A nurse is assisting in the take of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?
Hyperextend the client's back while the fracture pan is in place.
Encourage the client to try to defecate for 20 min while on the fracture pan.
Keep the bed flat while the client is on the fracture pan.
Place the shallow end of the fracture pan under the client's buttocks.
The Correct Answer is D
Choice A Reason:
Hyperextending the client's back while the fracture pan is in place can cause discomfort and is not necessary for proper use of the bedpan. It's important to maintain the client's comfort and avoid unnecessary strain or discomfort.
Choice B Reason:
Encouraging the client to try to defecate for a specific time (20 minutes) is not recommended. It is not advisable to put a time limit on the process, as it can vary for each individual. Clients should be given adequate time and privacy for toileting.
Choice C Reason:
Keeping the bed flat while the client is on the fracture pan is generally not necessary. The bed can be adjusted to a comfortable position for the client, but it should not be raised in a way that would cause discomfort or strain, and the head of the bed can be elevated if that is more comfortable for the client.
Choice D Reason:
Place the shallow end of the fracture pan under the client's buttocks. This is the appropriate way to position the fracture bedpan for safe and effective use. Placing the shallow end of the bedpan under the client's buttocks ensures that the client can comfortably and securely sit on the bedpan. The shallow end is designed to fit under the buttocks, while the deeper end is used to collect the waste.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Assuring the client that the provider will come to talk to him when she gets the chance doesn't address the client's immediate need for information and involvement in their care.
Choice B Reason:
Explaining that the client should trust the provider based on her reputation is not an effective way to address the client's specific concerns and questions about their treatment and discharge plan.
Choice C Reason:
Inform the provider that the client is requesting information about his treatment plan.
Here's why this action is the best choice:
1. Patient-Centered Care: The nurse should advocate for the client's right to know and understand their treatment plan and discharge process. This empowers the client to be an active participant in their own care.
2. Collaboration: Informing the provider of the client's request helps facilitate communication between the client and the healthcare team. It ensures that the client's concerns are addressed by the most appropriate person.
Choice D Reason:
Telling the client that the provider will discharge him when she feels he is ready to leave does not provide the client with the information they are seeking about the process and timing of their discharge. It may also not align with the principles of patient-centered care and shared decision-making.
Correct Answer is B
Explanation
A) Provide brochures about the procedure. - While brochures can be helpful, they do not replace the need for direct, clear communication with the healthcare provider about the specific details of the surgery.
B) Notify the provider. - The client has expressed a lack of understanding about the procedure, which indicates that they may not have received sufficient information or clarification. It is important to notify the provider so they can ensure the client fully understands the procedure before giving informed consent.
C) Describe the surgery to the client. - The nurse should provide basic information and answer questions within their scope, but detailed explanations about the procedure are best provided by the provider who is performing the surgery.
D) Complete an incident report. - An incident report is not necessary in this context as the situation is related to informed consent and not an error or safety issue.
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