Nokea
The nurse lowers the bed to place the patient on the bedpan. The angle of the head of the bed should be raised to:
- A. 20 degrees.
- B. 45 degrees.
- C. 90 degrees.
- D. 30 degrees.
Correct Answer: D
Rationale: Elimination is facilitated with the head of the bed elevated 30 degrees.
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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.
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.
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.
Proper hair care is important for the patient's self-image. What is the proper water temperature when shampooing a patient's hair?
- A. 101°F (38.3°C)
- B. 105°F (40.5°C)
- C. 110°F (43.3°C)
- D. 120°F (48.8°C)
Correct Answer: C
Rationale: Water at 110°F (43.3°C) should be used to shampoo a patient's hair.
The nurse is assisting a patient to perform personal hygiene. What is the most important focus of the nurse when assisting this patient?
- A. Nursing care
- B. Independence
- C. Repetition
- D. Performance
Correct Answer: B
Rationale: The nurse should encourage the patient's independence as much as possible.