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.
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Which guideline should be followed when giving a backrub?
- A. Observing the skin for abnormalities
- B. Massaging for at least 10 minutes
- C. Following massage with a brisk alcohol rub
- D. Conversing with patient continually throughout the backrub
- E. Using alcohol-based lotion for disinfection
Correct Answer: A
Rationale: The backrub should last for about 3 to 5 minutes, giving the nurse an opportunity to observe for skin abnormalities. Conversation should be kept to a minimum to enhance relaxation. Alcohol either as a rub or used as disinfectant is drying to the skin.
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 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.
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.
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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