Nokea
The nurse is preparing to perform perineal care for the female patient. What is the best method for using a bath blanket to drape the patient?
- A. Square position
- B. Long position
- C. Diamond position
- D. Rectangular position
Correct Answer: C
Rationale: Drape the patient with a bath blanket in the diamond position.
You may also like to solve these questions
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 discovers a reddened area over a patient's hip. What should be the nurse's first intervention?
- A. Cover the area with an occlusive dressing.
- B. Apply mild ointment with a cotton-tipped applicator.
- C. Press the area gently to assess for blanching.
- D. Rub gently to increase circulation.
Correct Answer: C
Rationale: If the area is a stage 1 decubitus injury, the area will not blanch.
The nurse is providing personal hygiene for a Hindu patient from India. What intervention should the nurse implement?
- A. Not serve meat
- B. Shampoo the patient's hair weekly
- C. Give a daily bath
- D. Cut nails monthly
Correct Answer: C
Rationale: A daily bath is part of the religious duty of Indian Hindus.
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.
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.