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
Inject in abdominal area at least 2 inches from the umbilicus.
When administering subcutaneous heparin injections, it is important to choose an injection site on either your tummy or outer areas of your left or right thigh.
Your tummy is usually best as the injection site and it is important that you change the site each time 1.
The heparin needs to go into the fat layer under the skin 2.
Choice B is incorrect because injections should not be rotated between the abdomen and gluteal areas.
Choice C is incorrect because massaging the injection site is not recommended.
Choice D is incorrect because air bubbles in a pre-filled syringe should not be expelled prior to injection 2.
Correct Answer is B
Explanation
The nurse should reassess the client’s pain level and determine if additional interventions are needed to manage the pain.
Choice A is not the answer because while a back rub may provide some temporary relief, it does not address the underlying cause of the pain.
Choice C is not the answer because while deep breathing can help with relaxation, it does not address the underlying cause of the pain.
Choice D is not the answer because telling the client that the medication needs more time to work does not address their current pain level or provide any immediate relief.
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