Nokea
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.
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The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area. What is the least amount of time the nurse will instruct for a sitz bath?
- A. 10 to 15 minutes
- B. 20 to 30 minutes
- C. 30 to 40 minutes
- D. 1 hour
Correct Answer: B
Rationale: The sitz bath should last 20 to 30 minutes.
The nurse assesses a red blister over the right superior iliac area of a patient. What stage is this decubitus injury?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: B
Rationale: A pressure injury demonstrating blisters is a stage 2 decubitus injury.
Because of its effect on epithelization the LPN/LVN should confirm the order to use ____ or alcohol on a stage 3 pressure injury.
Correct Answer: peroxide
Rationale: Peroxide and alcohol have a negative effect on epithelization of a pressure injury.
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 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.