Nokea
Where should a nurse performing a backrub begin?
- A. Shoulder
- B. Base of the neck
- C. Sacral area
- D. Lumbar area
Correct Answer: C
Rationale: The nurse should begin a massage in the sacral area.
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The nurse assesses a red blister over the right superior iliac area of a patient. What stage is this decubitus injury?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: B
Rationale: A pressure injury demonstrating blisters is a stage 2 decubitus injury.
The nurse is assessing a patient's skin for signs of impaired skin integrity. Which finding by the nurse is considered a major manifestation?
- A. Burn
- B. Laceration
- C. Pressure injury
- D. Infection
Correct Answer: C
Rationale: A major manifestation of impaired skin integrity is a pressure injury.
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 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.
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.