Nokea
A health care provider orders a patient to be placed in the Trendelenburg's position. How will the nurse position the bed?
- A. On the floor
- B. Parallel with the floor
- C. Tilted with the head of the bed down
- D. Tilted with the foot of the bed down
Correct Answer: C
Rationale: The entire bed is tilted downward with the head of the bed down when placing a patient in the Trendelenburg's position.
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How should the nurse cleanse the meatal opening when performing male perineal care?
- A. From the meatus outward
- B. With an alcohol swab
- C. In a circular motion
- D. With a cotton-tipped applicator
Correct Answer: A
Rationale: The nurse should cleanse the meatal opening from the meatus outward.
One reason the nurse focuses on oral hygiene is to maintain a healthy state of the oral cavity. What is another reason to promote oral hygiene?
- A. To improve self-esteem
- B. To stimulate appetite
- C. To restore tooth destruction
- D. To assist with periodontitis
Correct Answer: B
Rationale: A sense of well-being can stimulate appetite.
What should the water temperature be when preparing a tepid bath for a patient?
- A. 98.6°F (37°C)
- B. 100.2°F (37.8°C)
- C. 104.8°F (40.4°C)
- D. 110.4°F (43.5°C)
Correct Answer: A
Rationale: The tepid bath is taken in water that is 98.6°F (37°C).
The nurse attempts to avoid a pressure injury for a bedridden patient by turning the patient frequently. What is the most favorable position for the nurse to move this patient into?
- A. Back-lying
- B. Full lateral
- C. 30-degree lateral
- D. Full prone
Correct Answer: C
Rationale: It is preferable to use the 30-degree lateral incline position.
How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?
- A. At least once a day
- B. At least twice a day
- C. At bedtime
- D. Each shift
Correct Answer: B
Rationale: Catheter care should be performed at least two times daily.