B260 Adaptive Quizzing For Chapt
27 & 40 Study Set
Which nursing activity is involved in evaluation to determine patient safety?
1. Identifying the patient's preparations of safety needs and risks
2. Identifying the actual and potential threats to the patient's safety
3. Determining the impact of the underlying illness on the patient's safety
4. Reassessing the patient for the presence of physical, social, and
environmental risks - ANSWER 4. Reassessing the patient for the presence of
physical, social, and environmental risks
The nurse reassesses a patient for the presence of physical, social, and
environmental risks during evaluation. Identifying a patient's perceptions of
safety needs and risks is involved in assessment. During assessment, the nurse
also identifies the actual and potential threats to the patient's safety and
determines the impact of the underlying illness on the patient's safety.
Which interventions are appropriate when bathing a patient who cannot move
from the bed? Select all that apply.
1. Washing the patient's face with soap
2. Filling the bath basin with cool water
3. Washing the patient from front to back at all times
4. Folding the bath blanket back to the patient's waist
5. Disconnecting the intravenous tube while changing the patient's gown -
ANSWER 3. Washing the patient from front to back at all times
4. Folding the bath blanket back to the patient's waist
The nurse should always wash from front to back to prevent fecal matter or
bacteria from entering the urinary tract. While providing a complete bath to a
patient who cannot leave the bed, the nurse should fold the bath blanket back to
the patient's waist to protect the patient's modesty and keep the patient warm.
The nurse should wash the patient's face with a special face cleanser instead of
soap. The nurse should fill the bath basin with warm water to provide comfort.
The nurse should avoid disconnecting the intravenous tube while changing the
patient's gown to prevent infection.
A registered nurse teaches a nursing student how to bathe patients with altered
cognition. Which statement made by the nursing student indicates the need for
further teaching?
, 1. "I should ensure that bath mats are available."
2. "I should administer ordered analgesics half an hour before a bath."
3. "I should use only cool water when bathing patients with altered cognition."
4. "I should be aware that patients with impaired cognition may behave
aggressively during bathing." - ANSWER "I should use only cool water when
bathing patients with altered cognition."
Patients with impaired cognition or other mental ailments such as dementia
should be given a bath with warm water because the patient may become
agitated and aggressive during bathing activities. Bath mats are safety devices
that should be available at all times. Analgesics may be administered half an
hour before the bath to alleviate pain, if needed. Patients with impaired
cognition tend to behave aggressively during bathing.
A patient who is cognitively impaired and has dementia requires hygiene care.
The patient often displays aggressive behavior, such as screaming and hitting
during the bath. Which techniques would make the bathing experience less
stressful for both the nurse and the patient? Select all that apply.
1. Allow the patient to perform as much of the care as possible.
2. Start by washing the face.
3. Try an alternative to traditional bathing, such as the bag bath.
4. Use restraints to prevent the patient from injuring self or the nurse.
5. Be quick to keep the bath as short as possible. - ANSWER 1. Allow the patient
to perform as much of the care as possible.
3. Try an alternative to traditional bathing, such as the bag bath.
Patients with cognitive impairment may respond to bathing by acting out
aggressively. Studies have indicated a number of triggering events, including
washing the face first. The bag bath has been shown to result in a lower
incidence of aggressive behavior than traditional bathing. Use of restraints is
not warranted and can actually lead to injury, because the patient often fights
against the restraints. Cognitively impaired patients respond better when the
nurse uses a gentle approach and avoids rushing.
A professor is teaching a group of nursing students about patient-inherent
accidents. Which are examples of patient-inherent accidents in the hospital
setting? Select all that apply.
1. Medication administration error
2. Improper insertion of a urinary catheter
3. Ingestion of a foreign substance
4. Pinching fingers in drawers
5. Self-inflicted cuts - ANSWER 3. Ingestion of a foreign substance
4. Pinching fingers in drawers
5. Self-inflicted cuts
27 & 40 Study Set
Which nursing activity is involved in evaluation to determine patient safety?
