Basic Care and Comfort NCLEX RN

Basic Care and Comfort NCLEX RN Related

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A client has just returned from a cardiac catheterization with access via the femoral artery. Which position or activity should the nurse anticipate the health care provider will order for this client?

  • A. bed rest with bathroom privileges
  • B. bed rest with head of bed at 45 degrees
  • C. ambulation to prevent blood clot formation
  • D. bed rest with head of bed at 30 degrees or less
  • E. up to chair with assistance if the client is steady on his feet
Correct Answer: D

Rationale: Bed rest with the head of the bed at 30 degrees or less keeps the femoral artery access site stable, reducing the risk of bleeding or hematoma formation.

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The nurse is providing dietary instruction to a client with diabetes who has normal kidney function. Which statement by the client requires intervention by the nurse?

  • A. I should limit cholesterol intake to 200 mg/day.
  • B. I should eat very low or no carbohydrates when possible.
  • C. My protein intake should be 15% to 20% of my daily calories.
  • D. Fiber will improve my carbohydrate metabolism and lower cholesterol.
Correct Answer: B

Rationale: Very low or no carbohydrate intake is not recommended for diabetes management, as carbohydrates are essential for energy and blood sugar control. The other statements align with standard diabetic dietary guidelines.

The nurse is caring for a client with COPD who complains of poor quality of sleep. Which question should the nurse ask next?

  • A. Does your partner snore heavily?
  • B. Do you get exercise during the day?
  • C. How many pillows do you sleep on?
  • D. Do you eat large meals right before bed?
Correct Answer: C

Rationale: COPD clients often sleep upright with multiple pillows to ease breathing, impacting sleep quality, so asking about pillow use (C) is relevant. Other questions (A, B, D) are less specific to COPD-related sleep issues.

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