Nokea
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.
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What does the nurse recognize is important to consider when using the nursing process to plan hygiene care of the patient?
- A. Nurse's orders
- B. Health care provider's orders
- C. Patient's preferences
- D. Outcome goals
Correct Answer: C
Rationale: Individual patients will have individual desires and choices.
A health care provider orders a patient to be placed in the Trendelenburg's position. How will the nurse position 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: C
Rationale: The entire bed is tilted downward with the head of the bed down when placing a patient in the Trendelenburg's position.
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.
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.
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.