A male patient receiving perineal care tells the nurse "It has started to hurt a little
down there." What is the nurse's best response? correct answer "When did you
start experiencing the pain?"
A nursing assistive personnel (NAP) has finished making a surgical bed for a
patient in surgery. How would the nurse instruct the NAP to leave the bed to
transfer the surgical patient safely? correct answer Raise the height of the bed.
A patient is being given a bed bath. The nurse realizes that another washcloth is
needed to complete the bath. What is one way in which the nurse can ensure the
patient's safety? correct answer Make sure the call light is within the patient's
reach.
A patient who weighs 200 lbs. needs to be moved up in bed with the aid of a
friction-reducing device. The nurse will prepare for this move by assembling how
many caregivers? correct answer At least three
A patient with a nasogastric tube, an intravenous infusion line, and an indwelling
urinary catheter needs to be placed on the bedpan. Which action would the nurse
take first to ensure the patient's safety? correct answer Obtain help to place the
patient on the bedpan.
A patient with left-sided muscle weakness is prescribed a bath every other day.
Which precaution would help the nurse reduce this patient's risk of falling?
correct answer Decline the patient's request to add scented oil to the bathwater.
, All of the following factors are known to increase the risk of urinary tract infection
(UTI) except which one? correct answer Use of plain soap instead of an antiseptic
cleanser for perineal hygiene
For a surgical bed, why is the linen formed into a triangle and fanfolded away
from the side on which the patient will be transferred? correct answer To keep
the linen out of the way during the transfer
For which patient would the nurse most likely ask for a podiatrist consult for nail
care? correct answer A middle-aged man with type 2 diabetes mellitus who feels
tingling in his right foot
How does soap work? correct answer Emulsifies fat and oil so that dirt and
microorganisms can be mechanically removed
In which situation would it be appropriate for the nurse to use an antiseptic hand
rub to perform hand hygiene? correct answer The nurse's hands are not visibly
soiled.
The nurse and his or her assistants are using a slide board to move a patient from
the bed to a stretcher. The nurse, standing alone on the side of the bed opposite
the stretcher, will perform which action during this move? correct answer Hold
the slide board stationary in place.
The nurse delegates a patient's back massage to nursing assistive personnel
(NAP). Which statement by the NAP requires the nurse to follow up? correct
answer "The muscles of her lower back twitch when I start to rub it, but they calm
down if I keep massaging her."