1. Identifying the patient's preparations of safety needs and risks
2. Identifying the actual and potential threats to the patient's safety
3. Determining the impact of the underlying illness on the patient's safety
4. Reassessing the patient for the presence of physical, social, and
environmental risks - ANSWER 4. Reassessing the patient for the presence of
physical, social, and environmental risks
The nurse reassesses a patient for the presence of physical, social, and
environmental risks during evaluation. Identifying a patient's perceptions of
safety needs and risks is involved in assessment. During assessment, the nurse
also identifies the actual and potential threats to the patient's safety and
determines the impact of the underlying illness on the patient's safety.
Which interventions are appropriate when bathing a patient who cannot move
from the bed? Select all that apply.
1. Washing the patient's face with soap
2. Filling the bath basin with cool water
3. Washing the patient from front to back at all times
4. Folding the bath blanket back to the patient's waist
5. Disconnecting the intravenous tube while changing the patient's gown -
ANSWER 3. Washing the patient from front to back at all times
4. Folding the bath blanket back to the patient's waist
The nurse should always wash from front to back to prevent fecal matter or
bacteria from entering the urinary tract. While providing a complete bath to a
patient who cannot leave the bed, the nurse should fold the bath blanket back to
the patient's waist to protect the patient's modesty and keep the patient warm.
The nurse should wash the patient's face with a special face cleanser instead of
soap. The nurse should fill the bath basin with warm water to provide comfort.
The nurse should avoid disconnecting the intravenous tube while changing the
patient's gown to prevent infection.
A registered nurse teaches a nursing student how to bathe patients with altered
cognition. Which statement made by the nursing student indicates the need for
further teaching?
, 1. "I should ensure that bath mats are available."
2. "I should administer ordered analgesics half an hour before a bath."
3. "I should use only cool water when bathing patients with altered cognition."
4. "I should be aware that patients with impaired cognition may behave
aggressively during bathing." - ANSWER "I should use only cool water when
bathing patients with altered cognition."
Patients with impaired cognition or other mental ailments such as dementia
should be given a bath with warm water because the patient may become
agitated and aggressive during bathing activities. Bath mats are safety devices
that should be available at all times. Analgesics may be administered half an
hour before the bath to alleviate pain, if needed. Patients with impaired
cognition tend to behave aggressively during bathing.
A patient who is cognitively impaired and has dementia requires hygiene care.
The patient often displays aggressive behavior, such as screaming and hitting
during the bath. Which techniques would make the bathing experience less
stressful for both the nurse and the patient? Select all that apply.
1. Allow the patient to perform as much of the care as possible.
2. Start by washing the face.
3. Try an alternative to traditional bathing, such as the bag bath.
4. Use restraints to prevent the patient from injuring self or the nurse.
5. Be quick to keep the bath as short as possible. - ANSWER 1. Allow the patient
to perform as much of the care as possible.
3. Try an alternative to traditional bathing, such as the bag bath.
Patients with cognitive impairment may respond to bathing by acting out
aggressively. Studies have indicated a number of triggering events, including
washing the face first. The bag bath has been shown to result in a lower
incidence of aggressive behavior than traditional bathing. Use of restraints is
not warranted and can actually lead to injury, because the patient often fights
against the restraints. Cognitively impaired patients respond better when the
nurse uses a gentle approach and avoids rushing.
A professor is teaching a group of nursing students about patient-inherent
accidents. Which are examples of patient-inherent accidents in the hospital
setting? Select all that apply.
1. Medication administration error
2. Improper insertion of a urinary catheter
3. Ingestion of a foreign substance
4. Pinching fingers in drawers
5. Self-inflicted cuts - ANSWER 3. Ingestion of a foreign substance
4. Pinching fingers in drawers
5. Self-inflicted cuts
