The nurse is planning care for the elimination needs of a group of clients. The nurse determines a bedpan will be needed for which client?

An older adult with left sided weakness.

An adult client with enuresis

An adult client with polyuria.

An older adult with a right hip fracture.

Answer and Explanation

The Correct Answer is D

A. An older adult with left sided weakness: This client may require assistance to ambulate or use a bedside commode, but depending on strength and stability, they might still be able to use the toilet with support rather than needing a bedpan.

B. An adult client with enuresis: Enuresis refers to involuntary urination, often during sleep. This condition is not an indication for a bedpan, as the focus would be on continence management rather than assisted toileting.

C. An adult client with polyuria: Increased urine output due to polyuria does not necessarily impair mobility. Unless the client is immobile, they can use a toilet or commode rather than a bedpan.

D. An older adult with a right hip fracture: A hip fracture significantly impairs mobility and weight-bearing ability, making it unsafe to ambulate to the bathroom or commode. A bedpan is typically required until mobility is restored or stabilized.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Have the client sign another form before surgery: The client has already received an opioid medication, which may impair judgment or decision-making capacity. Therefore, any new consent signed under the influence of sedatives would not be legally valid.

B. Call the nearest relative to come in and sign a new form: A relative cannot sign a surgical consent unless the client is deemed legally incompetent or unable to consent. The client is still conscious but medicated, so this step is inappropriate at this stage.

C. Call the healthcare provider (HCP) to have the procedure rescheduled: The discrepancy between the consent form and the surgical site is a serious error. Since the client has received preoperative opioids and cannot provide valid consent, the surgery should be delayed, and the HCP must be notified immediately to address the error and ensure patient safety.

A. Inquire about frequency of administration. B. Recognize sources of confusion for the client. C. Ask the client for any additional questions. D. Demonstrate how the medication will be taken.

Correct Answer is D

Explanation

A. Inquire about frequency of administration: Asking about frequency checks for specific knowledge but does not evaluate comprehensive understanding or the client’s ability to correctly apply the information.

B. Recognize sources of confusion for the client: Identifying confusion helps guide teaching, but it does not directly assess whether the client has understood or can perform the task correctly.

C. Ask the client for any additional questions: This encourages discussion but does not actively measure the client’s retention or ability to use the information effectively.

D. Demonstrate how the medication will be taken: Having the client demonstrate or explain how they will take the medication provides direct evidence of learning and understanding. This return demonstration is the most effective method for evaluating client comprehension.

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The nurse is planning care for the elimination needs of a group of clients. The nurse determines a bedpan will be needed for which client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse in providing teaching to a client who receives a new medication prescription. Which action should the nurse use to evaluate the client's understanding?

Correct Answer is D

Explanation

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