Which assessment finding is most important when planning to provide a complete bed bath to a bedfast client?

2+ pitting edema of the feet.

Pallor.

Orthopnea.

Right-sided paralysis.

Answer and Explanation

The Correct Answer is C

A.   2+ pitting edema of the feet. While edema requires monitoring and may necessitate some adjustments in care, it does not directly impact the ability to provide a bed bath.
B.   Pallor. Pallor indicates potential anemia or poor circulation but does not directly impact the provision of a bed bath.

C.   Orthopnea. Orthopnea, difficulty breathing when lying flat, is critical to consider when planning a bed bath. The client may need to be positioned with the head elevated to facilitate breathing and ensure comfort during the bath.
D.   Right-sided paralysis. Paralysis requires careful handling to prevent injury, but it is not as

immediately critical to the bathing process as orthopnea, which directly affects the client's ability to breathe comfortably.

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Correct Answer is A

Explanation

A. Fluid volume deficit. Gastroenteritis, characterized by fever, chills, anorexia, and diarrhea, can lead to significant fluid loss, especially in an older adult who may already have compromised fluid balance due to other factors such as stroke-related immobility. Fluid volume deficit is a critical problem that requires immediate attention to prevent complications such as hypovolemic shock.
B. Bowel incontinence. While bowel incontinence is a concern, it is not as immediately life- threatening as fluid volume deficit.
C. Caregiver role strain. While important for the client's overall well-being, caregiver role strain is a secondary concern compared to the client's physiological needs.
D. Impaired bed mobility. Impaired bed mobility is a long-term issue that requires attention but is not as urgent as addressing the immediate physiological needs of fluid volume deficit.

A. Improved visual acuity. B. Granulating tissue in foot ulcer. C. Full volume of pedal pulses. D. Reduced level of pain.

Correct Answer is D

Explanation

A. Improved visual acuity.
Pregabalin does not affect visual acuity. This medication is primarily used to manage neuropathic pain.

B. Granulating tissue in foot ulcer.
While important, this is not directly related to the effectiveness of pregabalin, which is prescribed for neuropathic pain, not wound healing.

C. Full volume of pedal pulses.
This reflects peripheral circulation but is not an indicator of the effectiveness of pregabalin for neuropathic pain.

D. Reduced level of pain.
This is the correct answer because pregabalin is used to treat neuropathic pain associated with diabetic peripheral neuropathy, and a reduction in pain indicates the medication is effective.

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Which assessment finding is most important when planning to provide a complete bed bath to a bedfast client?

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A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days. Which finding indicates to the nurse that the medication is effective?

Correct Answer is D

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