A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?

Fill the bath basin with tap water that is 39° C (102.2° F).

Pull the curtain around the client's bed.

Wash the client's arms and hands first.

Use a washcloth to wipe the client's eyes from the outer canthus to the inner canthus.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Fill the bath basin with tap water that is 39° C (102.2° F) is too warm for bathing; the recommended water temperature is typically around 37°C (98.6°F) to prevent burns or discomfort.

B. Pull the curtain around the client's bed ensures privacy for the client during the bath, which is important for maintaining dignity and confidentiality.

C. Wash the client's arms and hands first is not necessarily the first step; typically, washing the face and then moving to the rest of the body is preferred.

D. Use a washcloth to wipe the client's eyes from the outer canthus to the inner canthus is incorrect as it should be done from the inner canthus to the outer canthus to avoid spreading any discharge across the eye.

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Correct Answer is D

Explanation

Rationale:

A. Providing a back rub can be done by an AP, as it does not require specialized nursing skills.

B. Transporting a client is an appropriate task for an AP if the client is stable.

C. Performing oral hygiene for a postoperative client can be managed by an AP with supervision.

D. Removing and cleaning the cannula of a new tracheostomy requires specific skills and knowledge that only a licensed nurse should perform to avoid complications.

A. Identify changes within the family unit that promote the client's autonomy. B. Gain 2 pounds of weight per week. C. Make positive statements about improvements in body image. D. Feel in control of her behavior.

Correct Answer is B

Explanation

Rationale:

A. Identifying changes within the family unit can be important but is not the immediate priority for medical stabilization.

B. Gaining weight is a critical goal for clients with anorexia nervosa to address their physical health and nutritional status.

C. Making positive statements about body image is helpful but secondary to the goal of weight gain.

D. Feeling in control of behavior is important for long-term recovery but is not the immediate priority compared to physical health.

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A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?

Correct Answer is D

Explanation

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Correct Answer is B

Explanation

A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities is important for the nurse to understand when delegating tasks to the LPN?

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