Basic Care and Comfort 2

Question 1

A nurse is caring for a client who has been on bed rest for 5 days. Which intervention is the highest priority to prevent complications?

Accepted Answer

Reposition the client every 2 hours

Answer

Encourage the client to perform active range-of-motion exercises

Answer

Apply sequential compression devices to the lower extremities

Answer

Encourage fluid intake of at least 2,000 mL per day

Question 2

A nurse is assisting a post-operative client with the first ambulation after hip replacement surgery. Which action should the nurse take first?

Accepted Answer

Have the client dangle legs at the side of the bed

Answer

Assist the client to a standing position at the bedside

Answer

Apply a gait belt around the client's waist

Answer

Ensure non-slip footwear is on the client

Question 3

A nurse is caring for a client receiving nasogastric tube feedings. Which action should the nurse take before initiating the feeding?

Accepted Answer

Verify tube placement by checking gastric pH

Answer

Warm the formula to body temperature

Answer

Flush the tube with 30 mL of sterile water

Answer

Raise the head of the bed to 30-45 degrees

Question 4

A nurse is providing oral hygiene for an unconscious client. Which action is most important to prevent aspiration?

Accepted Answer

Position the client in a lateral (side-lying) position

Answer

Use a soft-bristled toothbrush

Answer

Use a small amount of toothpaste

Answer

Suction the oral cavity before beginning care

Question 5

A nurse is assessing a client for pain using a numeric rating scale. The client rates their pain as 8 out of 10. Which intervention should the nurse implement first?

Accepted Answer

Administer the prescribed analgesic medication

Answer

Notify the healthcare provider of the pain rating

Answer

Offer the client a non-pharmacological comfort measure

Answer

Ask the client to describe the quality of the pain

Question 6

A nurse is caring for a client with a urinary catheter in place for 3 days. The client asks why the catheter tubing must always be positioned below the level of the bladder. What is the best explanation?

Accepted Answer

It allows urine to drain by gravity and prevents backflow

Answer

It prevents the catheter from becoming dislodged

Answer

It reduces the risk of catheter-associated pressure injuries

Answer

It keeps the drainage bag sterile