HURST REVIEW Question bank/Customize Quiz - Basic Care and Comfort 2023 Questions and Answers
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HURST REVIEW Question bank/Customize Quiz - Basic Care and Comfort 2023 Questions and Answers
The nurse is teaching a client about the use of a cane. Which is the correct cane technique?
1. Place the cane on weaker side of the body to support the weaker leg. Using the cane for support, the clie...
hurst review question bankcustomize quiz basic care and comfort 2023 questions and answers the nurse is teaching a client about the use of a cane which is the correct cane technique 1 place the
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HURST REVIEW Question bank/Customize Quiz - Basic
Care and Comfort 2023 Questions and Answers
The nurse is teaching a client about the use of a cane. Which is the correct cane
technique?
1. Place the cane on weaker side of the body to support the weaker leg. Using the cane
for support, the client should step forward with strong leg, and then move the weaker
leg and cane forward to the strong leg.
2. Place the cane on the stronger side of the body. The cane is placed forward 6 to 10
inches while the client advances the weak leg at the same time.
3. Place cane on weaker side of body. The cane is placed forward 6 to 10 inches while
the client advances weaker leg to the cane.
4. Place cane on stronger side of body to help support weaker leg. Using cane for
support, step forward with the strong leg and then move the weaker leg and the cane
forward to the strong leg.
2. Correct: Place the cane on the stronger side of the body. The cane is placed forward
6 to 10 inches while the client advances the weak leg at the same time. The body
weight is divided between the strong leg and the cane.
1. Incorrect: The cane should be on the stronger side of the body to create a wider base
for balance as the client advances the strong leg and must use the weaker leg for
support with the cane. If the cane is placed on the weaker side of the body, this would
create a narrower base for support and balance and increase the risk of falling.
3. Incorrect: The cane should be on the stronger side of the body to create a wider base
for balance as the client advances the strong leg and must use the weaker leg for
support with the cane. If the cane is placed on the weaker side of the body, this would
create a narrower base for support and balance and increase the risk of falling.
4. Incorrect: The cane should be on the stronger side of the body to create a wider base
for balance as the client advances the strong leg and must use the weaker leg for
support with the cane. If the cane is placed on the weaker side of the body, this would
create a narrower base for support and balance and increase the risk of falling.
Which action by two unlicensed nursing personnel (UAPs), while moving the client back
up in bed, would require intervention by the nurse?
1. Lowers the side rails closest to them.
2. Places hands under client's axilla.
3. Lowers the head of bed.
4. Raises the height of the bed.
2. Correct: This action is not appropriate and requires intervention by the nurse. This
could damage the brachial plexus nerves under the axilla. Use a draw sheet to prevent
this from occurring.
1. Incorrect: This is a correct action. The UAPs will need to lower the side rails closest
to them to safely move the client up in bed. Not lowering the rails could injury the UAPs
,back.
3. Incorrect: This action is correct. Moving the client upward with the head of the bed
raised works against gravity, requires more force and can cause back strain.
4. Incorrect: This action is appropriate and would not require intervention by the nurse.
Raising the height of the bed brings the client close to the UAPs center of gravity and
decreases the chance of back injury.
Which action would the nurse need to perform to increase stability while initiating a
client transfer?
1. Lift with the back.
2. Put on a back belt.
3. Spread feet to width of the shoulders.
4. Lean forward slightly.
3. Correct: In order to increase stability, the nurse will need to increase the base of
support. This can be done by spreading the legs to the width of the shoulders.
1. Incorrect: Do not use your back to do heavy lifting. They are not your strongest
muscles. Use your legs.
2. Incorrect: A back belt will not increase the base of support.
4. Incorrect: The nurse should not lean forward or backward. The ears, shoulders, hips
and feet should be aligned.
A nurse is monitoring a newly hired unlicensed assistive personnel (UAP) perform a bed
bath on a client needing total care. Which action by the UAP would require further
teaching?
Select all that apply
1. Lowers side rails on both sides of bed.
2. Washes eyes with mild soap and water from the inner to outer canthus.
3. Makes certain bath water temperature is between 110-115°F (43-46°C).
4. Uses long, firm strokes to wash from wrist to shoulder of each arm.
5. Performs a back massage after completing the bath.
1., & 2. Correct: The nurse needs to intervene in these situations. Both side rails should
not be lowered because the client could fall out of the bed. The UAP should lower the
side rail closest to themselves and keep the opposite rail up. Wash eyes with water only
since soap is very irritating to the eyes.
3. Incorrect: This would be a correct action by the UAP. The nurse does not need to
intervene. Temperatures less than 110°F (43°C) can chill the client, and a temperature
greater than 115°F (46°C) may be too hot and burn the client.
4. Incorrect: This is a correct action and does not require intervention by the nurse. Firm
strokes from distal to proximal areas promote circulation by increasing venous blood
return.
, 5. Incorrect: A back massage is appropriate after a bath and does not require nursing
intervention. A back massage is a way of providing relaxation for the client.
The nurse is repositioning a client who is in the supine position to the right lateral
position. Which nursing intervention would be implemented to position the client in the
right lateral position?
1. The right leg is positioned on a pillow in front of the left leg.
2. Both knees are kept in the extension position.
3. Both feet are placed in the inversion position.
4. The left shoulder should be positioned forward.
4. Correct: The left shoulder should be adducted. The position of adducting the shoulder
forward promotes improved chest expansion and decreases strain on the shoulder.
1. Incorrect: The right leg is positioned forward in the left lateral position. For the right
lateral position, the left leg is positioned on a pillow in front of the right leg.
2. Incorrect: Both legs should not be extended for the right lateral position. The left leg
should be positioned forward with the knee flexed to decrease the internal rotation of
the femur.
3. Incorrect: Inversion of the feet is described as positioning the ankles toward the
midline of the body. The feet should be positioned in the neutral position to maintain
proper ankle alignment.
A nurse is performing eye care for an unconscious client. Which interventions should
the nurse include?
Select all that apply
1. Administer moist compresses to cover eyes every 2 hours.
2. Clean eyes with saline and cotton balls, wiping from outer to inner canthus.
3. Use a new cotton ball for each cleansing wipe.
4. Instill artificial tears into the lower eyelids as prescribed.
5. Protect the eyes with a protective shield.
6. Monitor eyes for redness and exudate.
1., 3., 4., 5., & 6. Correct: All of these interventions are appropriate for eye care of the
comatose client. These actions prevent infection, keep eyes moist, and protect the eye
from injury.
2. Incorrect: Clean the eyes with saline solution and cotton balls. Wipe from the inner to
outer canthus. This prevents debris from being washed into the nasolacrimal duct.
A nurse is planning a teaching session for a group of clients diagnosed with irritable
bowel syndrome. What points should the nurse include to help the clients control
symptom flare-ups?
Select all that apply
1. If you are constipated, try to make sure you have breakfast.
2. Avoid low fat foods.
3. If you think a certain food is a problem, try cutting it out of your diet for about 12
weeks.
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