Nokea
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.
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A health care provider orders a patient to be placed in the Trendelenburg's position. How will the nurse position 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: C
Rationale: The entire bed is tilted downward with the head of the bed down when placing a patient in the Trendelenburg's position.
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.
How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?
- A. At least once a day
- B. At least twice a day
- C. At bedtime
- D. Each shift
Correct Answer: B
Rationale: Catheter care should be performed at least two times daily.
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 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.