When examining the client's abdomen, the nurse will most facilitate the examination by positioning the client in which of the following ways?

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Question 1 of 5

When examining the client's abdomen, the nurse will most facilitate the examination by positioning the client in which of the following ways?

Correct Answer: A

Rationale: Supine with pillows under knees and head relaxes abdominal muscles, aiding examination, unlike semi-Fowler's, sitting, or arms-up positions. Nurses use this for effective assessment.

Question 2 of 5

You are caring for a client who has just returned from surgery and has received intravenous morphine minutes before leaving the recovery room. You need to assess the client's pain now and again at which of the following times?

Correct Answer: A

Rationale: Post-morphine pain assessment at 20-30 minutes evaluates peak effect, critical post-surgery. Later checks miss this window. Nurses time this for efficacy.

Question 3 of 5

Your assigned client seems to be getting a lot of attention from his mother when he complains of pain. The mother may be encouraging which of the following types of gains?

Correct Answer: B

Rationale: Maternal attention for pain suggests secondary gains external benefits beyond primary relief or other gains. Nurses address this in behavioral pain management.

Question 4 of 5

Which assessment finding indicates a potential complication of immobility related to the respiratory system?

Correct Answer: C

Rationale: Diminished breath sounds signal a respiratory complication from immobility, suggesting poor ventilation or issues like atelectasis or pneumonia due to shallow breathing. Stronger muscles or expanded lungs indicate healthy function, not problems, while a normal breathing rate doesn't reveal underlying lung issues. Nurses auscultate for this to detect early respiratory decline, prompting interventions like repositioning or breathing exercises, ensuring timely action to safeguard oxygenation in immobile patients.

Question 5 of 5

Which intervention is important in preventing pressure ulcers in immobilized patients?

Correct Answer: A

Rationale: Frequent repositioning prevents pressure ulcers in immobilized patients by relieving pressure on skin over bones, boosting circulation, and reducing tissue breakdown risk. Sustaining or promoting immobility heightens this risk, as does tight dressings that add pressure and impair blood flow. Nurses implement this intervention shifting positions every two hours, for instance to protect skin integrity, a fundamental strategy in caring for those unable to move independently, prioritizing prevention over reactive treatment.

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