After a week of bed rest, a client is being assisted to a chair for the first time.
The nurse raises the head of the bed and moves the client to a sitting position. What should the nurse implement next?
Determine how the client feels.
Support the client when rising.
Offer a pair of non-skid socks.
Place the chair by the bed.
The Correct Answer is A
After moving the client to a sitting position, the next step the nurse should implement is to determine how the client feels.
This allows the nurse to assess for any dizziness, lightheadedness, or other symptoms that may indicate orthostatic hypotension or other issues.
Choice B, supporting the client when rising, is important but should be done after assessing how the client feels.
Choice C, offering a pair of non-skid socks, may be helpful for safety but is not the most important action in this situation.
Choice D, placing the chair by the bed, should be done before moving the client to a sitting position.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This will help determine if there is any residual urine left in the bladder after voiding.
Choice A is not the answer because reviewing the chart for the number of voids over the last 24 hours is important but not sufficient to evaluate for urinary retention.
Choice B is not the answer because evaluating for urinary incontinence is important but not sufficient to evaluate for urinary retention.
Choice D is not the answer because while palpating the suprapubic region for distention can provide some information, scanning the bladder after voiding is a more accurate way to evaluate for urinary retention.
Correct Answer is A
Explanation
It is important for the UAP to receive proper education and training on how to care for a foot ulcer before being assigned to care for a client with this condition.
Choice B is not correct because advising the UAP to wear gloves when caring for the FP is not the first action the nurse should take.
Choice C is not correct because instructing the UAP to start with basic wound care precautions is not the first action the nurse should take.
Choice D is not correct because asking the UAP which action they would take first and stating why is not the first action the nurse should take.
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