A nurse is assisting a client who requests to take a tub bath. Which of the following actions should the nurse take?

Check on the client every 10 min during the bath.

Add bath oil to the water after the client gets into the tub.

Drain the tub water before the client gets out.

Allow the client to remain in the bath for 30 min.

Answer and Explanation

The Correct Answer is C

Answer is: Drain the tub water before the client gets out.

Explanation: This is the correct answer because it reduces the risk of slipping and falling for the client, especially if they have limited mobility or balance problems. The other options are incorrect because:

Checking on the client every 10 min during the bath is not enough to ensure their safety and comfort. The nurse should check on them more frequently, such as every 5 to 10 minutes, depending on their needs and preferences.
Adding bath oil to the water after the client gets into the tub is not a good idea because it can make the water slippery and increase the risk of falling. The nurse should add bath oil to the water before the client gets into the tub, or use a non-slip mat or shower chair.
Allowing the client to remain in the bath for 30 min is too long and can cause dehydration, hypothermia, or skin irritation. The nurse should instruct the client to remain in the tub for no longer than 20 min, unless otherwise ordered by a physician.

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Correct Answer is B

Explanation

The correct answer is choiceB. Fever.

Choice A rationale:

Peeling of the hands and feet is not a typical manifestation of pertussis.This symptom is more commonly associated with conditions like Kawasaki disease.

Choice B rationale:

Fever is a common symptom in the early stages of pertussis, along with a mild cough and runny nose.

Choice C rationale:

A beefy, red tongue is not associated with pertussis.This symptom is more characteristic of scarlet fever.

Choice D rationale:

Facial erythema is not a typical symptom of pertussis.Pertussis primarily affects the respiratory system, causing severe coughing fits.

A. Take the medication with calcium fortified orange juice. B. Take the medication with an antacid. C. Take the medication with crackers. D. Take the medication and then lay down for 30 min.

Correct Answer is C

Explanation

A. Incorrect. Taking doxycycline with calcium-fortified orange juice can reduce the absorption of the medication, as calcium can interfere with its absorption.
B. Incorrect. Taking the medication with an antacid can also interfere with the absorption of doxycycline by reducing stomach acidity.
C. Correct. Taking the medication with crackers or a small snack can help alleviate nausea and vomiting that can occur with doxycycline.
D. Incorrect. Lying down after taking the medication may increase the risk of gastric upset and nausea.

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A nurse is assisting a client who requests to take a tub bath. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has pertussis. Which of the following manifestations should the nurse expect?

Correct Answer is B

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A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting after starting the medication. Which of the following recommendations should the nurse make?

Correct Answer is C

Explanation

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