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 {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The nurse should recognize that the client is experiencing preterm labor due toprevious preterm birth.
Rationale
Option 1: Preterm labor
The client’s symptoms are most consistent with preterm labor. Preterm labor is characterized by regular
uterine contractions before 37 weeks of gestation, cervical dilation and effacement, and sometimes vaginal discharge. In this case, the client has lower back pain, uterine contractions every 8 minutes, cervical dilation of 2 cm, and 50% effacement—all indicative of preterm labor.
Option 2: Previous Preterm Birth
The client's history of a preterm spontaneous vaginal birth at 30 weeks gestation increases the risk of preterm labor in the current pregnancy. The previous preterm birth is a known risk factor for future preterm labor.
Correct Answer is D
Explanation
A. Recommending clients for discharge may be premature and disrupt ongoing care, potentially worsening the situation if those clients require immediate care.
B. While determining the medical needs of incoming clients through the emergency department is important, the immediate priority is ensuring sufficient staffing for the current medical needs.
C. Acting as a liaison between the facility and the media is an important role, but it is not the nurse's primary responsibility during a mass casualty event. The nurse should focus on direct patient care.
D. Calling in additional nursing staff ensures the facility has adequate personnel to care for the incoming patients, especially given the likely influx of critically ill or injured clients.
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