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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A small fluid deficit of 30 mL is not concerning unless it worsens or additional symptoms develop.
B. Decreased appetite and irritability can be expected with gastroenteritis and may not require immediate intervention.
C. A mild fever and increased pulse rate can be expected, but if these values remain stable and other signs of dehydration or worsening illness are absent, they do not require immediate intervention.
D. Sunken fontanels and dry mucous membranes are signs of dehydration and should be reported to the provider immediately.
Correct Answer is B
Explanation
A. Placing a yellow bracelet is a common practice for identifying clients at risk for falls and is not considered malpractice.
B.
Administering potassium via IV bolus is considered malpractice because IV potassium must never be given by rapid IV push or bolus due to the risk of fatal cardiac dysrhythmias and cardiac arrest. This action violates the standard of care and places the client at serious risk for harm.
C. Clamping the tube temporarily after medication administration is appropriate to allow the medication time to absorb and prevent immediate suction removal.
D. Documenting communication with a provider in the medical record is standard practice.
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