, Which actions would the nurse take for a comatose patient who has frequent liquid
stools and has a Braden Scale score of 8? - CORRECT ANSWERS-Turn the patient
every 2 hours for
Pad and protect any bony prominences.
Wash and dry the patient's skin after each liquid stool.
Replace soiled
Which foods would the nurse recommend for a patient with a leg wound who needs to
increase vitamin A intake? - CORRECT ANSWERS-Carrots
Sweet Potatoes
Using military time, at what time would the nurse turn the patient if the patient was last
turned at 1 p.m.? - CORRECT ANSWERS-1500
After receiving report, the nurse would delegate which tasks to the unlicensed assistive
personnel? - CORRECT ANSWERS-Turning a patient with a pressure injury
Cleaning an incontinent patients fo stool and urine
Which action would the nurse take for a mother who calls the clinic reporting that a thick
yellowish drainage is leaking out of her daughter's surgical leg incision and the incision
edges are red and warm? - CORRECT ANSWERS-Ask the mother to bring her
daughter to the office to be evaluated by the surgeon immediately.
Which treatment is the nurse monitoring when the patient is receiving the slowest type
of wound debridement? - CORRECT ANSWERS-Autolytic
Which action for skin hygiene would the nurse take for an obese patient who is
immobile? - CORRECT ANSWERS-Keep skin folds dry from perspiration
Which patient situations would prompt the nurse to question a prescription for heat
therapy? - CORRECT ANSWERS-A patient with a local tooth abscess
A patient with possible appendicitis
A patient with bleeding from a small wound
Which actions would the nurse take for a patient receiving heat therapy? - CORRECT
ANSWERS-Obtain distilled water for aquathermia treatments.
Check on the disoriented patient more frequently.
Cover the container and hand when providing warm hand soaks.
Which action would the nurse take when irrigating a patient's abdominal wound? -
CORRECT ANSWERS-Use sterile technique.
stools and has a Braden Scale score of 8? - CORRECT ANSWERS-Turn the patient
every 2 hours for
Pad and protect any bony prominences.
Wash and dry the patient's skin after each liquid stool.
Replace soiled
Which foods would the nurse recommend for a patient with a leg wound who needs to
increase vitamin A intake? - CORRECT ANSWERS-Carrots
Sweet Potatoes
Using military time, at what time would the nurse turn the patient if the patient was last
turned at 1 p.m.? - CORRECT ANSWERS-1500
After receiving report, the nurse would delegate which tasks to the unlicensed assistive
personnel? - CORRECT ANSWERS-Turning a patient with a pressure injury
Cleaning an incontinent patients fo stool and urine
Which action would the nurse take for a mother who calls the clinic reporting that a thick
yellowish drainage is leaking out of her daughter's surgical leg incision and the incision
edges are red and warm? - CORRECT ANSWERS-Ask the mother to bring her
daughter to the office to be evaluated by the surgeon immediately.
Which treatment is the nurse monitoring when the patient is receiving the slowest type
of wound debridement? - CORRECT ANSWERS-Autolytic
Which action for skin hygiene would the nurse take for an obese patient who is
immobile? - CORRECT ANSWERS-Keep skin folds dry from perspiration
Which patient situations would prompt the nurse to question a prescription for heat
therapy? - CORRECT ANSWERS-A patient with a local tooth abscess
A patient with possible appendicitis
A patient with bleeding from a small wound
Which actions would the nurse take for a patient receiving heat therapy? - CORRECT
ANSWERS-Obtain distilled water for aquathermia treatments.
Check on the disoriented patient more frequently.
Cover the container and hand when providing warm hand soaks.
Which action would the nurse take when irrigating a patient's abdominal wound? -
CORRECT ANSWERS-Use sterile technique.
