Nokea
The staff nurse says that your patient refused her bath yesterday and really needs one today. The patient says she is too exhausted to have a bed bath and just wants to sleep. Your best response would be:
- A. That's fine. Sleep is more important than a bath, anyway.'
- B. I will do your bath first, then you will sleep better.'
- C. I have other patients to care for, so we need to do your bath now.'
- D. You rest now, and I will come back in about an hour to do your bath.'
Correct Answer: D
Rationale: Respecting the patient's need for rest while planning to provide care later balances patient comfort and hygiene needs.
You may also like to solve these questions
When cleaning a hearing aid, you should do which of the following?
- A. Turn off the hearing aid
- B. Turn the earlobe slightly away from the nose and lift up
- C. Store the aid in its case
- D. Store the aid in an open area within the patient's reach
Correct Answer: A,C
Rationale: Turning off the hearing aid prevents feedback noise, and storing it in its case protects it from damage.
The bed-bath supplies the nurse would plan for when caring for a patient are:
- A. Washcloths
- B. Towels
- C. Nail file
- D. Bath blanket
- E. Bath basin
Correct Answer: A,B,D,E
Rationale: Washcloths, towels, bath blanket, and basin are essential for a bed bath, while a nail file is optional for nail care.
The circulatory effect of venous return is accomplished by bathing:
- A. the back along the trapezius muscles.
- B. the extremities in a distal-to-proximal direction.
- C. the arm farthest away from you first, then the nearer arm.
- D. the extremities in a proximal-to-distal direction.
Correct Answer: B
Rationale: Bathing extremities distal-to-proximal promotes venous return by facilitating blood flow toward the heart.
You know a patient with diabetes needs more teaching about nail care when he says:
- A. My daughter can cut my toenails so they are rounded without any sharp edges.'
- B. I won't clip my toenails anymore. I will just file them.'
- C. Any reddened area on my feet can be a problem, so I will tell the doctor if I see any.'
- D. I don't want to risk even a small cut on my toes or feet.'
Correct Answer: A
Rationale: Diabetic patients should be cut straight across toenails to prevent ingrown nails and infections, not rounded.
In which situations would it be inappropriate for the nurse to delegate the patient's personal care to a CNA or UAP?
- A. A patient whose vital signs are unstable
- B. A patient who requires total care
- C. A patient whose capabilities to assist with personal care are unknown
- D. A patient who is from a different culture
- E. A patient who has a worsening skin condition
Correct Answer: A,C,E
Rationale: Delegation is inappropriate when vital signs are unstable, patient capabilities are unknown, or a worsening skin condition requires nursing assessment.