Basic Care and Comfort Practice Question

Question

The nurse is caring for a client who is NPO and is focused on comfort measures scenario 3. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Reposition, provide nonpharmacologic comfort, and evaluate relief.
3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

B. Reposition, provide nonpharmacologic comfort, and evaluate relief.

Explanation

The priority action for comfort measures is to reposition, provide nonpharmacologic comfort, and evaluate relief. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: medium
• Domain: Basic Care and Comfort
• Objective: comfort measures

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