foundations of nursing cooper gosnell chapter 9 study guide

foundations of nursing cooper gosnell chapter 9 study guide(2023 A+) 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 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 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. What should the water temperature be when preparing for a tepid bath? - 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? - 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? - 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? - Every 2 hours or 120 minutes 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 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 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 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 How will a nurse correctly place a patient's dentures after cleaning? - 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 - water is at 110 when shampooing a patient's hair When must the nurse remember to use an electric razor when shaving a patient? - When a bleeding tendency is present 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 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 How often should the nurse clean the meatal-catheter junction of a person with an indwelling catheter? - at least twice a day 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 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 water flow when cleansing a patient's eyes? - From the inner towards the outer canthus How should the nurse cleanse the nares of patients who have a nasogastric tube or are recievieng oxygen by nasal canula - Every 8 hours