Nokea
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.
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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.
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).
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.
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 should the nurse cleanse the meatal opening when performing male perineal care?
- A. From the meatus outward
- B. With an alcohol swab
- C. In a circular motion
- D. With a cotton-tipped applicator
Correct Answer: A
Rationale: The nurse should cleanse the meatal opening from the meatus outward.