A student nurse has to open a bed for a client. What is the rationale for the student nurse to turn the bedspread down from the top, and fold it around and over the top edge of the blanket and then fold the sheet over the top of the blanket and
spread? A) Vital to prevent falls
B) Helping the person into bed is easier
C) Makes it easier for the client to handle the bedclothes
D) Shows the client that the bed is ready
C
Feedback:
Turning the bedspread down from the top protects the blanket, keeps the rougher blanket away from the client's skin, and makes it easier for the client to handle the bedclothes.
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A) Obtain a swab for culture. B) Assess the characteristics of the lesion. C) Obtain a swab for pH testing. D) Apply a test dose of broad-spectrum topical antibiotic.
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A nurse is recovering a client who has undergone surgical repair of an abdominal aortic aneurysm (AAA). The client develops coolness of the extremities and reports a bloated feeling in the abdomen. What is the nurse's best action?
a. Measure the abdominal girth and check pulses. b. Raise the head of the bed to 90 degrees. c. Assess cardiac output and blood pressure. d. Auscultate and then palpate the abdomen.