Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?
A. Allow the client’s feet to air dry.
B. Soak the client’s feet prior to washing.
C. Apply moisturizer between the client’s toes.
D. Use warm water to wash the client’s feet.
The nurse should plan to use warm water to wash the client’s feet as part of proper foot care. Warm water can help soften the skin and nails, making it easier to clean and trim the nails. It is also important to avoid soaking the feet, as this can dry out the skin and increase the risk of infection.
This question is an excerpt from Nurse Dive's nursing test bank - NURS 100 fundamentals swami test 14.18.23 proctored exam. Take the full exam now
Full Explanation
The nurse should plan to use warm water to wash the client’s feet as part of proper foot care. Warm water can help soften the skin and nails, making it easier to clean and trim the nails. It is also important to avoid soaking the feet, as this can dry out the skin and increase the risk of infection.
Similar Questions
A nurse is assessing a client for manifestations of pain. Which of the following findings is an objective indicator of pain?
A. The client rates their pain as an 8 on a scale of 0 to 10.
A) The client rates their pain as an 8 on a scale of 0 to 10: Pain ratings provided by the client are subjective and reflect their personal experience and perception of pain. While important for assessing pain severity, this rating is based on the client's personal report rather than observable evidence.
B. The client states the pain is located on their abdomen.
B) The client states the pain is located on their abdomen: The location of pain, as reported by the client, is subjective information. It is based on the client's personal experience and cannot be objectively measured or observed by the nurse.
C. The client reports a burning sensation.
C) The client reports a burning sensation: Describing the sensation of pain, such as a burning feeling, is a subjective experience. This description provides valuable information about the nature of the pain but does not serve as an objective indicator.
D. The client grimaces when they move.
D) The client grimaces when they move: Observing a grimace is an objective indicator of pain. It is a visible, physical response that the nurse can see and document, indicating that the client is experiencing discomfort or pain. Objective indicators are observable signs that can be noted by healthcare providers.
Full Explanation
Answer: D. The client grimaces when they move.
Rationale:
A) The client rates their pain as an 8 on a scale of 0 to 10:
Pain ratings provided by the client are subjective and reflect their personal experience and perception of pain. While important for assessing pain severity, this rating is based on the client's personal report rather than observable evidence.
B) The client states the pain is located on their abdomen:
The location of pain, as reported by the client, is subjective information. It is based on the client's personal experience and cannot be objectively measured or observed by the nurse.
C) The client reports a burning sensation:
Describing the sensation of pain, such as a burning feeling, is a subjective experience. This description provides valuable information about the nature of the pain but does not serve as an objective indicator.
D) The client grimaces when they move:
Observing a grimace is an objective indicator of pain. It is a visible, physical response that the nurse can see and document, indicating that the client is experiencing discomfort or pain. Objective indicators are observable signs that can be noted by healthcare providers.
A nurse is teaching a class about the effects of bathing in warm water. Which of the following information should the nurse include?
A. Increases retention of carbon monoxide
B. Decreases stress
The nurse should include information about how bathing in warm water can help decrease stress levels. Warm water can help relax the muscles and promote a sense of calmness and relaxation, which can help reduce stress levels.
C. Increases vasoconstriction
D. Decreases oxygen supply to tissues
Full Explanation
The nurse should include information about how bathing in warm water can help decrease stress levels. Warm water can help relax the muscles and promote a sense of calmness and relaxation, which can help reduce stress levels.
A nurse is assessing a client who has an oral temperature of 39 degrees Celsius. Which of the following findings should the nurse expect?
A. Decreased peripheral pulses
B. Respiratory rate 10/min
C. Heart rate 108/min
The nurse should expect to find an increased heart rate in a client with a fever. An elevated body temperature can cause an increase in metabolic rate, which can lead to an increase in heart rate. This is a normal physiological response to fever and helps the body to generate heat and fight off infection.
D. Dilated pupils
Full Explanation
The nurse should expect to find an increased heart rate in a client with a fever. An elevated body temperature can cause an increase in metabolic rate, which can lead to an increase in heart rate. This is a normal physiological response to fever and helps the body to generate heat and fight off infection.
