foundations of nursing cooper gosnell chapter 9 study guide
1. The nurse is preparing to bathe a patient. What temperature should the
room temperature be set at?: No cooler than 68, the recommended is 68-74F
2. 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?: 20-30 minutes
3. The patient is recovering from a hemmorhoidectomy and experiences
dizziness within five minutes of the sitz bath. What action should the nurse
implement?: 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.
4. What should the water temperature be when preparing for a tepid bath?:
98.6 F
5. The nurse is inspecting the patient's skin for signs of impaired integrity.
What finding by the nurse would be considered a major manifestation?:
Pressure ulcer
6. 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?: Collapse of blood vessels
7. The nurse is caring for an unconscious patient with risk for a skin
impairment. How often should this patient's position be changed?: Every 2
hours or 120 minutes
8. The nurse assess a red blister over the right superior illiac area of the
patient. What stage is this decubitous ulcer?: Blistering is a stage II (2) ulcer
9. The nursing assessment of a pressure ulcer includes size, depth, pain,
odor, and color of tissue. What does this evaluate?: Ongoing assessment of a
pressure ulcer will evaluate whether or not improvement is occurring
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, foundations of nursing cooper gosnell chapter 9 study guide
10. 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?: 30 degree lateral incline position
11. 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?:
To stimulate appetite
12. How will a nurse correctly place a patient's dentures after cleaning?:
Inserting the upper denture first
13. proper hair care is important for the patient's self-image. when
shampooing a patient's hair, the proper water temperature is: water is at 110
when shampooing a patient's hair
14. When must the nurse remember to use an electric razor when shaving a
patient?: When a bleeding tendency is present
15 The nurse is bathing a patient with deep vein thrombosis in the left leg.
What modification must the nurse make when attending to the left leg?: Gently
washing the leg and patting dry with a towel
16. The nurse is providing hand and foot to a patient and notices the patient
has extremely hard nails. Who is the person best prepared to provide nail care
to patient's with extremely hard nails?: Podiatrist
17. How often should the nurse clean the meatal-catheter junction of a
person with an indwelling catheter?: at least twice a day
18. The nurse is preparing to provide perineal care to a female patient. What
is the best method of using a bath blanket to drape the patient?: Diamond
position
19. Clear water is used to cleanse the eyes. It is important to use the proper
technique when cleansing the eyes to prevent infection. What direction will
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1. The nurse is preparing to bathe a patient. What temperature should the
room temperature be set at?: No cooler than 68, the recommended is 68-74F
2. 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?: 20-30 minutes
3. The patient is recovering from a hemmorhoidectomy and experiences
dizziness within five minutes of the sitz bath. What action should the nurse
implement?: 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.
4. What should the water temperature be when preparing for a tepid bath?:
98.6 F
5. The nurse is inspecting the patient's skin for signs of impaired integrity.
What finding by the nurse would be considered a major manifestation?:
Pressure ulcer
6. 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?: Collapse of blood vessels
7. The nurse is caring for an unconscious patient with risk for a skin
impairment. How often should this patient's position be changed?: Every 2
hours or 120 minutes
8. The nurse assess a red blister over the right superior illiac area of the
patient. What stage is this decubitous ulcer?: Blistering is a stage II (2) ulcer
9. The nursing assessment of a pressure ulcer includes size, depth, pain,
odor, and color of tissue. What does this evaluate?: Ongoing assessment of a
pressure ulcer will evaluate whether or not improvement is occurring
1/7
, foundations of nursing cooper gosnell chapter 9 study guide
10. 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?: 30 degree lateral incline position
11. 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?:
To stimulate appetite
12. How will a nurse correctly place a patient's dentures after cleaning?:
Inserting the upper denture first
13. proper hair care is important for the patient's self-image. when
shampooing a patient's hair, the proper water temperature is: water is at 110
when shampooing a patient's hair
14. When must the nurse remember to use an electric razor when shaving a
patient?: When a bleeding tendency is present
15 The nurse is bathing a patient with deep vein thrombosis in the left leg.
What modification must the nurse make when attending to the left leg?: Gently
washing the leg and patting dry with a towel
16. The nurse is providing hand and foot to a patient and notices the patient
has extremely hard nails. Who is the person best prepared to provide nail care
to patient's with extremely hard nails?: Podiatrist
17. How often should the nurse clean the meatal-catheter junction of a
person with an indwelling catheter?: at least twice a day
18. The nurse is preparing to provide perineal care to a female patient. What
is the best method of using a bath blanket to drape the patient?: Diamond
position
19. Clear water is used to cleanse the eyes. It is important to use the proper
technique when cleansing the eyes to prevent infection. What direction will
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