A nurse is caring for a client who has limited hand movement. Which of the following actions should the nurse take to assist the client with feeding?

Initiate a liquid diet for the client.

Place the client in a lateral position.

Arrange the food groups clockwise on the client's plate.

Provide an adaptive feeding device for the client.

Answer and Explanation

The Correct Answer is D

Adaptive feeding devices are specifically designed to assist individuals with limited hand movement in feeding themselves more independently. These devices can include utensils with larger handles, specialized grips, or devices that stabilize food items for easier manipulation. Providing such devices can enhance the client's ability to feed themselves and promote autonomy in their daily activities.

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Correct Answer is A

Explanation

Gloves are typically the first piece of PPE to be removed after providing care. This helps prevent the spread of pathogens from contaminated gloves to other surfaces or body parts. Gloves should be removed carefully to avoid touching the outside surface, which may be contaminated. This should be followed by face shield, gown and mask in that order.

A. Assessment of the lower extremities B. Assessment of the posterior thorax C. Assessment of the abdomen D. Assessment of the genitalia and rectum

Correct Answer is D

Explanation

Given the traumatic nature of sexual assault and the potential for re-traumatization, the assessment of the genitalia and rectum should be conducted last. This allows the nurse to build rapport with the client, establish trust, and address any immediate concerns or needs before proceeding with a potentially distressing examination.

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A nurse is caring for a client who has limited hand movement. Which of the following actions should the nurse take to assist the client with feeding?

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Naxlex Comprehensive Predictor Exams

A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?

Correct Answer is A

Explanation

The nurse is completing an assessment of a client who was sexually assaulted. What assessment should the nurse conduct last?

Correct Answer is D

Explanation

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