Author Question: A nurse is caring for a client with loss of proprioception. He uses a bed with side rails. What ... (Read 24 times)

Marty · **on:** Jul 16, 2018

A nurse is caring for a client with loss of proprioception. He uses a bed with side rails. What measure should the nurse implement to prevent discomfort and support independence for the client when using a bed with side rails?

A) Keep only one side rail of the bed up.
B) Set the bed 3 feet above the ground.
C) Place a chair to support the client when climbing down.
D) Move side rails when client wants to move off the bed.

Question 2

The nurse is instructing clients receiving chemotherapy how to prevent secondary infections. Which of the following is a recommended guideline?

A) Use a razor blade to shave instead of an electric razor.
B) When taking temperature, use a rectal thermometer.
C) If laxatives are needed, administer via a suppository.
D) Avoid outpatient treatment centers.

joanwhite · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

A
Feedback:
When a client with loss of proprioception uses a bed with side rails, only one side rail of the bed should be up. This will assist the client in moving in and out of the bed. The bed must be placed at the lowest position possible to prevent the client from falling and for easy movement. Thus, it should not be placed 3 feet above the ground. No supports, such as chairs, should be provided for the client to climb up or down from the bed. This increases the chance of injury due to a fall. Having both the side rails up and moving one down from when the client wants to step off the bed may confuse the elderly client and prevent his or her movement out of bed.

Answer to Question 2

D
Feedback:
The nurse should inform clients that they should avoid persons and places that present increased risks for infection (e.g., outpatient treatment centers). The client should shave with an electric razor to avoid injuring the skin, and avoid taking a rectal temperature or using a suppository because these could injure delicate tissue.