Basic Care and Comfort NCLEX Questions Already Passed

Basic Care and Comfort NCLEX Questions Already Passed Of the following positions, which one facilitates maximum air exchange? a. Orthopneic b. Trendelenburg c. High Fowler's d. Lithotomy a. Orthopneic This is sitting in a leaning position, which allows for the most lung expansion. After your patient dies, the patient's family gathers at the bedside and asks you to step out while their clergy performs a religious rite for the deceased. As the patient's nurse, what is your most appropriate course of action? a. Educate the family about custody of care and stay in the room b. Allow the ceremony and step out of the room c. Inform the family that religious rites are not allowed d. Allow the ceremony but remain as a witness b. Allow the ceremony and step out of the room Most hospitals do not have a policy that prohibits religious rites at the time of death. Remaining in the room shows disrespect and lack of trust a time of grieving. A patient with a total hip replacement requires certain equipment for recovery. Which of the following will assist the patient with activities of daily living (ADL)? a. TENS unit b. High-seat commode c. Recliner d. Abduction pillow b. High-seat commode This keeps the hip higher than the knee. After a high school athlete sustains a fractured femur during a competition, a full leg plaster cast is applied. When the nurse provides discharge instructions to the athlete and their parents six hours later, which statement by the athlete indicates a need for further education? a. I should walk around on my cast as soon as I get home. b. I will prop my cast on two pillows when I lie down. c. I'll put an ice pack over the cast to relieve itching. d. I should call my doctor if my toes turn blue or become numb. a. I should walk around on my cast as soon as I get home. Plaster casts are made up of a bandage and a hard covering, usually plaster of Paris. Client instructions include: 1) Keep the limb raised on a soft surface for as long as possible in the first few days, this will help decrease swelling. 2) Keep the cast dry; if the plaster gets wet, it weakens and is unable to support the bone. 3) Do not put anything into the cast to relieve itching. A hair dryer on cool or an ice pack over the itchy area can help. 4) Immediately report any pain, tingling, or numbness. When instructing a patient with Addison's disease about nutrition, the healthcare provider should NOT recommend which of the following dietary modifications? a. a restricted-sodium diet b. a client with adequate caloric intake c. a diet high in grains d. a high-protein diet a. a restricted-sodium diet A patient with Addison's disease (adrenal insufficiency) requires normal dietary sodium to maintain electrolyte balance and prevent excess fluid loss. A nurse is caring for a client whose heel has a pressure ulcer covered with intact hard, dry, black tissue. Which is the appropriate dressing for this client? a. do a wet-to-dry dressing change b. cover with sterile gauze c. no dressing is necessary d. apply a hydrocolloid dressing c. no dressing is necessary Current standard of care guidelines recommend that stable, intact (dry, adherent, intact without erythema) eschar on the heels should not be removed. Eschar works as a natural barrier or biological dressing by protecting the wound bed from bacteria. Unless it is wet, draining, or loose, it should remain in place. When a patient's nasogastric (NG) tube stops draining, what is the nurse's first action? a. clamp for 1 hour b. check tube placement c. instill 50 mL of water d. retract 2 inches b. check tube placement ALWAYS verify tube placement before taking other measures. NEVER put anything in an NG tube unless you know that its tip is in the stomach. Clamping has no effect on NG tube placement. Retracting without knowing where the t