy decreases tissue metabolism and oxygen demand.

C. Improved blood flow: Cold therapy reduces blood flow through vasoconstriction.

D. Reduced blood coagulation: Cold can actually increase blood viscosity and does not therapeutically "reduce" coagulation in this context.

A. Paralytic ileus B. Distention C. Borborygmi D. Hypoactivity

Correct Answer is C

Explanation

A. Paralytic ileus: This refers to a lack of intestinal peristalsis, which results in absent bowel sounds, not loud growling.

B. Distention: This describes the physical appearance of an abdomen that is swollen or bloated with gas or fluid; it is not a term for an auscultated sound.

C. Borborygmi: This is the clinical term for hyperactive, loud, gurgling, or "growling" stomach sounds caused by the movement of gas through the intestines.

D. Hypoactivity: This refers to infrequent or quiet bowel sounds, usually fewer than 5 per minute.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting a client who is 4 hr postoperative with getting out of bed. The client states, "Do not touch me! I can get up by myself." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is applying cold therapy to a client's face following oral surgery. The nurse should identify that which of the following is a therapeutic effect of cold therapy?

Correct Answer is A

Explanation

A nurse is collecting data about a client's gastrointestinal system. While auscultating the abdomen, the nurse notes loud growling sounds. When documenting these findings, the nurse should use which of the following terms?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who is scheduled for an appendectomy. The nurse is assisting with preparing the client for surgery. Select the 3 findings that require follow-up prior to surgery.

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to promote communication?

A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

A nurse is assisting in the care of a client who just started receiving a blood transfusion 5 min ago. Which of the following findings should be reported first to the provider?

A nurse is collecting data from a client who is malnourished due to inflammatory bowel disease. Which of the following findings should the nurse expect?

A nurse is assisting in the care of a client during surgery. Which of the following should the nurse identify as supporting a safe, therapeutic environment?

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?