Which intervention should the nurse include while caring for a client who has been diaphoretic for the past six hours?
Offering the client a bedpan every three hours.
Keeping an emesis basin near the bedside.
Providing oral care every four hours.
Changing the bed linens frequently.
The Correct Answer is D
This is because a client who has been diaphoretic for the past six hours is likely to have wet and uncomfortable bed linens that can cause skin breakdown and infection. Changing the bed linens frequently can help keep the client dry and comfortable.
Choice A is wrong because offering the client a bedpan every three hours is not related to diaphoresis and may not meet the client’s elimination needs.
Choice B is wrong because keeping an emesis basin near the bedside is not related to diaphoresis and may not be necessary unless the client has nausea or vomiting.
Choice C is wrong because providing oral care every four hours is not enough to prevent dehydration and dry mouth in a client who has been diaphoretic for the past six hours. The client may need more frequent oral care and fluid intake.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Decreased sensory acuity. This is a physiological change that occurs in elderly people due to the reduced function of the sensory organs, such as the eyes, ears, nose, tongue, and skin. Elderly people may experience impaired vision, hearing loss, reduced smell and taste, and decreased touch sensitivity.
Choice A is wrong because diminished attention span is not a normal physiological change in elderly people. It may be a sign of cognitive impairment or dementia.
Choice C is wrong because the increased need for rest is not a normal physiological change in elderly people. It may be a sign of fatigue, depression, or medical conditions.
Choice D is wrong because enhanced intestinal motility is not a normal physiological change in elderly people. It may be a sign of gastrointestinal disorders or infections.
Correct Answer is B
Explanation
Palms, soles and nails.
Melanoma is a type of skin cancer that can develop in any color skin, including dark or black skin.
However, melanoma on dark skin is not related to sun exposure and can start in places that get little sun. That includes the palms of your hands, soles of your feet, nails, and inside your mouth, anal, and genital areas.
Choice A is wrong because eyes, ears, lips, and scalp are not common areas for melanoma in people of color.
Choice C is wrong because head, neck and trunk are more likely to be affected by sun exposure and other types of skin cancer than melanoma in people of color.
Choice D is wrong because lower legs and back are also more exposed to sun and other types of skin cancer than melanoma in people of color.
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