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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Mild discomfort at the insertion site is expected following a cardiac catheterization. It should be monitored, but it is not a concern unless it worsens or is accompanied by other signs of complications.
B. Bounding pulses may indicate increased blood flow and may not necessarily be a concern. However, they should be monitored for any changes.
C. A heart rate of 90/min is within the normal range for many clients post-procedure and is not an immediate cause for concern.
D. A hematoma at the insertion site could indicate bleeding or a clot and may require urgent intervention to prevent further complications such as ischemia or hemorrhage.
Correct Answer is A
Explanation
A. Taking a hot shower in the morning can help decrease stiffness and improve joint mobility for clients with rheumatoid arthritis. Heat therapy is beneficial for morning stiffness.
B. Cold packs should not be applied directly to the skin as it may cause skin damage. Cold therapy is used for inflammation, but not for prolonged periods on the skin.
C. Biological response modifiers are not used specifically to prevent infection; they modify immune response and may increase infection risk.
D. Clustering physical activities can lead to fatigue. The nurse should recommend spreading activities throughout the day to conserve energy.
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