A patient is recovering from a hemorrhoidectomy and experiences dizziness within 5 minutes, when taking a sitz bath. What action should the nurse implement?
- A. Cover the patient to prevent chilling.
- B. Stay with the patient until the full time for the bath has elapsed.
- C. Remove the patient from the sitz bath and return to bed.
- D. Assess vital signs every 5 minutes during the remainder of the sitz bath.
Correct Answer: C
Rationale: The patient may become dizzy during a sitz bath due to dilation of the large vessels in the abdomen. If this occurs, the patient should be removed from the sitz bath and returned to bed. Vital signs should be assessed until they return to normal.
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The nurse is educating a patient regarding a tub bath. What is the maximum length of time the nurse should instruct the patient to remain in the water?
- A. 5 to 10 minutes
- B. 10 to 20 minutes
- C. 20 to 30 minutes
- D. 30 to 40 minutes
Correct Answer: B
Rationale: A patient should not stay in the water for more than 20 minutes.
As a safety precaution against breakage of dentures the nurse should place ____ in the emesis basin before cleaning the dentures.
Correct Answer: water
Rationale: Water in the basin will break the fall of the dentures if they are dropped.
The nurse avoids dragging the patient across the bed linen to decrease the potential risk of skin injury by ____.
Correct Answer: friction
Rationale: Dragging the patient across bed linen rather than lifting can cause skin damage from friction.
The health care provider orders a patient to be placed in the reverse Trendelenburg's position. How should the nurse place 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: D
Rationale: The entire bed is tilted downward with the foot of the bed down when placing a patient in the reverse Trendelenburg's position.
The nurse is assisting a patient to perform personal hygiene. What is the most important focus of the nurse when assisting this patient?
- A. Nursing care
- B. Independence
- C. Repetition
- D. Performance
Correct Answer: B
Rationale: The nurse should encourage the patient's independence as much as possible.
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