1. 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 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.:

Answer:

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

2. 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.:

Answer:

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

3. 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.-:

Answer: