Foundations of nursing cooper gosnell chapter 9 study guide Exam Que & Ans

The nurse is preparing to bathe a patient. What temperature should the room temperature be set at? - ANS No cooler than 68, the recommended is 68-74F The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perennial and anal area. What is the amount of time the nurse will instruct for a sitz bath? - ANS 20-30 minutes The patient is recovering from a hemorrhoidectomy and experiences dizziness within five minutes of the sitz bath. What action should the nurse implement? - ANS The nurse should remove the patient from the sitz bath and return to bed. This is because of dilation of the large vessels in the abdomen. Vitals should be assessed until they return to normal. What should the water temperature be when preparing for a tepid bath? - ANS 98.6 F The nurse is inspecting the patient's skin for signs of impaired integrity. What finding by the nurse would be considered a major manifestation? - ANS Pressure ulcer The nurse asses an area of attained redness on the coccyx area of a resident in long-term care. What is the most likely cause of this pressure area? - ANS Collapse of blood vessels The nurse is caring for an unconscious patient with risk for a skin impairment. How often should this patient's position be changed? - ANS Every 2 hours or 120 minutes The nurse assess a red blister over the right superior iliac area of the patient. What stage is this decubitus ulcer? - ANS Blistering is a stage II (2) ulcer The nursing assessment of a pressure ulcer includes size, depth, pain, odor, and color of tissue. What does this evaluate? - ANS Ongoing assessment of a pressure ulcer will evaluate whether or not improvement is occurring The nurse attempts to avoid a pressure ulcer for a bedridden patient by turning the patient frequently. What is the favorable position for the nurse to turn the patient to? - ANS 30 degree lateral incline position One of the reasons the nurse focuses on oral hygiene is to maintain healthy state of oral cavity.. What is another reason to promote oral hygiene? - ANS To stimulate appetite How will a nurse correctly place a patient's dentures after cleaning? - ANS Inserting the upper denture first proper hair care is important for the patient's self-image. when shampooing a patient's hair, the proper water temperature is - ANS water is at 110 when shampooing a patient's hair