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Question

Difficulty: EasyBasic Care and Comfort

During the morning shift on a surgical unit, a nurse is assisting a postoperative client with daily hygiene and comfort needs. Which actions represent appropriate care for this client? (Select all that apply)

  1. Offer a back massage using lotion to promote relaxation.Answer
  2. Place the call light and personal items within easy reach of the client's unaffected side.Answer
  3. Assist the client with oral hygiene using a soft-bristled toothbrush after breakfast.Answer
  4. D
    Maintain the client in a continuous flat supine position in bed to prevent incisional strain.
  5. E
    Tell the client not to worry about discomfort because surgical pain always resolves quickly.
  6. F
    Delegate the task of evaluating the client's response to nonpharmacological comfort measures to assistive personnel.

Answer

The appropriate actions are offering a back massage, keeping the call light within reach, and assisting with oral hygiene.
Appropriate basic care and comfort measures focus on promoting hygiene, ensuring a safe environment, and providing nonpharmacological relief. Assisting with oral care, offering a relaxing massage, and keeping essential items within reach directly fulfill these fundamental nursing responsibilities safely.

Step-by-Step Solution

1
Identify the primary goal of the clinical scenario.
The goal is to provide safe and effective basic hygiene and comfort care to a postoperative client.
Understanding the goal helps filter out actions that are unsafe, outside the scope of practice, or non-therapeutic.
2
Evaluate each intervention for safety, efficacy, and scope of practice.
Massages, oral care, and environmental safety (keeping the call light near) are safe basic care actions. Flat positioning, false reassurance, and delegating evaluation are incorrect.
Each nursing action must align with evidence-based comfort measures and legal delegation rules.

Key Concept

Basic comfort measures include hygiene, environmental safety, and nonpharmacological relaxation, while avoiding improper positioning or inappropriate delegation.
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Topics

Basic Care and Comfort

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