Basic Care and Comfort Flashcards
7 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Basic Care and Comfort flashcards as text
A nurse is caring for a client on bed rest after surgery. Which action BEST prevents venous thromboembolism (VTE)?
Answer: Apply sequential compression devices (SCDs) as ordered
Sequential compression devices promote venous return and are a primary mechanical intervention to prevent VTE in immobile clients.
A nurse is caring for a client who is visually impaired. Which approach is MOST appropriate when assisting with ambulation?
Answer: Allow the client to hold the nurse's elbow and walk slightly behind
The sighted-guide technique has the client hold the guide's elbow and walk a half-step behind, providing safe and dignified navigation.
A nurse is assessing a client's nutritional status. Which finding is the BEST indicator of chronic protein-calorie malnutrition?
Answer: Serum albumin level of 2.8 g/dL
Serum albumin reflects protein stores over 2–3 weeks and a level below 3.5 g/dL indicates chronic malnutrition.
A nurse is inserting a urinary catheter in a female client. After cleansing the urinary meatus, the catheter accidentally touches the labia. What is the CORRECT action?
Answer: Discard the catheter and obtain a new sterile catheter
Any contact with a non-sterile surface contaminates the catheter, requiring a new sterile catheter to prevent urinary tract infection.
A client with a new colostomy expresses embarrassment about odor. Which nurse response is MOST therapeutic?
Answer: Teach the client about dietary modifications and odor-control pouches
Educating the client about diet and odor-control products empowers self-management and addresses the concern directly.
A nurse is caring for a client receiving enteral tube feedings. Which assessment finding warrants IMMEDIATE action?
Answer: Abdomen that is firm, distended, and silent
A firm, distended, silent abdomen suggests ileus or obstruction, which can cause aspiration or perforation and requires immediate intervention.
A nurse is teaching a client about incentive spirometry after abdominal surgery. Which instruction is CORRECT?
Answer: Inhale slowly and deeply to raise the piston, then hold for 3–5 seconds
Slow, deep inhalation followed by a brief breath-hold maximizes alveolar expansion and prevents atelectasis.