A nurse is providing discharge teaching to a client about bathtub safety. Which of the following statements by the client indicates an understanding of the teaching?

"I will limit the length of my bath to 30 minutes."

"I will apply bath oil to the water to moisturize my skin."

"I will drain the tub after I get out."

"I will place a bathmat in front of the tub."

Answer and Explanation

The Correct Answer is D

A. "I will limit the length of my bath to 30 minutes.": While shorter baths can prevent skin dryness, this does not directly relate to safety. The teaching focuses on reducing fall risks, so bath duration is less relevant to preventing injury.

B. "I will apply bath oil to the water to moisturize my skin.": Adding bath oil increases the slipperiness of the tub, significantly raising the risk of falls. This poses a safety hazard rather than promoting safe bathing.

C. "I will drain the tub after I get out.": Draining the tub after exiting is common practice but does not reduce fall risk during entry or exit. Safety measures should focus on preventing slips before and while leaving the tub.

D. "I will place a bathmat in front of the tub.": Using a bathmat provides traction on wet bathroom floors and reduces the likelihood of slipping when getting in or out of the tub. This demonstrates understanding of effective bathtub safety teaching.

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Correct Answer is B

Explanation

A. Place a vibrating tuning fork on the top of the client's head: This describes the Weber test, which assesses lateralization of sound to determine conductive versus sensorineural hearing loss.

B. Move a vibrating tuning fork's prongs in front of the client's left or right ear canal: In the Rinne test, the nurse compares bone conduction and air conduction. After placing the fork on the mastoid bone, it is moved in front of the ear canal to test air conduction, which should normally be longer than bone conduction.

C. Activate a tuning fork and place the prongs on the client's occipital area: Placing the tuning fork on the occipital bone is not part of any standard hearing assessment test. It would not yield useful information about bone or air conduction.

D. Instruct the client to occlude one ear and repeat a softly spoken phrase by the nurse: This describes the whisper test, a screening tool for gross hearing acuity. It is not related to the Rinne test procedure.

A. Schedule the client as the last surgery of the day. B. Notify ancillary departments of the client's allergy. C. Label the surgical suite as latex-free. D. Provide powdered gloves for the staff's use. E. Ensure a latex allergy cart is available.

Correct Answer is ["B","C","E"]

Explanation

A. Schedule the client as the last surgery of the day: Clients with latex allergy should ideally be scheduled as the first surgery of the day to minimize exposure to latex particles that may accumulate in the air and environment. Scheduling last increases exposure risk.

B. Notify ancillary departments of the client's allergy: Informing all relevant departments, such as pharmacy, radiology, and laboratory services, ensures that latex-free supplies are used consistently throughout the client’s care. This prevents accidental exposure to latex-containing products.

C. Label the surgical suite as latex-free: Clearly labeling the operating room reduces the risk of staff inadvertently bringing in latex products. It promotes team-wide awareness and helps maintain a safe surgical environment for the client.

D. Provide powdered gloves for the staff's use: Powdered latex gloves are contraindicated because they release latex proteins into the air, which increases the risk of allergic reactions. Only non-latex, powder-free gloves should be provided.

E. Ensure a latex allergy cart is available: Having a latex allergy cart stocked with latex-free supplies ensures that all necessary items are available during the procedure. This reduces delays and eliminates the need to search for suitable equipment during surgery.

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Body System	Findings
Gastrointestinal	Client reports abdominal pain as a 9 on a pain scale of 0 to 10. Abdomen is distended and firm. Bowels sounds are distant and hypoactive.
Integumentary	Skin is warm and dry. Perianal skin is excoriated, and small ulceration is noted.
Fluid balance	Tenting of skin for 4 seconds is noted. Capillary refill is 2 seconds. Temperature 38.7° C (101.7° F) Mucous membranes are dry. Respiratory rate 20/min

A nurse is providing discharge teaching to a client about bathtub safety. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for hearing acuity by performing the Rinne test. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is completing a preadmission interview for a client who is to undergo surgery the following day. The client reports a latex allergy. Which of the following interventions should the nurse include when planning care for the client's surgery? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

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