Nokea
You are giving evening care to your patient. What care will you provide?
- A. Assist with toileting
- B. Give a warm, wet washcloth for washing hands and face
- C. Change the gown
- D. Offer a back massage
- E. Straighten the linens and get an extra blanket
- F. Brush or comb hair
- G. Ensure that needed items for the night are within reach
Correct Answer: A,B,C,D,E,F,G
Rationale: Evening care includes toileting, washing, gown change, back massage, linen adjustment, hair care, and ensuring accessibility of items for patient comfort and safety.
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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.
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 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.
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.
A patient receiving a nasogastric tube feeding will have which common bed position?
- A. Flat
- B. Fowler's
- C. Semi-Fowler's
- D. Trendelenburg
Correct Answer: B,C
Rationale: Semi-Fowler's or Fowler's position prevents aspiration during nasogastric tube feeding by keeping the head elevated.