Nokea
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.
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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.
Because of its effect on epithelization the LPN/LVN should confirm the order to use ____ or alcohol on a stage 3 pressure injury.
Correct Answer: peroxide
Rationale: Peroxide and alcohol have a negative effect on epithelization of a pressure injury.
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 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.
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.