A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?

Fill the bath basin with tap water that is 39° C (102.2° F).

Pull the curtain around the client's bed.

Wash the client's arms and hands first.

Use a washcloth to wipe the client's eyes from the outer canthus to the inner canthus.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Fill the bath basin with tap water that is 39° C (102.2° F) is too warm for bathing; the recommended water temperature is typically around 37°C (98.6°F) to prevent burns or discomfort.

B. Pull the curtain around the client's bed ensures privacy for the client during the bath, which is important for maintaining dignity and confidentiality.

C. Wash the client's arms and hands first is not necessarily the first step; typically, washing the face and then moving to the rest of the body is preferred.

D. Use a washcloth to wipe the client's eyes from the outer canthus to the inner canthus is incorrect as it should be done from the inner canthus to the outer canthus to avoid spreading any discharge across the eye.

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Correct Answer is A

Explanation

Rationale:

A. Cooperating involves finding a solution that satisfies both parties, as seen in allowing the nurses to go to lunch together while managing their clients.

B. Compromising would involve both parties giving up something to reach a middle ground, which is not exactly what is described.

C. Avoiding would mean not addressing the conflict directly, which is not the case here.

D. Competing involves asserting one’s own position at the expense of others, which does not align with the actions described.

A. Insist the client take prescribed medications. B. Inform the client that the medication is the same as taken at home. C. Tell the client that refusal of the medication is considered noncompliance. D. Encourage the client to verbalize questions.

Correct Answer is D

Explanation

Rationale:

A. Insisting the client take medications does not respect the client’s autonomy and is not an advocacy action.

B. Informing the client that the medication is the same as taken at home does not necessarily address the client’s concerns or questions.

C. Telling the client that refusal is noncompliance does not support client autonomy and does not address their concerns.

D. Encouraging the client to verbalize questions supports their right to be informed and make decisions about their care, demonstrating advocacy.

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A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating which of the following types of conflict management?

Correct Answer is A

Explanation

A nurse is preparing to administer a prescribed medication to a client. Which of the following actions should the nurse plan to take to demonstrate client advocacy?

Correct Answer is D

Explanation

A nurse on a medical-surgical unit has accepted a transfer to the Intensive care unit (ICU). Prior to transfer to the ICU, the nurse completes an online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles?

A nurse in an emergency department receives report from an emergency responder who states a client is being transported following exposure to a "dirty bomb". The nurse should prepare to care for a client that has been exposed to which of the following types of agents?

A nurse enters a client's room and finds the client pulseless. The family has requested a do-not-resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?

A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?

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A nurse asks the assistive personnel (AP) to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?

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