Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What should the nurse encourage to prevent constipation in a client on bedrest?
✔✔Increase fluid intake and dietary fiber.
What is the most effective way to prevent the spread of infection?
✔✔Perform proper hand hygiene.
What should the nurse do if a client’s urinary catheter becomes disconnected from the drainage
bag?
✔✔Replace with a new sterile drainage system.
What is the purpose of dangling a client’s legs at the bedside before standing?
✔✔Prevent dizziness and orthostatic hypotension.
How should the nurse clean a client’s dentures?
✔✔Brush them gently over a sink lined with a towel or filled with water.
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,What is the correct placement of a blood pressure cuff?
✔✔Around the upper arm with the bladder centered over the brachial artery.
What is the priority action after a client falls in the hallway?
✔✔Assess the client for injury.
What is the safest water temperature for bathing a client?
✔✔Approximately 100°F (37.8°C).
How should the nurse measure liquid oral medication?
✔✔At eye level using the meniscus on the measuring cup.
What is the recommended position for a client receiving an enema?
✔✔Left side-lying with right knee flexed (Sims’ position).
What is the first action if a client’s IV site is red and swollen?
✔✔Stop the infusion.
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, What should the nurse do before assisting a client with ambulation after surgery?
✔✔Assess the client’s strength and stability.
What is the best method to confirm placement of a nasogastric tube before feeding?
✔✔Check gastric contents and pH.
What is the most important action for the nurse before administering a blood transfusion?
✔✔Verify the client’s identity and blood product with another licensed nurse.
How often should the nurse turn a bedridden client to prevent pressure injuries?
✔✔At least every 2 hours.
What is the correct angle for administering a subcutaneous injection?
✔✔45 to 90 degrees depending on the client’s size.
What should the nurse do first if a client receiving oxygen by nasal cannula becomes short of
breath?
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