Nokea
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.
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Clear water is used to cleanse the eyes. It is important to use proper technique when cleansing the eyes to prevent infection. What direction will the water flow when cleansing a patient's eyes?
- A. Upward toward the forehead
- B. Downward toward the chin
- C. From the outer toward the inner canthus
- D. From the inner toward the outer canthus
Correct Answer: D
Rationale: The eye is cleansed from the inner to outer canthus.
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 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 lowers the bed to place the patient on the bedpan. The angle of the head of the bed should be raised to:
- A. 20 degrees.
- B. 45 degrees.
- C. 90 degrees.
- D. 30 degrees.
Correct Answer: D
Rationale: Elimination is facilitated with the head of the bed elevated 30 degrees.
When must the nurse remember to use an electric razor when shaving a patient?
- A. When a bleeding tendency is present
- B. When there is a risk for suicide
- C. When the facial hair is fine
- D. When speed is essential
Correct Answer: A
Rationale: A patient with a bleeding disorder should use an electric razor.