Nokea
How frequently should the nurse clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula?
- A. At least every 2 hours
- B. At least every 6 hours
- C. At least every 8 hours
- D. At least every 10 hours
Correct Answer: C
Rationale: When receiving oxygen by a nasal cannula or when a nasogastric tube is in place, the nurse should cleanse the nares every 8 hours.
You may also like to solve these questions
What does the nurse recognize is important to consider when using the nursing process to plan hygiene care of the patient?
- A. Nurse's orders
- B. Health care provider's orders
- C. Patient's preferences
- D. Outcome goals
Correct Answer: C
Rationale: Individual patients will have individual desires and choices.
The nurse discovers a reddened area over a patient's hip. What should be the nurse's first intervention?
- A. Cover the area with an occlusive dressing.
- B. Apply mild ointment with a cotton-tipped applicator.
- C. Press the area gently to assess for blanching.
- D. Rub gently to increase circulation.
Correct Answer: C
Rationale: If the area is a stage 1 decubitus injury, the area will not blanch.
The nurse is preparing to bathe a patient. What should the room temperature be set at?
- A. No warmer than 67°F (19.4°C)
- B. No cooler than 68°F (20°C)
- C. No cooler than 70°F (21.1°C)
- D. 75°F or warmer (23.8°C)
Correct Answer: B
Rationale: The recommended room temperature is 68° to 74°F (20° to 23.3°C).
When must the nurse remember to use an electric razor when shaving a patient?
- A. When a bleeding tendency is present
- B. When there is a risk for suicide
- C. When the facial hair is fine
- D. When speed is essential
Correct Answer: A
Rationale: A patient with a bleeding disorder should use an electric razor.
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.