A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?

Place the shallow end of the fracture pan under the client's buttocks

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

Answer and Explanation

The Correct Answer is A

When using a fracture bedpan, it is important to position the pan correctly to provide proper support and comfort to the client. The shallow end of the fracture pan should be placed under the client's buttocks, as this end is designed to accommodate the body shape and offer a more comfortable position.

Hyperextending the client's back while the fracture pan is in place can cause discomfort, strain, or potential injury to the client. It is important to maintain a comfortable and neutral position for the client during bedpan use.

Encouraging the client to try to defecate for a specific time period, such as 20 minutes, is not recommended. It is more appropriate to allow the client adequate time and privacy to attempt to defecate without time constraints.

Keeping the bed flat while the client is on the fracture pan may not provide the optimal position for comfort and ease of use. Slight elevation of the head of the bed (Fowler's position) can provide a more comfortable position for the client during bedpan use.

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Correct Answer is A

Explanation

Assistive personnel can provide valuable assistance in ambulating clients who have mobility limitations. Assisting a client with ambulation involves helping them move and walk safely, which can aid in improving their lung function and overall pulmonary status. This task typically does not require specialized medical training and can be safely delegated to assistive personnel. Inserting a glycerin suppository for a constipated client requires knowledge of proper insertion technique, potential complications, and the ability to assess the client's response to the intervention. This task is typically performed by licensed nurses.

Irrigating a client's infected surgical wound involves an aseptic technique, knowledge of wound care principles, and the ability to assess the wound for signs of infection or complications. This task is typically performed by licensed nurses or wound care specialists.

Showing a client how to use an incentive spirometer prior to surgery requires knowledge of respiratory physiology, proper technique, and the ability to assess and instruct the client effectively. This task is typically performed by licensed nurses or respiratory therapists.

Correct Answer is ["200"]

Explanation

Convert the client's weight from pounds to kilograms:

The weight of the client is given as 220 lb. Since the dosage is based on kilograms (kg), we need to convert pounds to kilograms.

The conversion factor is: 1 lb = 0.453592 kg.

So, the weight in kilograms is calculated as: Weightinkg=220 lb×0.453592=99.79 kg

Rounding this to two decimal places gives a weight of 99.79 kg.

Calculate the dose of gentamicin based on the weight:

The prescribed dosage is 2 mg per kg.

To find the total dose, multiply the weight in kilograms by the dose per kilogram: Totaldose(mg)=2 mg/kg×99.79 kg=199.58 mg

Rounding to the nearest whole number gives 200 mg.

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A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?

Correct Answer is A

Explanation

A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["200"]

Explanation

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