Basic Care and Comfort RN Quiz

Basic Care and Comfort RN Quiz Related

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The nurse is caring for a client with deep vein thrombosis (DVT). Which should be included in the plan of care?

  • A. bed rest with the affected extremity elevated
  • B. bed rest with the bed in reverse Trendelenburg
  • C. walking slowly in the hall with assistance to prevent pneumonia
  • D. sitting up in the chair for all meals and during visitation time
Correct Answer: A

Rationale: Bed rest with the affected extremity elevated (A) reduces swelling and clot dislodgement risk in DVT. Reverse Trendelenburg (B) is unrelated, and mobility (C, D) increases embolism risk during acute phase.

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The nurse is caring for a client who just had a laparoscopic appendectomy. The client tells the nurse that she does not want 'drugs' for pain management, but prefers alternative therapy and/or complementary therapy. Which is the best response by the nurse?

  • A. I know of some herbs and supplements that you can take to manage the pain.
  • B. Tell me what works for you, and I will see what we can provide for your comfort.
  • C. We use real medicine here in the hospital, so I will bring you hydrocodone for pain when you need it.
  • D. Yoga always relaxes me. I will get you a foam mat from physical therapy so you can practice when you want.
Correct Answer: B

Rationale: This response respects the client's preferences, promotes a therapeutic relationship, and explores safe, hospital-approved alternative therapies tailored to the client.

The nurse is caring for a client who refuses to get out of bed. He tells the nurse, 'I'm too tired to get up. I'm sick. I'm supposed to rest in the hospital.' For which complications of immobility does the nurse understand that the client is at risk? Select all that apply.

  • A. decreased appetite
  • B. urinary tract infection
  • C. orthostatic hypotension
  • D. muscular atrophy and foot drop
  • E. boredom, frustration, and anxiety
  • F. increased length of hospitalization
Correct Answer: B,C,D,F

Rationale: Immobility increases risk for urinary tract infection (B), orthostatic hypotension (C), muscular atrophy/foot drop (D), and prolonged hospitalization (F). Appetite (A) and emotions (E) are less directly related.

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