A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

Massage the client's red bony prominences.

Assess the client's skin for increased coolness.

Reposition the client every 2 hr.

Keep the client's skin moist.

Answer and Explanation

The Correct Answer is C

A. Massaging red bony prominences may cause further skin damage and increase the risk of pressure ulcers.

B. Skin should be assessed for warmth, redness, and integrity, but coolness is not necessarily an indicator of pressure injury.

C. Repositioning every 2 hours is essential for preventing pressure ulcers in bed-bound clients by relieving pressure on vulnerable areas.

D. Keeping the skin moist increases the risk of skin breakdown. It is important to keep the skin dry and clean.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Abdominal distention may indicate that peristalsis has not yet returned.

B. A request for food may indicate hunger but is not a reliable indicator that peristalsis has returned.

C. Passage of flatus is a clear sign that peristalsis is returning as it shows that the intestines are moving contents.

D. Hypoactive bowel sounds suggest slow or minimal peristaltic activity and are not a sign that peristalsis is fully returning.

A. Drinking plenty of water B. Maintaining good personal hygiene C. Having a unity catheter D. Frequent handwashing

Correct Answer is C

Explanation

Rationale:

A. Drinking plenty of water helps to flush bacteria from the urinary tract, reducing the risk of a UTI.

B. Good personal hygiene reduces the risk of UTIs by preventing bacterial contamination.

C. Urinary catheters provide a direct pathway for bacteria to enter the bladder, increasing the risk of UTIs.

D. Frequent handwashing is a preventive measure but not directly related to the development of UTIs.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?

Correct Answer is C

Explanation

Which of the following is a common risk factor for developing a urinary tract infection (UTI)?

Correct Answer is C

Explanation

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

Which of the following is a common symptom of a urinary tract infection?

A nurse is caring for a client who had abdominal surgery 3 days ago. Exhibits Select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing Target 1 dropdown Target 2 dropdown and ___Target 3 dropdown .

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture?

A nurse is assessing a client who has urinary retention. Which of the following findings should the nurse expect?

A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?

A nurse is teaching a client who has urinary incontinence about avoiding foods and beverages that can cause bladder irritation. The nurse should include that which of the following foods and beverages is a bladder irritant?

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?