The nurse is assisting a client who has a fractured left hip to turn in bed. The client has been laying in the supine position for 2 hours. How should the nurse reposition the client?

Turn client to the right.

Clients with hip fractures cannot be turned.

Keep client supine.

Reposition client to the left.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. When assisting a client with a fractured hip to turn in bed, the nurse should plan to turn the client to the unaffected side, which is the right side. This helps to reduce pressure on the affected hip, minimize discomfort, and prevent further injury. Clients with hip fractures (choice B) can and should be turned with proper positioning and assistance. Keeping the client supine (choice C) for extended periods can lead to pressure ulcers, discomfort, and other complications. Repositioning the client to the left side (choice D) can cause additional pressure and discomfort on the affected hip. Therefore, turning the client to the right is the best option for repositioning a client with a fractured left hip who has been lying in the supine position for an extended period.

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Correct Answer is D

Explanation

The correct answer is choice D. Identify the five major drug side effects before discharge tomorrow. This is a measurable goal as it has a specific action, which is to identify five major drug side effects, and a specific time frame, which is before discharge tomorrow. The goal is also realistic and achievable within the given time frame. Option A, sitting out of bed in the chair, is not specific enough and lacks a time frame. Option B, verbalizing feelings about surgery at some point, is too vague and lacks a specific action and time frame. Option C, eating low-sodium food, is specific but lacks a time frame and may not be realistic given the client's condition.

A. Abdominal sounds and colonoscopy. B. Bowel sounds and obtain a stool specimen. C. Abdominal inspection and kidney, bowel, and ureter x-ray. D. Bowel palpation and abdominal x-ray.

Correct Answer is B

Explanation

The correct answer is choice B: Bowel sounds and obtain a stool specimen.

When a client presents with abdominal cramping and persistent diarrhea, obtaining a stool specimen is the first priority to determine the cause of the diarrhea. The stool specimen can be sent to the laboratory for analysis to check for the presence of bacteria, viruses, or parasites. The nurse should also assess bowel sounds as part of the client's abdominal assessment to monitor for any changes in bowel motility. The other options listed are not the first priority in this situation and may be ordered after the cause of the diarrhea has been determined.

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The nurse is assisting a client who has a fractured left hip to turn in bed. The client has been laying in the supine position for 2 hours. How should the nurse reposition the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the best example of a measurable client goal? The clientwill:

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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