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. By 2 years of age, the fontanels should be closed, and they should not be palpable.
B. Loss of deciduous teeth typically begins around age 6, not at age 2.
C. A protruding abdomen is a normal finding in a 2-year-old toddler due to the shape of their abdomen.
D. By age 2, the head circumference should be approximately the same as the chest circumference, not larger.

A. Include any adverse effects of the medications the client might develop. B. Compare new prescriptions with the list of medications the client reports. C. Exclude nutritional supplements from the list of medications the client reports. D. Encourage the client to make his own list after he returns to his home.

Correct Answer is B

Explanation

A. While understanding potential adverse effects is important, the focus of medication reconciliation is on confirming the medications the client is currently taking.
B. The nurse should compare new prescriptions with the list of medications the client reports to ensure accuracy and prevent potential interactions.
C. Nutritional supplements should be included in the medication list as they can affect the client’s
treatment and potential drug interactions.
D. The client should provide a current list of medications, not one from home, as the medications they take at the time of admission are most relevant.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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