A nurse is caring for a client who requires partial assistance with ADLs. Which of the following actions should the nurse take?

Postpone ADLS until an occupational therapist determines the client's abilities.

Eliminate daily care that is not essential for the client's recovery.

Inform the client of the time the ADLS will be performed.

Determine the client's preferences.

Answer and Explanation

The Correct Answer is C

A. Postpone ADLs until an occupational therapist determines the client's abilities. Delaying ADLs can lead to decreased independence and a decline in the client's physical condition. The nurse should assess the client's abilities and provide appropriate assistance.
B. Eliminate daily care that is not essential for the client's recovery. All aspects of daily care contribute to the client's overall well-being and quality of life. Eliminating non-essential care can negatively impact the client's mental and physical health.
C. Inform the client of the time the ADLs will be performed. Informing the client of the time the ADLs will be performed promotes consistency and allows the client to prepare mentally and physically. This helps maintain a routine, which can be reassuring for the client.
D. Determine the client's preferences. While it is important to consider the client's preferences, it is not the primary action. Informing the client of the schedule helps with planning and consistency.

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Correct Answer is D

Explanation

A. Offering alternative treatment options to a surgical procedure to a client This task involves making medical decisions, which is outside the RN's scope of practice and is the responsibility of the provider.
B. Explaining the risks of a surgical procedure to a client This task involves providing informed consent, which is the responsibility of the provider.
C. Discussing the benefits of a surgical procedure with a client This task involves providing informed consent, which is the responsibility of the provider.
D. Evaluating a client's ability to give consent for a surgical procedure Assessing a client's understanding and capacity to provide consent is within the RN's scope of practice and ensures that the client is informed and able to make decisions about their care.

A. Cirrhosis of the liver is a risk factor for the development of sleep apnea. B. People who have sleep apnea fall asleep uncontrollably throughout the day. C. The most common type of sleep apnea is central sleep apnea. D. Sleep apnea causes airflow through the mouth and nose to stop for at least 10 seconds.

Correct Answer is D

Explanation

A. Cirrhosis of the liver is a risk factor for the development of sleep apnea. Cirrhosis is not a known risk factor for sleep apnea. Risk factors include obesity, large neck circumference, and smoking.
B. People who have sleep apnea fall asleep uncontrollably throughout the day. This describes narcolepsy, not sleep apnea. Sleep apnea may cause daytime sleepiness but not uncontrollable sleep attacks.
C. The most common type of sleep apnea is central sleep apnea. Obstructive sleep apnea is the most common type, not central sleep apnea.
D. Sleep apnea causes airflow through the mouth and nose to stop for at least 10 seconds. This is the correct definition of sleep apnea.

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A nurse is caring for a client who requires partial assistance with ADLs. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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