The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?

Tell the patient “close your eyes.”

Ask the family to leave the room.

Turn on the television.

Explain the procedure.

Answer and Explanation

The Correct Answer is D

A. Telling the patient to close their eyes may not alleviate their anxiety and does not provide comfort or education.

B. Asking the family to leave could increase the patient's anxiety, especially if the family provides emotional support.

C. Turning on the television may distract the patient, but it doesn't address their anxiety.

D. Explaining the procedure helps reduce anxiety by informing the patient about what to expect, which promotes trust and understanding.

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Correct Answer is C

Explanation

A. The head of the bed should be elevated no more than 30° to prevent shearing forces on the skin.

B. Baby powder can cause dryness and irritation rather than protecting the skin.

C. Lifting rather than pulling reduces the risk of friction and shearing forces, which can lead to skin breakdown and pressure ulcers.

D. Massaging reddened skin over bony prominences can damage already compromised tissue and increase the risk of pressure ulcers.

A. "It might take up to 3 days for the medication to work.” B. “I will take the medication for diarrhea.” C. “I can take this medication along with mineral oil" D. "I should drink 4 ounces of water when I take the medication.”

Correct Answer is A

Explanation

A. Docusate sodium is a stool softener, and it may take 1-3 days to produce a bowel movement, so this statement reflects proper understanding.

B. Docusate is used to prevent constipation, not treat diarrhea, so this statement is incorrect.

C. Taking docusate sodium with mineral oil can increase the risk of absorption of mineral oil into the system, which is harmful, so this combination should be avoided.

D. The client should drink plenty of fluids, around 8 ounces or more, to help soften the stool.

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The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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