Nokea
Label the following bed positions:
- A. Fowler's position
- B. Trendelenburg position
- C. Supine position
- D. Prone position
- E. Lateral position
- F. Sims' position
- G. Reverse Trendelenburg position
Correct Answer: A,B,C
Rationale: Common bed positions include Fowler's (head elevated), Trendelenburg (head lower than feet), and Supine (lying flat on back). These are standard positions used in patient care for comfort, breathing, or procedural needs.
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A patient has an IV containing heparin to prevent his blood from clotting. You are assisting him with personal care. Which action will you take?
- A. Shave him with a disposable razor in the direction of hair growth.
- B. Shave him with an electric razor in the direction of hair growth.
- C. Shave him with an electric razor, moving in circular motions over the beard.
- D. Delay shaving this patient until the IV heparin is discontinued.
Correct Answer: B
Rationale: Heparin increases bleeding risk, so an electric razor is safer than a disposable razor to avoid cuts. Shaving in the direction of hair growth minimizes irritation. Circular motions are less effective and may increase skin trauma. Delaying shaving is unnecessary if an electric razor is used.
Which of the following are generally performed as part of morning care (a.m. care)?
- A. Hair care
- B. Bath
- C. Shaving
- D. Oral care
- E. Back massage
- F. Washing hands and face only
- G. Dressing or changing the gown
Correct Answer: A,B,C,D,F,G
Rationale: Morning care typically includes routine hygiene tasks performed at the start of the day to prepare the patient for daily activities. These tasks include hair care, bathing, shaving, oral care, washing hands and face, and dressing or changing the gown to promote cleanliness and comfort. Back massage is not typically part of routine morning care unless specified for therapeutic reasons.
You are providing personal care to a patient with diabetes. Her toenails are a bit long. What will you do?
- A. Do nothing to her toenails because you could cause her to have an infection if you damage her toes.
- B. Clip her toenails carefully straight across but do not file them.
- C. Clip her toenails carefully in a rounded shape to help prevent ingrown toenails.
- D. File her toenails straight across but do not clip them.
Correct Answer: A
Rationale: Patients with diabetes are at high risk for infections due to poor wound healing. Cutting or filing toenails can cause microtrauma, leading to infections. It is safer to refer toenail care to a podiatrist to avoid complications.
Your patient has multiple body piercings with jewelry in place. He has been in a motor vehicle accident and is scheduled for an MRI of his left arm and left leg. Which question will you ask this patient?
- A. Do I have your permission to remove the jewelry from your piercings before your MRI?
- B. Are the metals in your jewelry nonmagnetic stainless steel or titanium?
- C. You understand that you will need to remove all of the jewelry from your piercings before you go for an MRI, don't you?
- D. How long has the jewelry in your piercings been in place?
Correct Answer: B
Rationale: MRI machines use strong magnetic fields, and nonmagnetic metals like certain stainless steels or titanium are safe. Asking about the metal type ensures safety during the MRI, as magnetic metals can cause injury or imaging artifacts.
You are caring for a patient with a nasogastric tube who is unable to take food or fluids by mouth. How often will you perform oral care for this patient?
- A. Unnecessary because the patient is not eating or drinking anything
- B. Every 2 hours
- C. Every 4 hours
- D. Every 8 hours
Correct Answer: B
Rationale: Patients with nasogastric tubes are at risk for dry mouth and oral infections due to lack of oral intake and tube irritation. Oral care every 2 hours helps maintain oral hygiene, prevent infections, and ensure patient comfort.