An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client who is prescribed bedrest with bedside commode use. The UAP reports to the nurse that the client's obesity makes it difficult to safely assist the client in transferring from the bed to the bedside commode. How should the nurse respond?

Advise the client to maintain bedrest to ensure safety.

Instruct the UAP that all clients deserve equal care.

Determine the client's level of mobility and need for assistance.

Assign another UAP to care for the client.

Answer and Explanation

The Correct Answer is C

Choice A reason: Advising the client to maintain bedrest may not be practical or beneficial for the client's overall health and does not address the UAP's concern about safe transfer.

Choice B reason: While it is true that all clients deserve equal care, this statement does not provide a solution to the UAP's concern about safely assisting the client.

Choice C reason: Determining the client's level of mobility and need for assistance will help in creating a safe and effective plan for transferring the client to the bedside commode.

Choice D reason: Assigning another UAP may be necessary if the current UAP is unable to assist safely, but it is not the first step. The nurse should first assess the situation before making staffing changes.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Applying a water-soluble lubricant to the catheter is not recommended during tracheostomy suctioning as it may introduce contaminants.

Choice B reason: Instilling sodium chloride before suctioning is not a standard practice and can lead to complications such as edema.

Choice C reason: Wearing protective goggles is important to protect the nurse from potential splashes of bodily fluids during the suctioning process.

Choice D reason: Instructing the client to cough as the suction tip is removed is not recommended as it can cause discomfort and potential harm to the tracheal lining.

Correct Answer is ["2"]

Explanation

Step 1: We need to find out how many mL contain 10 mg of loratadine. Since 5 mg of loratadine is in 5 mL, we can set up a proportion to find out how many mL contain 10 mg.

So, 5 mg is to 5 mL as 10 mg is to X mL.

This gives us the equation: (5 mg ÷ 5 mL) = (10 mg ÷ X mL)

Step 2: Solving for X gives us X = (10 mg × 5 mL) ÷ 5 mg

Step 3: Simplifying gives us X = 10 mL

So, the client needs to take 10 mL of the loratadine suspension to get a dose of 10 mg.

Now, we need to convert this volume in mL to teaspoons, using the conversion factor you provided (1 teaspoon = 5 mL).

Step 4: We set up the conversion as follows: 10 mL × (1 tsp ÷ 5 mL)

Step 5: Simplifying gives us 2 tsp

So, the nurse should instruct the client to take 2 teaspoons of the loratadine suspension.

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Naxlex Comprehensive Predictor Exams

When performing suctioning for a client with a tracheostomy, which action should the nurse include?

Correct Answer is C

Explanation

A client has received a prescription for loratadine suspension, 10 mg to be taken orally once a day. The bottle is labeled as "Loratadine for Oral Suspension, USP 5 mg per 5 mL." How many teaspoons should the nurse instruct the client to take? (Please enter the numerical value only.)

Correct Answer is ["2"]

Explanation

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