Nokea
The nurse must follow the principles of medical asepsis while making a patient's bed including procedures for handling linens. How should the nurse handle soiled linens?
- A. Place on the floor
- B. Fan in the air
- C. Hold away from the uniform
- D. Place at the end of the bed
Correct Answer: C
Rationale: Soiled linen should not come into contact with a uniform.
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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.
To prevent skin breakdown in a wheelchair-bound patient the nurse teaches the patient to shift the patient's weight every ____ minutes.
Correct Answer: 15
Rationale: People who are wheelchair-bound should shift their weight by pushing on the arms of their chair every 15 minutes to prevent skin breakdown.
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.
As a safety precaution against breakage of dentures the nurse should place ____ in the emesis basin before cleaning the dentures.
Correct Answer: water
Rationale: Water in the basin will break the fall of the dentures if they are dropped.
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.