The hospitalized client is at risk for thromboembo

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Question 1 of 5

The hospitalized client is at risk for thromboembolism. Which direction should the nurse include when teaching this client about wearing antiembolism hose stockings?

A. Wearing the hose is unnecessary if ambulating 10 times daily for 5 minutes at a time. B. When at home, apply the stockings in the morning before you stand to get out of bed. C. The hose can cause pain to underlying skin; request pain medication to help alleviate this. D. Cross your legs only while wearing these stockings; otherwise keep the legs uncrossed.

Correct Answer: B

Rationale: B: Applying stockings before standing maximizes compression and prevents edema. A: Stockings complement ambulation. C: Pain suggests circulation issues, not requiring pain medication. D: Crossing legs impedes circulation.

Question 2 of 5

The client residing in a nursing home has bilateral weak handgrips and visual and hearing deficits. Which interventions should the nurse implement when the client is eating a meal? Select all that apply.

A. Ask the client's permission to open containers and cut up meats on the food tray. B. Obtain special easy-to-hold, built-up silverware for the client to use when eating. C. Observe the client, but avoid providing assistance even if the client is frustrated. D. Help feed the client if the client is eating too slowly so food does not get too cold. E. Ensure that the client wears eyeglasses and hearing aids before starting to eat.

Correct Answer: A,B,E

Rationale: A: Asking permission promotes autonomy. B: Built-up silverware aids weak grips. E: Sensory aids enhance independence. C: Assistance reduces frustration. D: Feeding discourages independence.

Question 3 of 5

The nurse is giving report to the NA on the care of four clients. The nurse should inform the NA to avoid taking a rectal temperature for which client?

A. Adult who underwent ileostomy surgery because of a perforated bowel B. Adult who has a productive cough and is receiving oxygen by nasal cannula C. Adult who develops thrombocytopenia after receiving chemotherapy treatments D. Adult who has hypothermia after being outside in a below-zero temperature

Correct Answer: C

Rationale: C: Thrombocytopenia increases bleeding risk, making rectal temperatures unsafe. A: Ileostomy doesn't affect rectal area. B: Cough and oxygen don't contraindicate rectal temperatures. D: Rectal temperatures are used for hypothermia.

Question 4 of 5

The nurse is evaluating the client's ability to perform active ROM. Which illustration demonstrates the client's ability to correctly perform eversion?

Correct Answer: C

Rationale: C: Eversion is turning the foot outward. A: Shows external rotation. B: Shows internal rotation. D: Shows inversion.

Question 5 of 5

The experienced nurse observes the student nurse caring for the client with the wet plaster cast illustrated. Which conclusion by the experienced nurse is correct?

A. The student should not be touching the plaster cast because it is wet. B. The student should be using a pillow to lift the client's casted extremity. C. The student is correctly handling a wet plaster cast with the palms. D. The student should be using fingers and not the palms to handle the cast.

Correct Answer: C

Rationale: C: Using palms prevents indentations in wet casts. A: Wet casts can be touched to reposition. B: Pillows limit inspection of the cast underside. D: Fingers cause pressure points.

Nurselytic

NCLEX-PN

NCLEX-PN

Basic Care and Comfort NCLEX Questions

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