A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

Massage the client's red bony prominences.

Assess the client's skin for increased coolness.

Reposition the client every 2 hr.

Keep the client's skin moist.

Answer and Explanation

The Correct Answer is C

A. Massaging red bony prominences may cause further skin damage and increase the risk of pressure ulcers.

B. Skin should be assessed for warmth, redness, and integrity, but coolness is not necessarily an indicator of pressure injury.

C. Repositioning every 2 hours is essential for preventing pressure ulcers in bed-bound clients by relieving pressure on vulnerable areas.

D. Keeping the skin moist increases the risk of skin breakdown. It is important to keep the skin dry and clean.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Withholding pain medication could result in increased discomfort, which may further hinder the patient’s ability to defecate.

B. Raising the head of the bed promotes a more natural position for defecation, making it easier for the patient to use the bedpan.

C. Administering laxatives may be necessary in some cases but is not the first intervention to assist with positioning and comfort during defecation.

D. A barium enema is a diagnostic tool, not an appropriate intervention for immediate defecation assistance.

A. Sanguineous B. Serous C. Serosanguineous D. Purulent

Correct Answer is C

Explanation

A. Sanguineous drainage consists mostly of blood and is bright red, indicating active bleeding.

B. Serous drainage is clear or slightly yellowish and watery, often seen in healing wounds.

C. Serosanguineous drainage is a mixture of blood and serous fluid, which is watery with a pink or reddish tinge, common in early wound healing.

D. Purulent drainage is thick and cloudy, indicating infection, usually accompanied by an unpleasant odor.

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 planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?

Correct Answer is B

Explanation

A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?

Which of the following is a common symptom of a urinary tract infection?

A nurse is teaching a newly licensed nurse about physiological changes in the digestive system that occur with aging. The nurse should include older adults might experience which of the following physiological changes?

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

Which patient is most at risk for diarrhea?

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

A nurse is caring for a client who had abdominal surgery 3 days ago. Exhibits Select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing Target 1 dropdown Target 2 dropdown and ___Target 3 dropdown .