Which statement by a client indicates to the nurse that additional teaching is needed to prevent harm from the risk for increased clotting?

Questions 45

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Health Assessment Questions for Nursing Practice Questions

Question 1 of 4

Which statement by a client indicates to the nurse that additional teaching is needed to prevent harm from the risk for increased clotting?

Correct Answer: A

Rationale: Crossing legs (A) increases clotting risk by impairing circulation. Hydration (B) movement (C) and reporting symptoms (D) are correct actions to reduce clotting risk.

Question 2 of 4

When making a surgical bed, why does the nurse avoid shaking the linen being removed from the bed?

Correct Answer: B

Rationale: Shaking linen disperses microorganisms into the air, contaminating the environment and the nurse’s uniform. This is a key infection control principle in surgical bed-making. Other options (A, C, D) are secondary or incorrect.

Question 3 of 4

For a surgical bed, why is the linen formed into a triangle and fanfolded away from the side on which the patient will be transferred?

Correct Answer: C

Rationale: Fanfolding linen away from the transfer side (C) keeps it clear, facilitating a safe and efficient patient transfer. Protecting from soiling (A) or maintaining toe pleats (B) is secondary, and tautness (D) is unrelated.

Question 4 of 4

A nurse delegates the ambulation of an older adult client to a nursing assistant. Which statement would the nurse include when delegating this task?

Correct Answer: C

Rationale: within an assistant’s scope. A neglects safety B involves teaching (nurse’s role)and D requires assessment.

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