2026 PATIENT EDUCATION, PROCEDURES & ETHICS
Q&A (A+ STUDY GUIDE)
What is the purpose of using Montgomery straps for dressings?
To minimize irritation to the skin near the incisional area.
What does sanguineous exudate indicate?
An accumulation of RBCs from plasma that appears bright red.
What does serous exudate look like?
It appears clear to light yellow and is watery.
What is serosanguineous exudate?
Plasma mixed with light bloody drainage, typically pale yellow to blood-tinged.
What should a nurse do after instilling eye medication?
Apply gentle pressure to the nasolacrimal duct for 30 to 60 seconds.
What position should a client with impaired swallowing be in while eating?
Tilt the head forward to promote swallowing.
,What should a nurse do to avoid contamination when handling linens?
Avoid shaking linens to prevent air currents that can spread microorganisms.
What is the priority nursing action for a client with perianal irritation?
Assess the area of irritation.
How should a nurse communicate with a hearing-impaired client?
Speak toward the client's best or normal ear.
What should a nurse avoid when speaking to a hearing-impaired client?
Exaggerating lip movements.
What is the risk of offering thin liquids to a client with impaired swallowing?
It increases the risk for choking.
What should a nurse do to minimize distractions during mealtime for a client with
swallowing difficulties?
Minimize distractions to help the client concentrate on chewing and swallowing.
,What is the correct distance to hold an eye dropper from the eye?
1 to 2 cm (0.4 to 0.8 in) from the lower conjunctival sac.
What is an important consideration when using hypoallergenic tape?
It can cause skin sensitivity when frequently removed and reapplied.
What is the purpose of applying a barrier cream for a client with fecal incontinence?
To protect the skin from irritation.
What should a nurse do to ensure safety when using restraints?
Use the least restrictive interventions first.
What is the role of Montgomery straps in dressing changes?
They allow for dressing changes without removing adhesive strips.
What is the best way to assess a client's perineum?
Directly check the area for irritation.
What is the effect of speaking loudly to a hearing-impaired client?
, It can cause distortion of sounds.
What should a nurse do to help a client with dysphagia clear their mouth?
Suggest 'dry swallows' between bites of food.
What tort is committed when an assistive personnel reprimands a client for not using the
urinal properly?
Assault
What type of tort is a nurse committing by administering a sedative without the client's
request?
False imprisonment
What indicates a client's understanding of advance directives?
I plan to write that I don't want them to keep me on a breathing machine.
What actions should a nurse take regarding informed consent for elective surgery?
Make sure the surgeon obtained the client's consent. Witness the client's signature on the
consent form.
What should a nurse do if she finds another nurse asleep during work hours?