Which of the following describes a 'comfort zone'?

Question 1 of 5

A. The area where closeness is not required during nursing care. B. The area that encompasses up to 5 to 7 feet from the client. C. The area that,when intruded upon does not create any kind of anxiety. D. The area where a client is well draped.

Correct Answer: B

Rationale: A comfort zone typically refers to the personal space around an individual, which varies but generally extends up to 5-7 feet.

Question 2 of 5

The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that:

A. The client should remain on bed rest in a semi-Fowler's position. B. The client should alternate ambulation with bed rest with legs elevated. C. The client may ambulate and sit in chair as tolerated. D. The client may ambulate as tolerated and remain in semi-Fowlers positioning bed.

Correct Answer: D

Rationale: Semi-Fowler's position aids in breathing and reduces pressure on the abdomen.

Question 3 of 5

A client with a chest tube connected to a closed drainage system needs to be transported to the x-ray department. Which of the following actions should the nurse take?

A. Clamp the chest tube prior to transferring the client to a wheelchair. B. Disconnect the chest tube from the drainage system during transport. C. Keep the drainage system below the level of the client's chest at all times. D. Empty the collection chamber prior to transport.

Correct Answer: C

Rationale: The correct answer is C: Keep the drainage system below the level of the client's chest at all times. This is important to prevent backflow of air or fluid into the client's chest, which can lead to complications such as a pneumothorax or hemothorax. Gravity ensures that the drainage system functions properly and prevents any potential harm to the client. A: Clamping the chest tube prior to transferring the client is incorrect as it can cause a dangerous buildup of pressure in the chest. B: Disconnecting the chest tube from the drainage system can also lead to complications and disrupt the drainage process. D: Emptying the collection chamber is important but not the priority during transport; keeping the drainage system below the chest level is crucial for the client's safety.

Question 4 of 5

Your patient's physician told him that he has hemophilia. You are asked to teach the signs and symptoms of this disease. You respond by saying

A. Clot formation, especially in the veins of the lower extremities. B. Low blood counts and fatigue due to lack of adequate red blood cell production. C. High blood counts and clot formation under the nails. D. Excessive bleeding after minor trauma.

Correct Answer: D

Rationale: Hemophilia is characterized by excessive bleeding due to a deficiency in clotting factors.

Question 5 of 5

What should a client with seasonal affective disorder be taught upon discharge?

A. Use heavy drapes rather than translucent curtains or shades B. Jog after sundown and before sunup C. Avoid the use of eyeglasses or contact lenses that are coated to shield ultraviolet radiation D. Take brief walks outside around midnight without sunglasses

Correct Answer: C

Rationale: Maximizing exposure to natural light helps alleviate symptoms of seasonal affective disorder.

Which of the following describes a 'comfort zone'?

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