The nurse encourages the 84-year-old patient who is recovering from a hip replacement to:
Keep the bed flat to aid in lung expansion.
Cough frequently to make up for the loss of cilia.
Encourage bed rest.
Restrict fluid to prevent pulmonary congestion.
The Correct Answer is B
Choice A rationale
Keeping the bed flat does not necessarily aid lung expansion and can sometimes increase the risk of aspiration in patients with compromised mobility or cognition.
Choice B rationale
Encouraging the patient to cough frequently helps clear secretions from the lungs, compensating for the diminished function of cilia in elderly patients.
Choice C rationale
Encouraging bed rest can lead to complications such as muscle atrophy, decreased lung capacity, and increased risk of pressure ulcers in elderly patients.
Choice D rationale
Restricting fluid intake to prevent pulmonary congestion is not generally recommended unless there is a specific medical condition requiring fluid restriction, as adequate hydration is vital for overall health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Washing hands for 10 seconds is insufficient for effectively removing germs and contaminants from the skin.
Choice B rationale
Washing hands for 1 minute ensures thorough cleaning but might be longer than necessary for routine hand hygiene in many healthcare settings.
Choice C rationale
Washing hands for 2 minutes is recommended at the beginning of a shift to ensure comprehensive removal of any contaminants present on the hands.
Choice D rationale
Washing hands for 15 seconds is more suitable for routine handwashing but not for the initial handwashing at the beginning of the shift, which requires more thorough cleaning. .
Correct Answer is C
Explanation
Choice A rationale
Hydrogen peroxide is a disinfectant but not the best agent for cleaning blood spills because it is less effective against a wide range of pathogens found in blood.
Choice B rationale
Isopropyl alcohol is effective against many pathogens but is not recommended for cleaning blood spills as it may not completely eliminate bloodborne pathogens.
Choice C rationale
Chlorine (bleach) is recommended for cleaning blood spills because it is highly effective against a wide range of pathogens, including bloodborne viruses like HIV and hepatitis.
Choice D rationale
Triclosan is an antibacterial agent used in some cleaning products but is not effective against viruses and is therefore not recommended for cleaning blood spills.
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