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What is the nurse's rationale - promote relaxation
for providing a back - relieves muscular tension
massage? - decreases anxiety
select all that apply
- promote relaxation
- reduces circulation
- relieves muscular tension
- decreases anxiety
- increases range of motion
The nurse enters the d) recognizing cues
client's room to perform
morning care and identifies
that the client is holding
their left hip and
moaning. What element
of clinical
judgement does this represent?
a) taking action
b) prioritizing hypothesis
c) evaluation
d) recognizing cues
Which of the following b) cover mouth or nose when sneezing or coughing
techniques will control or
help eliminate reservoirs
and break the chain of
infection?
a) place soiled linen in
mositure-resistant bag
b) cover mouth or nose
when sneezing or
,coughing
c) sterilize equipment
soiled with body fluids
d) maintaining immunization
schedules
Which nursing action is a) perform each movement to the clients affected joint one time
correct when providing during session
passive range of motion
exercise?
a) perform each movement
to the clients affected
joint one time during
session
b) begin exercises as soon
as the clients ability to
move the extremity is
diminished
c) exercise the clients
affected joint beyond
the point of
resistance
d) perform quick movement
to the client s affected
extremity
,While repositioning a client in d) put on clean non-sterile gloves
bed, the
nurse notices a raised rash
with open areas on the
client's upper back and
chest. Prior to further
inspection, what should the
nurse do?
a) assess to see if client has
fever
b) put on mask with face shield
c) ask client if they have any
allergies
d) put on clean non-sterile
gloves
Which action demonstrates c) keep the client covered for privacy and warmth
best practice when making
an occupied bed?
a) raise the side rail on the
side of the bed the nurse
is working on
b) position the client in the
centre of the bed
throughou tthe procedure
for safety
c) keep the client covered
for privacy and warmth
d) remove all dirty linen
from bed prior to placing
clean linen on the bed
Which factor most b) poor nutrition, moisture and immobility
contribute to pressure
ulcer formation?
a) increased age, increased
hydration and immobility
b) poor nutrition, moisture and
immobility
c) poor nutrition, pain and
mobility
d) increased age, dry skin
, and decreased hydration
The nurse arrives to client c) return the client to supine position in bed and try to ambulate
room to the client again later
ambulate the client for
the first time in several
days. The client
complains of dizziness
when standing at the side of
the bed. What should you
do?
a) encourage the client to
take a few steps in
knowing that the dizziness
with pass
b) have the client take a
deep breath in through
their nose and out through
their mouth
c) return the client to
supine position in bed and
try to ambulate the client
again later
d) have client sit back down
on the side of the bed until
dizziness passes