A nurse is preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease?

Sit in a chair next to the bed.

Sit on the bed next to the client.

Stand at the side of the bed.

Stand at the foot of the bed.

Answer and Explanation

The Correct Answer is A

A.   Sitting in a chair next to the bed provides a comfortable and professional setting, allowing the nurse to engage with the client at eye level.
B.   Sitting on the bed may be seen as too informal and might invade the client’s personal space.
C.   Standing at the side of the bed can create a sense of distance and is less personal.
D.   Standing at the foot of the bed may make the nurse seem detached and less approachable.

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Correct Answer is C

Explanation

A. Placing a yellow bracelet is a common practice for identifying clients at risk for falls and is not considered malpractice.
B. Administering potassium via IV bolus can be dangerous, but it is a matter of scope of practice and guidelines rather than malpractice unless done incorrectly.
C. Leaving a nasogastric tube clamped after administering oral medication is an example of malpractice as it could result in aspiration or improper medication absorption.
D. Documenting communication with a provider in the medical record is standard practice.

A. "Limit your child's potassium intake while she is taking this medication." B. "Repeat the dose if your child vomits within 1 hour after taking the medication." C. "Have your child drink a small glass of water after swallowing the medication." D. "You can add the medication to a half-cup of your child's favorite juice."

Correct Answer is C

Explanation

A. Potassium levels should not be limited while taking digoxin; in fact, maintaining adequate potassium levels is important to prevent digoxin toxicity.
B. This is not recommended because it can lead to an overdose.
C. This helps ensure that the medication is swallowed completely and reduces the risk of irritation to the esophagus.
D. Digoxin should not be mixed with juice or any other liquid as this can affect absorption and cause inconsistent dosing.

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A nurse is preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease?

Nursing Test Bank

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