A nurse is evaluating a nursing student's understanding of positioning clients. Which of the following statements indicates a need for further teaching?
Positioning a client in good body alignment and changing the position regularly (every 3 hours) and systematically are essential aspects of nursing practice.
"Frequent change in position helps to prevent muscle discomfort, undue pressure resulting in pressure ulcers, damage to superficial nerves and blood vessels, and contractures."
"Any position, correct or incorrect, can be detrimental if maintained for a prolonged period."
"For all clients, it is important to assess the skin and provide skin care before and after a position change.
The Correct Answer is A
This statement indicates a need for further teaching because it is not accurate. Positioning a client in good body alignment and changing the position regularly are essential aspects of nursing practice, but the position should be changed more frequently than every 3 hours. It is generally recommended to reposition clients at least every 2 hours to prevent pressure ulcers and other complications. The other options (Frequent change in position helps to prevent muscle discomfort, undue pressure resulting in pressure ulcers, damage to superficial nerves and blood vessels, and contractures; Any position, correct or incorrect, can be detrimental if maintained for a prolonged period; and For all clients, it is important to assess the skin and provide skin care before and after a position change) are accurate statements and do not indicate a need for further teaching.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Public health agencies are responsible for protecting and improving the health of communities. They are often funded by government grants and work to prevent the spread of communicable diseases through measures such as vaccination programs, disease surveillance, and public education campaigns. Surgery can be performed in a variety of healthcare settings, not just hospitals. Skilled nursing extended care facilities provide care for individuals who require ongoing medical support, not just older adults whose insurance no longer covers hospital stays. Hospitals provide a range of services, including acute inpatient care as well as outpatient and emergency services.
Correct Answer is A
Explanation
By offering free occult blood screenings at a community health fair, the nurse is providing illness prevention services. Illness prevention refers to actions taken to prevent the onset of illness or disease. In this case, occult blood screening can help detect early signs of colorectal cancer, allowing for early intervention and treatment to prevent the development of the disease.
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