A nurse is assisting a client with his bed bath. The client states, "I can do it myself." The nurse's best response is
A) "I really have limited time. Let me give you your bath right now."
B) "I will set up your bath for you. I will come back and help you with your back."
C) "You will need to sit up for your bath, and then I will change your bed."
D) "You will be able to take your bath by yourself tomorrow when you can get up."
Ans: B
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An older patient is diagnosed with cardiovascular disease. Which factors that can contribute to frailty should the nurse include when planning care for this patient? Standard Text: Select all that apply
1. Risk for dehydration 2. Electrolyte imbalance 3. Digestive abnormalities 4. Fatigue and activity intolerance 5. Multiple prescribed medications
When teaching a woman about the use of a diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size:
1. Every five years routinely. 2. When weight gain or loss beyond five pounds has occurred. 3. After each birth. 4. Only after significant weight loss.
When the nurse observes slight bruising on the client's left thigh during the bed bath, he takes a closer look and palpates a lump on the anterior surface of the thigh. The nurse has used the bath activity for:
A) assessment of tissues. B) increasing circulation. C) promotion of conversation. D) relaxation of muscles.
What assessment data would indicate the onset of thrombotic complication?
A. Frothy pink sputum B. Chest pain and dyspnea C. Wheezing and stridor D. Sudden high fever