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 C

Explanation

A. Incorrect. While family medical history might provide some context, physical assessment findings are more directly relevant to a referral for a physical therapist.
B. Incorrect. Medical health insurance claims are administrative and financial information, not typically included in a referral for a physical therapist.
C. Correct. Physical assessment findings, such as range of motion limitations, mobility issues, gait abnormalities, and areas of pain or discomfort, are essential for a physical therapist to develop an appropriate plan of care.
D. Incorrect. Medications taken prior to admission might have some relevance, but physical assessment findings are crucial for a physical therapist to understand the client's physical condition.

A. Applying the stockings before the client gets out of bed B. Turning the stockings inside out before applying them C. Asking the client to point their toes before applying the stockings D. Ensuring that creases in the stockings are on the front of the client's legs

Correct Answer is D

Explanation

The nurse must intervene if the AP leaves creases or folds in the stockings becausewrinkles and creasescreate uneven pressure points that can restrict blood flow and irritate the skin. Anti-embolic stockings are designed to provide smooth, graduated compression to promote venous return; any bunching or folding defeats this purpose and increases the risk of skin breakdown or thrombus formation.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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