Following surgery, a client expresses concern to the nurse about being able to use the bedpan. After noting that the client's prescribed postoperative activity includes getting up to a chair three times a day, how should the nurse intervene?

Reassure the client that someone will help with positioning on the bedpan.

Encourage the client to use a bedside commode rather than the bedpan.

Explain to the client that the head of the bed can be elevated when using the bedpan.

Offer to position the bedpan on the chair before the client transfers to the chair.

Answer and Explanation

The Correct Answer is B

B. A bedside commode allows the client to sit comfortably and maintain independence while toileting. Using a commode chair near the bed reduces the need for bedpan use and promotes mobility.

A. Reassurance is important, but simply reassuring the client without addressing their specific concerns or providing practical solutions may not fully address the issue.

C. Elevating the head of the bed can help with using the bed pan but does not include the other plan of care as a bedside commode would.

D. While positioning the bedpan on the chair may provide an alternative option for the client, it may not be the most practical solution, especially if the client is able to use the bedpan while in bed.

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Correct Answer is A

Explanation

A. This technique involves creating vivid mental images of serene and calming environments, allowing the client to mentally escape from discomfort and focus on a peaceful setting. By immersing themselves in this imagined place, clients may experience relaxation and relief from pain.

B. Motivational phrases are statements or affirmations that inspire and encourage the client. While motivational phrases can be incorporated into guided imagery sessions to boost morale and foster positive thinking, they may not be as effective as focusing on a positive external place for managing chronic pain.

C. While emotional reflection can be an important aspect of holistic pain management, it may not be the primary focus during guided imagery sessions aimed at pain relief.

D. While soothing sounds can create a peaceful ambiance and contribute to stress reduction, they are often used as background elements rather than the primary focus of guided imagery for pain management.

A. Assess for flushed, warm skin regularly. B. Vary sites for temperature measurement. C. Document the client's circadian rhythms. D. Measure temperature at regular intervals.

Correct Answer is D

Explanation

D. To assess fever patterns accurately in a client with a fever of unknown origin, the nurse should measure the temperature at regular intervals. This helps in identifying trends and patterns in the fever, such as spikes at specific times of the day or consistent elevations. Regular temperature measurements provide valuable information for the healthcare team to diagnose and manage the underlying cause of the fever effectively.

A. Assessing for flushed, warm skin can be indicative of fever, due to vasodilation and skin flushing. While this assessment can provide subjective clues about the presence of fever, it does not provide comprehensive information about fever patterns over time.

B. Different sites may reflect variations in temperature due to local factors or differences in blood flow. However, while varying sites can contribute to a comprehensive assessment of body temperature, it does not specifically address the need to assess fever patterns over time.

C. While circadian rhythms can influence temperature variations, particularly in relation to sleep- wake cycles, documenting circadian rhythms alone does not provide specific information about fever patterns.

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Following surgery, a client expresses concern to the nurse about being able to use the bedpan. After noting that the client's prescribed postoperative activity includes getting up to a chair three times a day, how should the nurse intervene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is using guided imagery with a client who is experiencing chronic pain. The nurse should direct the client's attention on which focus?

Correct Answer is A

Explanation

A client is admitted with a fever of unknown origin. To assess fever patterns, which intervention should the nurse implement?

Correct Answer is D

Explanation

An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. Which action(s) should the nurse suggest to the client to help improve sleep? Select all that apply.

The nurse hears short, rattling, high-pitched sounds in the lower lobes of a client with pneumonia. Which finding should the nurse document?

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Which client assessment should the nurse perform during nasopharyngeal suctioning?

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The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

When providing health teaching to older adult clients, which action is most important for the nurse to implement?

When identifying the goals to be included in a client's plan of care, the nurse should take which action?