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A 20-year-old female client with a
noticeable body odor has refused to
shower for the last 3 days. She states, "I
have been told that it is harmful to bathe
during my period." Which action should
the nurse take first?
A. Accept and document the client's
wish to refrain from bathing.
B. Offer to give the client a bed bath,
avoiding the perineal area.
C. Obtain written brochures about
menstruation to give to the client.
D.Teach the importance of personal
hygiene during menstruation with the
client. - answer-Teach the importance of
personal hygiene during menstruation
with the client.
,A 65-year-old client who attends an
adult daycare program and is
wheelchair-mobile has redness in the
sacral area. Which instruction is most
important for the nurse to provide?
A. Take a vitamin supplement tablet
once a day.
B. Change positions in the chair at least
every hour.
C. Increase daily intake of water or other
oral fluids.
D.Purchase a newer model wheelchair -
answer-Change positions in the chair at
least every hour.
After a needle stick occurs while
removing the cap from a sterile needle,
which action should the nurse
implement?
A. Complete an incident report.
,B. Select another sterile needle.
C.Disinfect the needle with an alcohol
swab.
D. Notify the supervisor of the
department immediately. - answer-
Select another sterile needle.
After receiving written and verbal
instructions from a clinic nurse about a
newly prescribed medication, a client
asks the nurse what to do if questions
arise about the medication after getting
home. How should the nurse respond?
A. Provide the client with a list of
Internet sites that answer frequently
asked questions about medications.
B. Advise the client to obtain a current
edition of a drug reference book from a
local bookstore or library.
, C.Reassure the client that information
about the medication is included in the
written instructions.
D. Encourage the client to call the clinic
nurse or health care provider if any
questions arise. - answer-Encourage the
client to call the clinic nurse or health
care provider if any questions arise.
After the nurse tells an older client that
an IV line needs to be inserted, the
client becomes very apprehensive,
loudly verbalizing a dislike for all health
care providers and nurses. How should
the nurse respond?
A. Ask the client to remain quiet so the
procedure can be performed safely.
B. Concentrate on completing the
insertion as efficiently as possible.
C. Calmly reassure the client that the
discomfort will be temporary.