Following surgery, a client expresses concern to the nurse about being able to use the bedpan. After noting that the client's prescribed postoperative activity includes getting up to a chair three times a day, how should the nurse intervene?

Reassure the client that someone will help with positioning on the bedpan.

Encourage the client to use a bedside commode rather than the bedpan.

Explain to the client that the head of the bed can be elevated when using the bedpan.

Offer to position the bedpan on the chair before the client transfers to the chair.

Answer and Explanation

The Correct Answer is B

B. A bedside commode allows the client to sit comfortably and maintain independence while toileting. Using a commode chair near the bed reduces the need for bedpan use and promotes mobility.

A. Reassurance is important, but simply reassuring the client without addressing their specific concerns or providing practical solutions may not fully address the issue.

C. Elevating the head of the bed can help with using the bed pan but does not include the other plan of care as a bedside commode would.

D. While positioning the bedpan on the chair may provide an alternative option for the client, it may not be the most practical solution, especially if the client is able to use the bedpan while in bed.

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Correct Answer is D

Explanation

D. The most appropriate action for the nurse to take is to gather more information about the client's exercise schedule. This will help the nurse assess whether the client's exercise regimen may be contributing to or exacerbating the insomnia. Understanding the timing, intensity, and duration of the client's aerobic workouts can provide insights into potential factors affecting sleep patterns.

A. Advising the client that lifestyle changes often take several weeks to be effective is a valid point. However, it does not directly address the potential impact of exercise timing on sleep.

B. Determining the amount of weight the client has lost since increasing activity may provide useful information about the client's progress with weight loss but does not directly address the issue of difficulty falling asleep.

C. Encouraging the client to exercise every day to eliminate bedtime wakefulness is not necessarily appropriate, as excessive or late-night exercise may exacerbate rather than alleviate bedtime wakefulness in some individuals.

A. Instruct the UAP that a standard face mask is sufficient to be able to provide care for the assigned client. B. Before changing assignments, determine which staff members have fitted particulate filter masks. C. Send the UAP to be fitted for a particulate filter mask immediately so she can provide care to this client. D. Advise the UAP to wear a standard face mask to obtain vital signs, and then get fitted for a filter mask before providing personal care.

Correct Answer is B

Explanation

B. In this scenario, the nurse should ensure that the UAP is appropriately protected before assigning them to care for a client on droplet precautions for bacterial meningitis. Particulate filter masks are necessary to prevent transmission of respiratory droplets, which can carry infectious agents like the bacteria causing meningitis.

A. Droplet precautions typically require the use of a standard surgical mask or face mask to prevent transmission of respiratory droplets. However, bacterial meningitis is a serious infectious disease, and additional precautions may be necessary.

C. This may not be immediately feasible or necessary to send the UAP for fitting before providing care to the client. The nurse should prioritize providing care while ensuring appropriate precautions are followed.

D. Obtaining client’s vitals also involve close contact with the client and necessary precautions should be taken even t this point.

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Following surgery, a client expresses concern to the nurse about being able to use the bedpan. After noting that the client's prescribed postoperative activity includes getting up to a chair three times a day, how should the nurse intervene?

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Naxlex Comprehensive Predictor Exams

A client tells the nurse about starting an aerobic workout program to lose weight and help with insomnia. The client states that it still takes over an hour to fall asleep at night. Which action should the nurse implement?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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