A nurse is preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease?

Sit in a chair next to the bed.

Sit on the bed next to the client.

Stand at the side of the bed.

Stand at the foot of the bed.

Answer and Explanation

The Correct Answer is A

A.   Sitting in a chair next to the bed provides a comfortable and professional setting, allowing the nurse to engage with the client at eye level.
B.   Sitting on the bed may be seen as too informal and might invade the client’s personal space.
C.   Standing at the side of the bed can create a sense of distance and is less personal.
D.   Standing at the foot of the bed may make the nurse seem detached and less approachable.

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 ["A","D","E"]

Explanation

A. Breath sounds
The presence of crackles at the bases of the lungs indicates possible pulmonary congestion or fluid accumulation in the lungs. This could be a sign of pulmonary edema, which may be due to chemotherapy-related side effects such as cardiotoxicity, or other complications like infection (e.g., pneumonia). Given the client's history of chemotherapy, this finding requires follow-up, as it could indicate a serious condition that needs to be addressed promptly.
B. Potassium level
: The client's potassium level is within normal limits (3.5 to 5 mEq/L). Although some chemotherapy drugs may affect electrolyte balance, this potassium level is not concerning at this time.
C. Blood pressure
This blood pressure is within normal limits, as the typical range for adult blood pressure is generally around 120/80 mm Hg. The reading does not indicate hypotension or hypertension, which would be concerning in the context of chemotherapy, which can affect blood pressure.
D. WBC count
A WBC count of 3,800/mm3 is below the normal range of 5,000 to 10,000/mm3, indicating leukopenia or a decreased immune response. This is a common side effect of chemotherapy, which suppresses bone marrow function, leading to lower white blood cell counts. This finding could increase the risk of infection and should be followed up to ensure the patient does not develop an infection, as the lower WBC count could compromise their ability to fight infections.
E. Temperature
A fever of 38.6°C (101.5°F) is significant and suggests the presence of infection, which is especially concerning in a patient with leukopenia due to chemotherapy. A fever in a chemotherapy patient is a medical emergency because of the risk of serious infections like neutropenic fever. This requires immediate follow-up and potentially further diagnostic tests, including blood cultures and a review of the patient's clinical status.

A. Measure gastric residual volumes every 4 hr. B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication. C. Advance the rate of the feeding every 2 hr. D. Maintain the head of the bed at a 20" angle.

Correct Answer is A

Explanation

A. Measuring gastric residual volumes every 4 hours is important to assess the client’s tolerance to the feeding and prevent aspiration.
B. Flushing with saline should only be done as necessary for medication administration and not routinely unless specified by protocol.
C. The rate of feeding should be adjusted based on the client’s tolerance and not increased arbitrarily.
D. The head of the bed should be maintained at 30–45° to reduce the risk of aspiration.

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 preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits A nurse is reviewing the client's electronic medical record. Which of the following findings require follow up? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session?

A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take?

A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?

A charge nurse is delegating care for a group of clients. Which of the following tasks should the charge nurse assign to a licensed practical nurse?

A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?

A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs. Which of the following laboratory findings should the nurse expect following the transfusion?

A charge nurse is observing a conflict between two nurses who both insist that the charge nurse favors the other when making assignments. Which of the following conflict-resolution strategies should the charge nurse use?