Question 1

A patient is recovering from a hemorrhoidectomy and experiences dizziness within 5 minutes when taking a sitz bath.What action should the nurse implement?

Accepted Answer

A)   Cover the patient to prevent chilling.
B)   Stay with the patient until the full time for the bath has elapsed.
C)   Remove the patient from the sitz bath and return to bed.
D)   Assess vital signs every 5 minutes during the remainder of the sitz bath.E) B) and D)
F) A) and B)

Question 2

The nurse lowers the bed to place the patient on the bedpan.The angle of the head of the bed should be raised to:

Accepted Answer

A)   20 degrees.
B)   45 degrees.
C)   90 degrees.
D)   30 degrees.E) All of the above
F) A) and D)

Question 3

How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?

Accepted Answer

A)   At least once a day
B)   At least twice a day
C)   At bedtime
D)   Each shiftE) None of the above
F) All of the above B

Question 4

A health care provider orders a patient to be placed in the Trendelenburg's position.How will the nurse position the bed?

Accepted Answer

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 downE) All of the above
F) A) and C)

Question 5

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?

Accepted Answer

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 canthusE) A) and B)
F) A) and C)

Question 6

The nurse is preparing to make an occupied bed.What procedure will the nurse follow to correctly complete this task? (Select all that apply. )

Accepted Answer

A)   Remove spread and blanket separately.
B)   Place soiled sheet at end of bed.
C)   Place bath blanket over patient on top sheet.
D)   Slide mattress to bottom of bed.
E)   Position patient to far side of bed.F) C) and D)
G) D) and E)

Question 7

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?

Accepted Answer

A)   Place on the floor
B)   Fan in the air
C)   Hold away from the uniform
D)   Place at the end of the bedE) A) and B)
F) A) and C)

Question 8

How frequently should the nurse clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula?

Accepted Answer

A)   At least every 2 hours
B)   At least every 6 hours
C)   At least every 8 hours
D)   At least every 10 hoursE) A) and C)
F) A) and B)

Question 9

The nurse assesses a red blister over the right superior iliac area of a patient.What stage is this decubitus injury?

Accepted Answer

A)   1
B)   2
C)   3
D)   4E) None of the above
F) A) and B)

Question 10

The nurse is assessing a patient's skin for signs of impaired skin integrity.Which finding by the nurse is considered a major manifestation?

Accepted Answer

A)   Burn
B)   Laceration
C)   Pressure injury
D)   InfectionE) A) and D)
F) B) and C) C

Question 11

The nurse is providing personal hygiene for a Hindu patient from India.What intervention should the nurse implement?

Accepted Answer

A)   Not serve meat
B)   Shampoo the patient's hair weekly
C)   Give a daily bath
D)   Cut nails monthlyE) All of the above
F) B) and D)

Question 12

The nurse is assisting a patient to perform personal hygiene.What is the most important focus of the nurse when assisting this patient?

Accepted Answer

A)   Nursing care
B)   Independence
C)   Repetition
D)   PerformanceE) B) and C)
F) B) and D)

Question 13

The nurse avoids dragging the patient across the bed linen to decrease the potential risk of skin injury by _________.

Accepted Answer

The answer of The nurse avoids dragging the patient across...

Question 14

The nurse is caring for a patient experiencing presbycusis.What intervention should the nursing personnel be instructed to implement?

Accepted Answer

A)   Speak quickly to the patient.
B)   Speak in loud tones to the patient.
C)   Speak slowly and clearly to the patient.
D)   Tell the patient they must purchase a hearing aid.E) A) and D)
F) None of the above

Question 15

The nursing assessment of a pressure injury includes size,depth,pain,odor,and color of tissue.What does this evaluate?

Accepted Answer

A)   Treatment needed
B)   Effectiveness of implementation
C)   Whether improvement is occurring
D)   Need for additional interventionsE) B) and C)
F) None of the above

Question 16

What does the nurse recognize is important to consider when using the nursing process to plan hygiene care of the patient?

Accepted Answer

A)   Nurse's orders
B)   Health care provider's orders
C)   Patient's preferences
D)   Outcome goalsE) B) and C)
F) A) and D) C

Question 17

One reason the nurse focuses on oral hygiene is to maintain a healthy state of the oral cavity.What is another reason to promote oral hygiene?

Accepted Answer

A)   To improve self-esteem
B)   To stimulate appetite
C)   To restore tooth destruction
D)   To assist with periodontitisE) A) and C)
F) B) and D)

Question 18

Proper hair care is important for the patient's self-image.What is the proper water temperature when shampooing a patient's hair?

Accepted Answer

A)   101°F (38.3°
C)  
B)   105°F (40.5°
C)  
C)   110°F (43.3°
C)  
D)   120°F (48.8°
C)  E) A) and B)
F) None of the above

Question 19

The health care provider orders a patient to be placed in the reverse Trendelenburg's position.How should the nurse place the bed?

Accepted Answer

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 downE) None of the above
F) B) and D)

Question 20

When must the nurse remember to use an electric razor when shaving a patient?

Accepted Answer

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 essentialE) A) and B)
F) A) and C)

Exam 9: Hygiene and Care of the Patients Environment

A patient is recovering from a hemorrhoidectomy and experiences dizziness within 5 minutes when taking a sitz bath.What action should the nurse implement?

Correct AnswerverifiedShow Answer

The nurse lowers the bed to place the patient on the bedpan.The angle of the head of the bed should be raised to:

Correct AnswerverifiedShow Answer

How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?

Correct AnswerverifiedB

A health care provider orders a patient to be placed in the Trendelenburg's position.How will the nurse position the bed?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

The nurse is preparing to make an occupied bed.What procedure will the nurse follow to correctly complete this task? (Select all that apply. )

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

How frequently should the nurse clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula?

Correct AnswerverifiedShow Answer

The nurse assesses a red blister over the right superior iliac area of a patient.What stage is this decubitus injury?

Correct AnswerverifiedShow Answer

The nurse is assessing a patient's skin for signs of impaired skin integrity.Which finding by the nurse is considered a major manifestation?

Correct AnswerverifiedC

The nurse is providing personal hygiene for a Hindu patient from India.What intervention should the nurse implement?

Correct AnswerverifiedShow Answer

The nurse is assisting a patient to perform personal hygiene.What is the most important focus of the nurse when assisting this patient?

Correct AnswerverifiedShow Answer

The nurse avoids dragging the patient across the bed linen to decrease the potential risk of skin injury by _________.

Correct AnswerverifiedShow Answer

The nurse is caring for a patient experiencing presbycusis.What intervention should the nursing personnel be instructed to implement?

Correct AnswerverifiedShow Answer

The nursing assessment of a pressure injury includes size,depth,pain,odor,and color of tissue.What does this evaluate?

Correct AnswerverifiedShow Answer

What does the nurse recognize is important to consider when using the nursing process to plan hygiene care of the patient?

Correct AnswerverifiedC

One reason the nurse focuses on oral hygiene is to maintain a healthy state of the oral cavity.What is another reason to promote oral hygiene?

Correct AnswerverifiedShow Answer

Proper hair care is important for the patient's self-image.What is the proper water temperature when shampooing a patient's hair?

Correct AnswerverifiedShow Answer

The health care provider orders a patient to be placed in the reverse Trendelenburg's position.How should the nurse place the bed?

Correct AnswerverifiedShow Answer

When must the nurse remember to use an electric razor when shaving a patient?

Correct AnswerverifiedShow Answer

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C

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C

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