Basic Care and Comfort NCLEX PN Questions Nursing Practice Question
The LPN is receiving the report on a comatose client at the start of the shift at 1500. What statement should be of most concern?
Correct Answer: A
Rationale: Option A raises concern because repositioning a comatose client is crucial to prevent pressure ulcers, and the last repositioning was four hours ago. This interval is longer than recommended, indicating a potential risk for skin breakdown.
Option B is less concerning as a thorough head-to-toe assessment was performed recently, showing no abnormalities.
Option C is acceptable; PEG tube changes are typically needed every 6-12 months, so a 6-month interval is within the standard timeframe.
Option D is also acceptable; indwelling catheters are often changed every 2-4 weeks, making a 5-day interval appropriate.