The nurse is caring for a newly admitted client with a diagnosis of pneumonia. The client is in need of a bed bath and a linen change. The nurse's priority action is which of the following?
1. Assess the client's ability to assist with the bath and with movement in bed.
2. Gather all supplies needed for the procedure.
3. Obtain a Hoyer lift to move the client up in bed.
4. Explain all procedures to the client.
1
Rationale: The nurse would assess the client's level of need and ability to perform the bath and move in bed. There is no need to obtain a lift if the client is capable of moving independently. The nurse gathers supplies and explains procedures after assessing the client's needs.
You might also like to view...
When hemodynamic monitoring is ordered for a patient, a catheter is inserted into the appropriate blood vessel or heart chamber
When assessing a patient who has such a device in place, the nurse should check which of the following components? Select all that apply. A) A transducer B) A flush system C) A leveler D) A pressure bag E) An oscillator
Culture and social class usually set precedent for different roles and responsibilities of each family member. The healthiest family is one in which the:
1. father assumes the role as breadwinner. 2. mother assumes the role as homemaker. 3. father or mother shares the roles of breadwinner and homemaker. 4. roles of breadwinner or homemaker can be shifted as needed.
Rape is usually a crime of:
a. lust b. control c. passion d. sexual satisfaction
A newborn is admitted to the neonatal intensive care unit with suspected meconium aspiration. What care should the nurse expect to provide to this client? Select all that apply
1. Dopamine infusion 2. High-pressure ventilation 3. High-level oxygen therapy 4. Surfactant replacement therapy 5. High-volume intravenous fluids