Get Answer: Client Fell Hours Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to client fell hours and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves client fell hours. A strong answer should include explanation, application, and examples.

Original Question

31. A client fell 6 hours ago when the nurse enters the room to turn the client the nurse notes that the is restless and grimacing. What should the nurse do next in this situation? a. Turn and reposition the client b. Leave the client’s room so the client can rest quietly c. Assess to determine the cause of the grimacing d. Administer pain medication to the client 32. Which of the following objective data indicates the client has a nursing diagnosis of impaired urinary elimination? a. Colostomy b. Urinalysis results c. Urostomy 33. A client had been admitted to a post-surgical unit with a patient-controlled analgesia (PCA) system. Which statement is true of this medication delivery system? a. The dose that is delivered when the client activates the machine is preset b. Thorough client education is necessary to prevent overdoses c. The antidote is automatically delivered if the client exceeds the recommended dose d. Use of opioid analgesic in a PCA is contraindicated due to the risk of respiratory depression 34. A nurse is teaching a client’s adult son about how to position the client when administering enteral feedings at home. Which of the following statement—— understanding of the teaching? a. I will elevate the head of the bed 10 degrees during the feeding. b. I will allow him to be in the position where he is most comfortable during the feeding c. I will turn him on his left side during the feeding d. I will have him sit in his chair during the feeding 35. A nurse is changing the stoma appliance on client’s ileostomy, which characteristic of stoma would indicate anemia? a. The stoma is purple-blue color b. The stoma is a pale pink color c. The stoma is swollen 36. What oxygen device can deliver the highest concentration of oxygen in the spontaneously breathing client? a. Nasal cannula b. Simple face mask c. Nonrebreather mask d. Ambu bag 37. A female resident in long-term care facility is embarrassed about her incontinence. What nursing intervention could aid in meeting the needs of a. Teach the patient that incontinence is a normal part of aging b. Encourage the family to purchase better incontinence pads c. Teach the patient kegel exercises at regular intervals daily 38. The nurse knows that communication can occurs by verbal or non-verbal methos. What are example of non-verbal communication the nurse may observe in a client? )select all that apply) a. Eye contact b. Silence c. Posture d. Writing e. Touch 39. The nurse is assessing a client receiving a continuous opioid infusion. For which condition would the nurse immediately notify the primary care provider ? a. Mild confusion b. A respiratory rate of 10 with normal depth c. Constipation d. A Pasero scale sedation level of 4 40. The nurse is caring for client for a client who need a liver transplant. The client has health insurance and ask the nurse about options for treatment The nurse obtains information about the client and answers questions truthfully what ethical principle is the nurse demonstrating a. Justice b. Autonomy c. Accountability d. Fidelity

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