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 A
Explanation
Guided imagery involves creating a specific imagined reality for yourself.
These techniques can be self-taught or guided by a professional.
The more you’re able to use your imagination and engage your senses, the greater the benefits 1.
Choice B is not the answer because motivational phrases may not be as effective as positive external places in reducing chronic pain through guided imagery.
Choice C is not the answer because tranquil sounds may not be as effective as positive external places in reducing chronic pain through guided imagery.
Choice D is not the answer because emotional reflection may not be as effective as positive external places in reducing chronic pain through guided imagery.
Correct Answer is D
Explanation
Neutrophils are a type of white blood cell that play a key role in fighting infections.
An elevated neutrophil count can indicate the presence of an infection.
Therefore, before reporting the finding of a red, tender, and swollen wound at the site of the lesion to the healthcare provider, the nurse should note the client’s neutrophil count.
Choice A is not correct because hematocrit is not the laboratory value that the nurse should note before reporting the finding to the healthcare provider.
Choice B is not correct because serum is not a laboratory value.
Choice C is not correct because blood PT level is not the laboratory value that the nurse should note before reporting the finding to the healthcare provider.a
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