A nurse is reviewing safety precautions with an assistive personnel (AP) about repositioning a client who has a pressure ulcer. Which of the following actions suggested by the AP indicates an understanding of the procedure?

Use an air-assisted device.

Position the bed in reverse Trendelenburg.

Elevate the head of bed to a 45° angle.

Lower the bed close to the ground.

Answer and Explanation

The Correct Answer is A

A. Use an air-assisted device.

Using an air-assisted device, such as a hover mat or air mattress, is an appropriate measure when repositioning a client with a pressure ulcer. These devices help reduce friction and shear forces, minimizing the risk of further skin breakdown. It also aids in maintaining the skin's integrity during movement, making it a suitable choice for the prevention of pressure ulcers.

B. Position the bed in reverse Trendelenburg:

Positioning the bed in reverse Trendelenburg involves raising the foot of the bed higher than the head. This position is not specifically related to pressure ulcer prevention or repositioning. It may be used for other medical reasons, but it does not directly address the issue of pressure ulcer care.

C. Elevate the head of bed to a 45° angle:

While elevating the head of the bed is commonly used for various reasons, including respiratory support or preventing aspiration, it may not be directly related to the repositioning of a client with a pressure ulcer. The angle mentioned (45°) is not specifically associated with pressure ulcer care.

D. Lower the bed close to the ground:

Lowering the bed close to the ground may be a safety measure to prevent injuries from falls, but it does not address the specific needs of repositioning a client with a pressure ulcer. The focus in pressure ulcer care is typically on using appropriate devices and techniques to minimize friction and pressure on vulnerable areas of the skin.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A.While it is important to have nonperishable food items, they should generally be checked and rotated every 6 months to a year to ensure they remain within expiration dates and to maintain freshness. Depending on storage conditions, some items may degrade sooner, so this timeframe may be insufficient.

B.In a disaster situation, access to pharmacies may be limited, so having a backup supply of essential nonprescription medications like pain relievers, antacids, and allergy medications is essential. This ensures that individuals have what they need to manage minor health issues without needing immediate access to stores.

C.Current recommendations typically advise having enough supplies for at least 3 days (72 hours) to a week, as this is generally the period required before external help may arrive during a disaster. While gathering supplies for two weeks can be helpful, it may not be feasible for everyone due to storage limitations.

D.The recommended amount of water for emergency situations is 1 gallon (approximately 3.8 liters) per person per day, which accounts for drinking and basic hygiene needs. Two liters would not be sufficient for most people’s daily water needs during an emergency.

A. Informed consent B. Do-not-resuscitate order C. Advance directives D. Provider's prescription

Correct Answer is C

Explanation

A. Informed consent:

While informed consent may include information about the surgical procedure and potential risks, it typically does not address organ donation. Organ donation is usually a separate decision and may be documented in advance directives.

B. Do-not-resuscitate order:

A do-not-resuscitate (DNR) order specifies the client's wishes regarding resuscitation in the event of cardiac or respiratory arrest but does not contain information about organ donation.

C. Advance directives.

Advance directives are legal documents that outline a person's preferences for medical treatment in the event they become unable to communicate or make decisions for themselves. Within advance directives, individuals may express their wishes regarding organ donation. It's common for individuals to specify their desire to be an organ donor in these documents.

D. Provider's prescription:

A provider's prescription is a medical order for a specific treatment or medication. It does not typically contain information about organ donation, which is a personal decision made by the individual and documented in advance directives.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing safety precautions with an assistive personnel (AP) about repositioning a client who has a pressure ulcer. Which of the following actions suggested by the AP indicates an understanding of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of older adults about collecting home supplies for disaster situations. Which of the following Information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who is scheduled for surgery. While reviewing the client's medical record, the nurse notes the client is an organ doner Which of the following documents provides information about organ donation?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has a stage III pressure ulcer and requires a dressing change. Which of the following steps should the nurse take first?

A charge nurse is reinforcing teaching with a newly licensed nurse about the confidentiality of clients' electronic health records. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is preparing to administer morphine 7.5 mg subcutaneous. Available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

A charge nurse is reinforcing teaching with a newly licensed nurse about methods to contain health care costs within the acute care facility. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is selecting clients for discharge due to a local external disaster. Which of the following clients should the nurse recommend for discharge?

A nurse is reinforcing teaching with a client about fire safety in the home. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer chlorpromazine 0.55 mg/kg IM to a child who weighs 66 lb. Available is chlorpromazine 25 mg/mL for injection. How many mL should the nurse administer? (Round the answer to the nearest tenths. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reinforcing teaching with a newly licensed nurse about chemical spills on the medical-surgical unit. The nurse should recognize that the newly licensed nurse understands the teaching by choosing which of the following resources for step-by-step directions to clean up the spill?