NCLEX RN LATEST UPDATE VERIFIED QUESTIONSAND CORRECT ANSWERS 100% SUCCESS GUARANTEED

1. A 20-year-old female client with a noticeable body odor has refused to shower for the last
3 days. She states, "I have been told that it is harmful to bathe during my period." Which
action should the nurse take first?
A. Accept and document the client’s wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the client.: D
Rationale: Because a shower is most beneficial for the client in terms of hygiene, the client
should receive teaching first, respecting any personal beliefs such as cultural or spiritual values.
After client teaching, the client may still choose option A or B. Brochures reinforce the teaching.
2. A 65-year-old client who attends an adult daycare program and is wheelchair-mobile has
redness in the sacral area. Which instruction is most important for the nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair.: B
Rationale: The most important teaching is to change positions frequently because pressure is
the most significant factor related to the development of pressure ulcers. Increased vitamin and
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fluid intake may also be beneficial and promote healing and reduce further risk. Option D is an
intervention of last resort because this will be very expensive for the client.