A nurse assisting a client who requests to take a tub bath. Which of the following actions should the nurse take?

Drain the tub water before the client gets out

Check on the client every 10 min during the bath.

Add bath oil to the water after the client gets into the tub

Allow the client to remain in the bath for 30 min.

Answer and Explanation

The Correct Answer is A

A) Drain the tub water before the client gets out: Draining the water before the client gets out of the tub is the safest option. This helps prevent the risk of slipping or falling, as the water level will lower once the client begins to stand. Additionally, it ensures that the client can safely exit the tub without the danger of being unbalanced or disoriented by the water.

B) Check on the client every 10 min during the bath: While monitoring the client during the bath is important, checking every 10 minutes may not be frequent enough to ensure their safety, especially for clients who have mobility or cognitive issues. Ideally, the nurse should stay with or observe the client more closely or provide assistance if needed. Continuous supervision is preferred, particularly if the client is at risk for falls or other complications.

C) Add bath oil to the water after the client gets into the tub: Bath oils can create a slippery surface, which could increase the risk of falls or accidents. It's generally better to avoid adding oils to the bath water, as they can make the tub and the client’s skin slick, posing safety hazards. If oil is necessary for skin care, it should be applied to the skin after the bath, not in the water.

D) Allow the client to remain in the bath for 30 min: While the client may enjoy a bath, staying in the tub for too long can lead to skin irritation, dehydration, or overheating, especially for older adults or clients with medical conditions. The client should not stay in the water for prolonged periods. A typical recommendation would be to allow the bath to last about 10-20 minutes, depending on the client’s condition and safety.

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Correct Answer is B

Explanation

A) Beneficence:
Beneficence refers to the ethical principle of doing good and acting in the best interest of the client. While providing accurate information about the adverse effects of medications contributes to beneficence by ensuring the client’s safety, the specific focus here is on truthfulness in communication, which is more closely aligned with veracity.

B) Veracity:
Veracity is the ethical principle of truthfulness. In this scenario, the nurse is providing honest and accurate information about the medications, including their potential adverse effects. This aligns directly with the principle of veracity, which emphasizes the importance of being truthful and transparent in communication with clients, especially regarding their care and treatment.

C) Justice:
Justice refers to the ethical principle of fairness, ensuring that clients are treated equitably and that their rights are upheld. While the nurse may be demonstrating fairness in the care process, the focus in this scenario is on the truthfulness of the information provided, which is better aligned with the concept of veracity.

D) Autonomy:
Autonomy refers to respecting the client's right to make their own decisions regarding their care. While providing truthful information about medications supports the client’s ability to make informed decisions, the primary ethical principle being demonstrated by the nurse in this scenario is veracity, as the nurse is specifically focused on being truthful with the client.

A. The child is unable to skate with good balance. B. The child is unable to jump rope. C. The child is unable to walk downstairs on alternating feet. D. The child is unable to walk backwards from heel to toe.

Correct Answer is C

Explanation

A) The child is unable to skate with good balance.
At 4 years old, a child’s balance and coordination are still developing. While skating requires more advanced skills, a child not having good balance at this age is not typically a concern unless other motor skills are delayed. Skating is not an expected milestone for a 4-year-old.

B) The child is unable to jump rope.
Jumping rope is a more complex skill that typically develops later, closer to ages 5 or 6, so the inability to do so at age 4 is not a cause for concern. It is a skill that requires fine motor coordination, balance, and timing, which may not be fully developed at this age.

C) The child is unable to walk downstairs on alternating feet.
At 4 years old, children are expected to be able to walk downstairs using alternating feet (one foot on each step). If a child cannot perform this task, it may indicate a delay in gross motor development, specifically in coordination and balance. This is a developmental milestone that typically emerges by age 4 and should be reported to the physical therapist for further evaluation.

D) The child is unable to walk backwards from heel to toe.
Walking backwards from heel to toe is a more advanced skill that typically develops later in childhood. This skill is not expected at age 4, so the child’s inability to do so is not a red flag for developmental concerns. It is more appropriate for older children.

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A nurse assisting a client who requests to take a tub bath. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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