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.

Answer and Explanation

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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Correct Answer is B

Explanation

“Tell me what your pain feels like.” This question allows the nurse to assess the quality of pain, which is one of the characteristics of pain that can help determine its cause and treatment. Quality of pain refers to how the client describes the pain, such as sharp, dull, burning, throbbing, etc.

Choice A is wrong because it assesses the intensity of pain, not the quality. Intensity of pain is how much the pain hurts on a scale of 0 to 10 or using other methods.

Choice C is wrong because it assesses the precipitating factors of pain, not the quality. Precipitating factors are events or activities that trigger or worsen the pain.

Choice D is wrong because it assumes a specific quality of pain without asking the client. The nurse should not suggest words to describe the pain, but rather let the client use their own words.

A. 8. B. 20. C. 21. D. 25.

Correct Answer is D

Explanation

The needle gauge size for subcutaneous injections should be between 25 and 31, depending on the patient’s size and the viscosity of the medication.

A smaller gauge number means a larger diameter needle, which can cause more pain and tissue damage.

Choice A is wrong because 8 is too large for subcutaneous injections and can cause bleeding and bruising.

Choice B is wrong because 20 is also too large for subcutaneous injections and can cause similar complications as choice A.

Choice C is wrong because 21 is still too large for subcutaneous injections and can cause discomfort and injury to the patient.

The needle length for subcutaneous injections should be between ½ inch and ⅝ inch, depending on the amount of subcutaneous tissue present. The nurse should pinch the skin and insert the needle at a 45-degree angle to ensure proper delivery of the medication.

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Which intervention should the nurse include while caring for a client who has been diaphoretic for the past six hours?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with pain. What is the best question for the nurse to ask the client about the quality of pain?

Correct Answer is B

Explanation

Which needle gauge should a nurse select when administering a medication subcutaneously?

Correct Answer is D

Explanation

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