Basic Care and Comfort

Question 1

A nurse is repositioning a client who is immobile and at risk for pressure ulcers. Which action best demonstrates correct repositioning technique?

Accepted Answer

Reposition the client every 2 hours using a draw sheet to reduce friction

Answer

Turn the client every 4 hours and use a donut cushion under the coccyx

Answer

Keep the head of bed elevated at 60 degrees at all times to prevent aspiration

Answer

Place the client in the same position each time to maintain consistency

Question 2

A client with dysphagia following a stroke is about to receive oral medications. What is the nurse's priority action?

Accepted Answer

Verify with the pharmacist which medications can be crushed before administering

Answer

Crush all medications and mix them with applesauce without checking compatibility

Answer

Hold all medications until the client can swallow normally

Answer

Administer medications with a large sip of water to help them go down

Question 3

A nurse is performing oral hygiene for an unconscious client. Which intervention is most important to prevent aspiration?

Accepted Answer

Turn the client's head to the side and use suction equipment at the bedside

Answer

Use a large volume of water to rinse the mouth thoroughly

Answer

Position the client supine and tilt the head back

Answer

Perform oral care only once per shift to minimize stimulation

Question 4

A postoperative client reports pain of 7 out of 10 and requests a back rub. The nurse administers the prescribed analgesic and then provides the back rub. What principle does this reflect?

Accepted Answer

Complementary comfort measures can be used alongside pharmacological pain management

Answer

Non-pharmacological measures replace analgesic therapy when used together

Answer

Back rubs are only appropriate for clients with mild pain scores below 4

Answer

The nurse should have provided the back rub before giving any medication

Question 5

A nurse is caring for a client on complete bed rest. Which finding requires the most immediate intervention?

Accepted Answer

The client's calf is tender, warm, and swollen compared to the other leg

Answer

The client requests a softer pillow for comfort

Answer

The client's heels appear slightly reddened but blanch with pressure

Answer

The client reports mild lower back stiffness after lying in bed all morning

Question 6

A nurse is assisting a client with activities of daily living (ADLs). The client has left-sided weakness following a stroke. When helping the client dress, the nurse should:

Accepted Answer

Dress the left (weak) arm first, then thread the right arm through the sleeve

Answer

Dress the right (strong) arm first, then thread the left arm through the sleeve

Answer

Complete all dressing for the client to reduce the risk of injury

Answer

Allow the client to attempt dressing independently regardless of safety