A nurse is preparing to reposition a patient.
Which of the following actions should the nurse take first?

Elevate the height of the patient’s bed

Tighten their abdominal muscles

Position their feet in line with their shoulders

Pivot their feet in the direction of the move

Answer and Explanation

The Correct Answer is A

Choice A rationale
Before repositioning a patient, the nurse should first elevate the height of the patient’s bed. This allows the nurse to work at a comfortable height and reduces the risk of injury.
Choice B rationale
While tightening the abdominal muscles can help with lifting and moving, it is not the first action the nurse should take when preparing to reposition a patient.
Choice C rationale
Positioning the feet in line with the shoulders can provide a stable base of support when moving or lifting. However, this is not the first action the nurse should take when preparing to reposition a patient.
Choice D rationale
Pivoting the feet in the direction of the move can help with turning and moving. However, this is not the first action the nurse should take when preparing to reposition a patient.

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Correct Answer is A

Explanation

Choice A rationale
Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia. Therefore, if a client made this statement, it would indicate the need for further teaching.
Choice B rationale
Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia.
Choice C rationale
Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia.
Choice D rationale
Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.

A. A perceived stressor stimulates the central nervous system. B. The body remains alert, while blood pressure and heart rate return to pre-stress levels. C. Prolonged exposure to stress can result in illness. D. An increase in hormones causes an increase in blood pressure and heart rate.

Correct Answer is A

Explanation

Choice A rationale
The first physiological response that occurs during the General Adaptation Syndrome (GAS) is
the alarm reaction stage. This stage is the body’s initial response to stress, where the sympathetic nervous system is activated by the sudden release of hormones.
Choice B rationale
The body remaining alert while blood pressure and heart rate return to pre-stress levels is part of the resistance stage of GAS, not the first physiological response.
Choice C rationale
Prolonged exposure to stress resulting in illness is associated with the exhaustion stage of GAS, which is the final stage, not the first physiological response.
Choice D rationale
An increase in hormones causing an increase in blood pressure and heart rate is part of the alarm reaction stage, but it is not the first physiological response. The first response is the perception of a stressor that stimulates the central nervous system.

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A nurse is preparing to reposition a patient. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

Correct Answer is A

Explanation

A nurse is teaching a class about the stages of the general adaptive syndrome (GAS). The nurse should include that which of the following is the first physiological response that occurs during GAS?

Correct Answer is A

Explanation

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A nurse is preparing to reposition a patient.
Which of the following actions should the nurse take first?