Nokea
How will the nurse correctly replace a patient's dentures after cleaning?
- A. Inserting the lower denture first
- B. Asking the patient to insert them
- C. Inserting both dentures together
- D. Inserting the upper denture first
Correct Answer: D
Rationale: When reinserting dentures, replace the upper dentures first.
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The nurse is caring for an unconscious patient with a risk for skin impairment. How often will the nurse plan to change the position of this patient?
- A. Every 30 minutes
- B. Every 60 minutes
- C. Every 120 minutes
- D. Every 180 minutes
Correct Answer: C
Rationale: The bedfast patient should have a position change every 2 hours (120 minutes) because skin compromise can occur if there is unrelieved pressure during that amount of time.
The nurse is providing hand and foot care to a patient and notices the patient has extremely hard nails. Who is the person best prepared to provide nail care for patients with extremely hard nails?
- A. Health care provider
- B. RN
- C. CNA
- D. Podiatrist
Correct Answer: D
Rationale: If the patient's nails are extremely hard, a podiatrist should provide care.
The nurse is providing personal hygiene for a Hindu patient from India. What intervention should the nurse implement?
- A. Not serve meat
- B. Shampoo the patient's hair weekly
- C. Give a daily bath
- D. Cut nails monthly
Correct Answer: C
Rationale: A daily bath is part of the religious duty of Indian Hindus.
Where should a nurse performing a backrub begin?
- A. Shoulder
- B. Base of the neck
- C. Sacral area
- D. Lumbar area
Correct Answer: C
Rationale: The nurse should begin a massage in the sacral area.
The nurse is preparing to make an occupied bed. What procedure will the nurse follow to correctly complete this task?
- A. Remove spread and blanket separately.
- B. Place soiled sheet at end of bed.
- C. Place bath blanket over patient on top sheet.
- D. Slide mattress to bottom of bed.
- E. Position patient to far side of bed.
Correct Answer: A,C,E
Rationale: When making an occupied bed the nurse will remove the spread and blanket separately. The bath blanket is placed over the patient on the top sheet and the patient is positioned to the far side of the bed. Soiled linen is placed in the laundry bin, not at the end of the bed. The mattress is slid to the top of the bed.