Author Question: The nurse is turning a client from her back to her side. To promote safety and the client's proper ... (Read 29 times)

WhattoUnderstand · **on:** Jul 22, 2018

The nurse is turning a client from her back to her side. To promote safety and the client's proper body alignment, the nurse: Standard Text: Select all that apply.

1. Ensures the bed is clean and dry.
2. Places support devices in specified areas.
3. Places body parts on top of each other to ensure alignment.
4. Plans a 24 hour schedule for position changes.
5. Ensures the mattress is soft.

Question 2

The nurse measures a client's respiratory rate at 34 rpm. The nurse reviews the client's chart and discovers the following factors that might be causing the increase in respirations: Standard Text: Select all that apply.

1. The client is febrile.
2. The client was just told about a poor prognosis.
3. The client has been diagnosed with increased intracranial pressure.
4. The client was just medicated for pain.
5. The client's body temperature is 96F.

pallen55 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1,2,4
Rationale: Wrinkled or damp sheets increase the risk of pressure ulcer formation.

Answer to Question 2

1,2
Rationale: The client who is febrile will often have an increased respiratory rate.