A client who is ambulatory is able to get out of bed for morning ...

[tingc95]

A client who is ambulatory is able to get out of bed for morning care. What should the nurse assess before assisting the client out of the bed to change the linen?
 
  1. Pulse
  2. Respirations
  3. Urine output
  4. Blood pressure
  5. Mobility status

Question 2

The nurse is preparing to provide morning care to a client. What should the nurse explain to the client as the reason for a daily bath?
 
  1. Assess skin integrity
  2. Develop a nurseclient relationship
  3. Moisturize the skin
  4. Stimulate circulation

[owenfalvey]

Answer to Question 1

Correct Answer: 1, 2, 4, 5

Rationale 1: When changing the linen of an unoccupied bed the nurse should assess the client's pulse.

Rationale 2: When changing the linen of an unoccupied bed the nurse should assess the client's respirations.

Rationale 3: Urine output does not need to be assessed prior to assisting a client out of the bed to change the linen.

Rationale 4: When changing the linen of an unoccupied bed the nurse should assess the client's blood pressure.

Rationale 5: When changing the linen of an unoccupied bed the nurse should assess the client's mobility status.

Answer to Question 2

Correct Answer: 4
Rationale 1: Giving a bath to a client will allow the nurse to assess the skin but this is not the most important purpose.
Rationale 2: Giving a bath to a client will allow the nurse to develop a nurseclient relationship but this is not the most important purpose.
Rationale 3: Giving a bath to a client will allow the nurse to moisturize the skin but this is not the most important purpose.
Rationale 4: The three major reasons for a bath are to remove waste products such as perspiration, stimulate circulation, and refresh the client.