The nurse will be assisting the client to walk. What should the nurse do first?
Assist the client to a sitting position at the side of the bed
Determine the client's strength, coordination, and activity tolerance
Help the client into a standing position
Ask another nurse for assistance
The Correct Answer is B
B. Such an assessment helps in determining the level of assistance the client will need and ensures the safety of both the client and the nurse.
A. Helping the client to sit at the edge of the bed allows them to acclimate to being upright, assess their readiness to stand, and ensures their safety before attempting to walk. However, it is not the priority.
C. After assisting the client to a sitting position at the edge of the bed and assessing their readiness, the nurse can proceed to help the client into a standing position. However, it is not the priority.
D. This option may be necessary if the client requires two-person assistance due to their condition, mobility status, or safety concerns. However, asking for assistance typically comes after assessing the client's readiness and ensuring they are positioned correctly for ambulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B Leaning away from the client can convey disinterest, distraction, or a lack of engagement. It creates physical distance and may inhibit the client from feeling heard or valued. Thus, leaning away from the client can be a barrier to active listening as it diminishes the nurse's ability to fully attend to and understand the client's message.
A. An open posture, where the nurse's body is facing the client with arms uncrossed and relaxed, signals openness and receptivity. It encourages communication and shows the client that the nurse is engaged and attentive. Therefore, an open posture promotes active listening rather than serving as a barrier.
C. Eye contact is essential for effective communication and active listening. It demonstrates attentiveness, interest, and respect. Establishing eye contact helps the nurse to connect with the client and encourages them to continue sharing their thoughts and feelings. Therefore, eye contact supports active listening rather than hindering it.
D. Sitting squarely facing the client promotes engagement and shows that the nurse is focused on the client. It facilitates direct communication and helps the nurse to observe the client's nonverbal cues effectively. This posture encourages open dialogue and supports active listening rather than acting as a barrier.
Correct Answer is B
Explanation
B. Drug absorption refers to the process by which a drug moves from its site of administration into the bloodstream. Once absorbed into the bloodstream (systemic circulation), drugs can distribute to various tissues and exert their therapeutic effects.
A. Different routes of drug administration affect the rate and extent of absorption. Subcutaneous injections are generally absorbed more quickly than intramuscular injections due to differences in blood flow and tissue characteristics.
C. The effect of meals on drug absorption varies depending on the specific medication. Some drugs are absorbed faster on an empty stomach, while others may be absorbed better with food.
D. Mucous membranes, contrary to the statement, are relatively permeable to drugs, allowing for rapid absorption when medications are administered via buccal, sublingual, rectal, or vaginal routes.
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