N125 Clinical Skills Bed Bath, Shampoo Hair, Perineal Care, Assessment Questions And Detailed Correct Answers.

Which is the most important safety measure the health care team member can take when providing care for the patient during a complete bed bath? Allowing the patient to sit unassisted on the side of the bed Raising the side rail and lowering the bed if the team member leaves the bedside Lowering the bed and leaving the side rail down for the patient to bathe himself or herself Washing the affected or injured extremity before cleansing the unaffected extremity - correct answer Raising the side rail and lowering the bed if the team member leaves the bedside A patient reports moderate pain after undergoing a hemorrhoidectomy. Which is a priority intervention to decrease the patient's pain? Administering an antiinflammatory medication Providing a medicated bath with oatmeal Providing an ice pack Providing a sitz bath - correct answer Providing a sitz bath Which interventions should the nurse perform to prevent excessive drying of the corneas when preparing to bathe an unconscious patient? Instill prescribed eyedrops and keep the patient's eyes closed with eye patches. Tape both eyelids closed after instilling the prescribed eye ointment. Instill saline eyedrops and provide frequent cleansing of the uncovered eyes. Cleanse the eyelids, instill the prescribed eye ointment, and then tape the eyes closed. - correct answer Instill prescribed eyedrops and keep the patient's eyes closed with eye patches. Which patient has the lowest risk of skin impairment? A 12-year-old male in skeletal traction A 27-year-old male with a chest tube A 45-year-old female with large breasts A 49-year-old female with hypertension - correct answer A 27-year-old male with a chest tube An 88-year-old patient who is diagnosed with dementia frequently becomes agitated and aggressive with caregivers. What is the most appropriate approach for bathing this patient? Assisting the patient with a shower Providing a complete bed bath Providing a disposable bed bath Avoiding bathing until the patient becomes more relaxed - correct answer Providing a disposable bed bath The health care team member is preparing to perform a bed bath on a 35-year-old patient with a spinal cord injury. What step should the team member take to provide for the patient's safety? Reduce the temperature of the water. Administer only a partial bed bath. Keep the side rails raised at all times. Keep the bed in a low position. - correct answer Reduce the temperature of the water. When washing a patient's face, what is the best method to use to clean around the eyes? Form the washcloth into a mitt and use soap and water. Use a loosely held washcloth and warm water. Form the washcloth into a mitt and use plain warm water. Use a loosely held washcloth and soap and water. - correct answer Form the washcloth into a mitt and use plain warm water. The health care team member is preparing to bathe a patient. What is an appropriate water temperature? 45°F 110°C 100°F 37°C - correct answer 100°F The health care team member is preparing to bathe a patient who has an IV line. The patient's gown does not have snaps. How should the team member proceed? Remove the gown from the arm without the IV first, then remove the IV line from the pump, slide the bag through the gown's sleeve, and remove the gown. Remove the gown from the arm without the IV first, then cut the sleeve on the arm with the IV with nursing shears and remove the second arm. Remove the gown from the arm without the IV first; pull the gown away, exposing the body; cleanse the exposed skin; then reposition the gown on the patient. Remove the gown from the arm without the IV line first, then quickly disconnect the IV tubing, remove the other arm, and reconnect the tubing. - correct answer Remove the gown from the arm without the IV first, then remove the IV line from the pump, slide the bag through the gown's sleeve, and remove the gown. The health care team member is bathing a patient and notices a red area over the patient's coccyx where the skin does not blanch when pressed with a finger. What is the best action for the team member to take? Massage the area to restore blood flow. Make a notation in the patient's record. Assess the area using an approved assessment tool. No intervention is needed because this is a normal finding. - correct answer Assess the area using an approved assessment tool. Which precaution is most appropriate when treating a patient with lice? Donning a disposable gown and gloves before contact Ensuring that lice treatment is applied to any open wounds on the patient's scalp Wearing protective eyewear before contact Not shampooing the hair if lice are present - correct answer Donning a disposable gown and gloves before contact Which consideration is most appropriate for a patient who has arthritis of the cervical spine? Avoiding the use of a hair dryer to dry the hair Limiting manipulation of the head and neck Shampooing the hair only when visible dirt is present