An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the
client's nursing care?
A. Massage any
... [Show More] reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - To avoid shearing forces when
repositioning, the client should be lifted gently across a surface (D). Reddened areas should not be
massaged (A) since this may increase the damage to already traumatized skin. To control pain and
muscle spasms, active range of motion (B) may be limited on the affected leg. The position described in
(C) is contraindicated for a client with a fractured left hip.
Correct Answer: D
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - The NGT should be flushed before, after and in
between each medication administered (B). Once all medications are administered, the NGT should be
clamped for 20 minutes (A). (C and D) may be implemented only after the tubing has been flushed.
Correct Answer: B
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. - The most effective
management of pain is achieved using an around-the-clock schedule that provides analgesic medications [Show Less]