A client with a suspected kidney infection is admitted to the hospital for observation. Which action should the nurse implement to assess the client's kidney function?

Correct Answer: A

Rationale: Monitoring urine output is the most direct way to assess kidney function as it provides crucial information about the kidneys' ability to filter waste and produce urine. Changes in urine output can indicate potential issues with kidney function, such as decreased filtration or impaired excretion of waste products.

Correct Answer: C

Rationale: The presence of numerous scatter rugs throughout the house poses a significant safety hazard to the client who is ambulating with a quad cane. These rugs increase the risk of tripping and falling, making it the most critical finding that needs immediate attention to prevent potential injuries and ensure the client's safety during ambulation.

Correct Answer: D

Rationale: In the context of nursing practice and infection control, the correct answer is option D) Emptying the urinary catheter drainage bag for a client with Alzheimer's disease. Wearing barrier gloves during this task is essential because it involves contact with bodily fluids, which can potentially harbor pathogens that may be transmitted to the nurse or other individuals if proper precautions are not taken. Option A) Removing the empty food tray from a client with a urinary catheter does not require the use of barrier gloves unless there is a spill or contamination with bodily fluids. Washing and combing the hair of a client with a fractured leg in traction (option B) does not involve direct contact with bodily fluids that necessitate barrier gloves. Administering oral medications to a cooperative client with a wound infection (option C) also does not require barrier gloves unless there is a risk of exposure to contaminated fluids. In the educational context of nursing fundamentals, understanding and adhering to Standard Precautions, including the use of barrier protection like gloves, is crucial to prevent the spread of infections in healthcare settings. Nurses must always assess the level of risk involved in each care task to determine the appropriate use of personal protective equipment, ensuring the safety of both themselves and their patients.

Correct Answer: C

Rationale: When a client is on contact precautions due to an infected draining wound, it is important to prevent contact with wound secretions. Therefore, disposing of soiled dressings in securely closed plastic bags helps contain and prevent the spread of infectious material, reducing the risk of transmission to others in the household.

Correct Answer: D

Rationale: In this scenario, the correct action for the nurse to include when making the bed of a client who needs a bed cradle is to drape the top sheet and covers loosely over the bed cradle (Option D). This is important because the bed cradle is used to keep the weight of the top linens off the client's lower extremities, providing comfort and preventing pressure ulcers. Option A is incorrect as teaching the client to call for help before getting out of bed is important for safety but not directly related to bed making with a bed cradle. Option B is incorrect because keeping both the upper and lower side rails in a raised position is not necessary when using a bed cradle. Option C is also incorrect as keeping the bed in the lowest position while changing the sheets does not directly address the specific need of accommodating a bed cradle. Educationally, understanding the purpose and proper use of bed cradles in caring for clients is essential for nursing students. It ensures they provide appropriate and individualized care to clients with specific needs, promoting comfort and preventing complications associated with immobility. Learning these details enhances students' clinical skills and critical thinking in executing nursing interventions effectively.