ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?
Correct Answer: A
Rationale: Breastfeeding stimulates oxytocin, aiding uterine involution and reducing bleeding risk.
Question 2 of 5
The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions?
Correct Answer: B
Rationale: Hydration thins secretions, aiding their removal in pneumonia.
Question 3 of 5
The nurse is caring for a client with acute pancreatitis. After pain management, which intervention should be included in the plan of care?
Correct Answer: A
Rationale: Coughing and deep breathing prevent respiratory complications in pancreatitis.
Question 4 of 5
The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse about how it is determined that a person has AIDS other than a positive HIV test. The nurse responds:
Correct Answer: C
Rationale: AIDS is defined by a CD4 count <200 or opportunistic infections.
Question 5 of 5
What is the primary purpose of using a draw sheet when repositioning a patient in bed?
Correct Answer: A
Rationale: A draw sheet's primary role is to reduce friction and shear forces on a patient's skin during repositioning, preventing irritation or breakdown, especially in immobile patients prone to pressure ulcers. It allows nurses to slide the patient smoothly rather than dragging them, protecting vulnerable areas like the sacrum or heels. Enhancing sleep quality might be an indirect benefit but isn't the main intent it's about physical care, not rest. Monitoring blood pressure is unrelated, as draw sheets aren't diagnostic tools. Aiding wound healing could be a secondary effect by avoiding further skin damage, but prevention of irritation is the immediate goal. This technique is a fundamental nursing skill for maintaining skin integrity.