Nokea
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.
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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 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.
The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area. What is the least amount of time the nurse will instruct for a sitz bath?
- A. 10 to 15 minutes
- B. 20 to 30 minutes
- C. 30 to 40 minutes
- D. 1 hour
Correct Answer: B
Rationale: The sitz bath should last 20 to 30 minutes.
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 is preparing to bathe a patient. What should the room temperature be set at?
- A. No warmer than 67°F (19.4°C)
- B. No cooler than 68°F (20°C)
- C. No cooler than 70°F (21.1°C)
- D. 75°F or warmer (23.8°C)
Correct Answer: B
Rationale: The recommended room temperature is 68° to 74°F (20° to 23.3°C).