Share This Link

This is such a short distance and the fluid wouldn't flow as desired.

Holding the container at the client's upper hip would not provide the appropriate angle for administering the enema.

This choice does not provide specific guidance on the height or angle for administering the enema, which is crucial for the procedure's effectiveness.

Elevating the bed for the comfort of the nurse does not address the safety and comfort of the client during the transfer.

While it's important to have assistance if needed, using several people to lift the client may not always be necessary or appropriate.

This positioning is not optimal, as it makes it harder for the client to pivot and sit on the wheelchair.

Using an indwelling urinary catheter should be avoided unless absolutely necessary due to the associated risks of infection and other complications. It's not the first-line intervention for managing urinary incontinence.

Reminding the client to tell the nurse when they need to urinate can be helpful, but it may not be sufficient on its own, especially for individuals with dementia who may have difficulty recognizing or communicating their needs.

Using adult diapers should be considered a last resort, as it does not address the underlying issue and may not promote the client's independence or dignity.

Inguinal canal is not the correct location for assessing the posterior tibial pulse. This area is associated with the femoral pulse.

The knee is not the correct location for assessing the posterior tibial pulse. This area is not directly related to the posterior tibial pulse.

Dorsal aspect of the foot is where the dorsalis pedis pulse is located, not the posterior tibial pulse.

Eliciting the gag reflex is associated with cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve III.

Testing visual acuity is primarily associated with cranial nerve II (optic nerve), not cranial nerve III.

Observing facial symmetry is important for assessing cranial nerve VII (facial nerve), not cranial nerve III.

Elevating the bed for the nurse's comfort is not a priority. The focus should be on ensuring the safety and comfort of the client during the transfer.

While it's important to have enough help when transferring a client, acquiring the help of several people to lift the client may not always be necessary. It depends on the client's mobility and the specific transfer technique being used.

Positioning the wheelchair at a 90° angle to the bed allows for a safe and efficient transfer. This position provides a clear path for the client to move from the bed to the wheelchair.

This statement is correct. HIPAA is a federal law that establishes privacy standards for protected health information.

This statement is correct. A client's address is considered personally identifiable information under HIPAA.

The statement appears to be cut off. However, it is important to note that HIPAA does indeed establish regulations for protecting individually identifiable health information in various forms, including verbal, electronic, and written.

After removal of an indwelling urinary catheter, it is common for a client to experience urinary frequency for a few days. This is due to the bladder readjusting to its normal function.

Blood-tinged urine may occur after catheter removal, but it is not an expected outcome. It should be assessed and reported if it occurs.

Highly concentrated urine is not typically an expected outcome after catheter removal.It may indicate dehydration or another issue that should be addressed.

Irrigating the wound with an antiseptic prior to obtaining the specimen can introduce substances that may interfere with the accuracy of the culture results. Sterile saline is the preferred solution for wound irrigation.

Intact skin at the wound edges should not be included in the culture. The specimen should be obtained directly from the wound bed or drainage.

Swabbing an area of skin away from the wound to identify the usual flora is not appropriate for obtaining a wound drainage specimen. The culture should be taken directly from the wound site.