A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?

Correct Answer: A

Rationale: Rationale: A nurse should plan to pull the curtain around the client's bed to ensure privacy and maintain dignity during the bathing process. This step promotes the client's comfort and helps maintain their sense of autonomy. It also creates a safe and respectful environment for the client. Washing the client's arms and hands first (B) is not the correct initial step as privacy and dignity should be prioritized. Using a washcloth to wipe the client's eyes from the outer canthus to the inner canthus (C) is incorrect as this can introduce bacteria into the eyes. Filling the bath basin with tap water at a specific temperature (D) is not the initial action to ensure privacy and dignity.

Correct Answer: A

Rationale: The correct answer is A: Use straight catheter. In a coma patient, using a straight catheter is more appropriate because it is a temporary solution for relieving urinary retention without the risks associated with leaving an indwelling catheter in place long-term. Indwelling catheters can increase the risk of infection and discomfort, especially in comatose patients who may not be able to communicate any issues. Additionally, straight catheters are less invasive and can be used as needed, reducing the risk of complications and promoting better patient outcomes.

Correct Answer: A

Rationale: The correct answer is A because playing outside helps boost the child's immune system, increasing resistance to illnesses. Exposure to fresh air and sunlight also promotes overall well-being. Choice B is incorrect as outdoor play is beneficial for health. Choices C and D are incomplete and irrelevant.

Correct Answer: B

Rationale: The correct answer is B: Sustained pressure. Bed sores, also known as pressure ulcers, develop due to prolonged pressure on the skin that hinders blood flow, leading to tissue damage. The constant pressure restricts oxygen and nutrients to the affected area, causing the skin and underlying tissues to break down. This can happen when a person remains in one position for an extended period, such as when lying in bed or sitting in a wheelchair. Infection (choice A) can occur as a complication of bed sores, but it is not the immediate cause. Choices C and D are incomplete and do not provide a logical explanation for the development of bed sores.

Correct Answer: A

Rationale: The correct answer is A: allow abduction. After a hip replacement surgery, allowing abduction (movement of the leg away from the midline of the body) is important to prevent dislocation of the new hip joint. Abduction helps maintain stability and proper alignment of the hip joint. Adduction (movement of the leg towards the midline) should be limited to prevent strain on the new hip joint. Choice B is incorrect because adduction can increase the risk of hip dislocation post-surgery. Choices C and D are not provided, but they would be incorrect as they are not relevant to the correct management of a hip replacement.