The nurse assists the client back to bed from the bedside commode. What is the most important action the nurse can take to assure client safety prior to leaving the room?
Make sure the bed is low, locked, and call light in reach of patient
Ask the client if they have ordered their dinner
Educate the client on the surgical procedure they are scheduled for in the morning
Check that the client is wearing non-skid socks while in bed
The Correct Answer is A
A. Make sure the bed is low, locked, and the call light is in reach of the patient:
This action is crucial for preventing falls. A low bed reduces the risk of injury if the client were to accidentally fall. Locking the bed prevents unintended movement, and ensuring the call light is within reach allows the client to call for assistance if needed.
B. Ask the client if they have ordered their dinner:
While nutrition is important, it is not the immediate priority after assisting the client back to bed. Safety measures should be addressed first.
C. Educate the client on the surgical procedure they are scheduled for in the morning:
While pre-operative education is important, it is not the immediate concern after assisting the client back to bed. Safety measures for the current situation take precedence.
D. Check that the client is wearing non-skid socks while in bed:
While wearing non-skid socks is a safety measure, ensuring the bed is low, locked, and the call light is accessible is a more immediate and critical action after assisting the client back to bed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Palpation:
Palpation involves using the hands to feel for tenderness, masses, or abnormalities in the abdomen. It is typically performed after auscultation. This helps prevent stimulating bowel activity before listening to bowel sounds.
B. The order does not matter:
In the context of abdominal assessment, the order does matter. Following a specific sequence, such as inspection, auscultation, palpation, and then percussion, is recommended to ensure a comprehensive and accurate assessment.
C. Auscultation:
Auscultation involves listening to bowel sounds using a stethoscope. It is the next step after inspection. Listening to bowel sounds before palpation helps avoid artificially stimulating bowel activity.
D. Percussion:
Percussion involves tapping the abdomen to assess for the presence of fluid or air. While less commonly performed in routine abdominal assessments, it is usually the last technique after inspection, auscultation, and palpation.
Correct Answer is A
Explanation
A. Make sure the bed is low, locked, and the call light is in reach of the patient:
This action is crucial for preventing falls. A low bed reduces the risk of injury if the client were to accidentally fall. Locking the bed prevents unintended movement, and ensuring the call light is within reach allows the client to call for assistance if needed.
B. Ask the client if they have ordered their dinner:
While nutrition is important, it is not the immediate priority after assisting the client back to bed. Safety measures should be addressed first.
C. Educate the client on the surgical procedure they are scheduled for in the morning:
While pre-operative education is important, it is not the immediate concern after assisting the client back to bed. Safety measures for the current situation take precedence.
D. Check that the client is wearing non-skid socks while in bed:
While wearing non-skid socks is a safety measure, ensuring the bed is low, locked, and the call light is accessible is a more immediate and critical action after assisting the client back to bed.
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