Nokea
You know a patient with diabetes needs more teaching about nail care when he says:
- A. My daughter can cut my toenails so they are rounded without any sharp edges.'
- B. I won't clip my toenails anymore. I will just file them.'
- C. Any reddened area on my feet can be a problem, so I will tell the doctor if I see any.'
- D. I don't want to risk even a small cut on my toes or feet.'
Correct Answer: A
Rationale: Diabetic patients should be cut straight across toenails to prevent ingrown nails and infections, not rounded.
You may also like to solve these questions
The circulatory effect of venous return is accomplished by bathing:
- A. the back along the trapezius muscles.
- B. the extremities in a distal-to-proximal direction.
- C. the arm farthest away from you first, then the nearer arm.
- D. the extremities in a proximal-to-distal direction.
Correct Answer: B
Rationale: Bathing extremities distal-to-proximal promotes venous return by facilitating blood flow toward the heart.
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.
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.
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.