Nokea
The nurse is caring for a patient experiencing presbycusis. What intervention should the nursing personnel be instructed to implement?
- A. Speak quickly to the patient.
- B. Speak in loud tones to the patient.
- C. Speak slowly and clearly to the patient.
- D. Tell the patient they must purchase a hearing aid.
Correct Answer: C
Rationale: Age-related hearing loss, presbycusis, is a common finding in older adults. It is important to speak slowly and clearly to the patient with presbycusis. Not all patients with this type of hearing loss require a hearing aid.
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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.
What should the water temperature be when preparing a tepid bath for a patient?
- A. 98.6°F (37°C)
- B. 100.2°F (37.8°C)
- C. 104.8°F (40.4°C)
- D. 110.4°F (43.5°C)
Correct Answer: A
Rationale: The tepid bath is taken in water that is 98.6°F (37°C).
How frequently should the nurse clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula?
- A. At least every 2 hours
- B. At least every 6 hours
- C. At least every 8 hours
- D. At least every 10 hours
Correct Answer: C
Rationale: When receiving oxygen by a nasal cannula or when a nasogastric tube is in place, the nurse should cleanse the nares every 8 hours.
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.
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.