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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is D
Explanation
D. The short, rattling, high-pitched sounds heard in the lower lobes of the client with pneumonia are indicative of crackles. Crackles are abnormal respiratory sounds that occur when air moves through fluid or mucus in the small airways or alveoli.
A. Stridor refers to a high-pitched, wheezing sound that occurs during inspiration or expiration and is typically associated with upper airway obstruction, such as in conditions like croup or foreign body aspiration.
B. Pleural rub refers to a grating or rubbing sound heard on auscultation that occurs when inflamed pleural surfaces rub against each other during respiration. It is commonly heard in conditions such as pleurisy or pleural effusion.
C. Wheezing refers to a high-pitched, musical sound heard during expiration that is typically associated with narrowing or obstruction of the airways, as seen in conditions like asthma or chronic obstructive pulmonary disease (COPD).
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