Nokea
The nurse avoids dragging the patient across the bed linen to decrease the potential risk of skin injury by ____.
Correct Answer: friction
Rationale: Dragging the patient across bed linen rather than lifting can cause skin damage from friction.
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One reason the nurse focuses on oral hygiene is to maintain a healthy state of the oral cavity. What is another reason to promote oral hygiene?
- A. To improve self-esteem
- B. To stimulate appetite
- C. To restore tooth destruction
- D. To assist with periodontitis
Correct Answer: B
Rationale: A sense of well-being can stimulate appetite.
The nursing assessment of a pressure injury includes size depth pain odor and color of tissue. What does this evaluate?
- A. Treatment needed
- B. Effectiveness of implementation
- C. Whether improvement is occurring
- D. Need for additional interventions
Correct Answer: C
Rationale: Ongoing assessment of a pressure injury will evaluate whether improvement is occurring.
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.
To prevent skin breakdown in a wheelchair-bound patient the nurse teaches the patient to shift the patient's weight every ____ minutes.
Correct Answer: 15
Rationale: People who are wheelchair-bound should shift their weight by pushing on the arms of their chair every 15 minutes to prevent skin breakdown.
A patient is recovering from a hemorrhoidectomy and experiences dizziness within 5 minutes, when taking a sitz bath. What action should the nurse implement?
- A. Cover the patient to prevent chilling.
- B. Stay with the patient until the full time for the bath has elapsed.
- C. Remove the patient from the sitz bath and return to bed.
- D. Assess vital signs every 5 minutes during the remainder of the sitz bath.
Correct Answer: C
Rationale: The patient may become dizzy during a sitz bath due to dilation of the large vessels in the abdomen. If this occurs, the patient should be removed from the sitz bath and returned to bed. Vital signs should be assessed until they return to normal.