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 D

Explanation

A. Incorrect. Laying down immediately after a meal can worsen GERD symptoms. Remaining upright for at least 23 hours after eating is recommended.
B. Incorrect. Eating large meals can exacerbate GERD symptoms. Smaller, more frequent meals are advised.
C. Incorrect. While coffee can trigger GERD symptoms in some, specifying a particular number of cups may not be appropriate. Avoiding triggers and monitoring symptoms is the general advice.
D. Correct. Elevating the head of the bed while sleeping helps prevent stomach acid from flowing back into the esophagus, reducing nighttime GERD symptoms.

A. Discarding worksheets containing client information in a wastebasket B. Writing a client's diagnosis on the message board in the client's room C. Giving change of shift report to a nurse outside the client's room D. Discussing a client's prognosis with an assistive personnel who is caring for the client

Correct Answer is C

Explanation

A. Discarding worksheets containing client information in a wastebasket does not ensure proper disposal of confidential information and could compromise confidentiality.
B. Writing a client's diagnosis on the message board in the client's room could breach confidentiality, as it could potentially be seen by unauthorized individuals.
C. This action protects client confidentiality because it involves discussing sensitive information in a private setting where unauthorized individuals are less likely to overhear. This is an appropriate method of communicating client information during a handoff.
D. While sharing relevant information with personnel directly involved in the client's care is generally acceptable, it must still be done in a manner that safeguards confidentiality.

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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

Explanation

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Correct Answer is C

Explanation

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