EXAM 1 Chapter 28, 29, 39, 40, 48 (Infection Control, Hygiene, Activity & Exercise, Immobility, Skin Integrity & Wound Care)

EXAM 1 Chapter 28, 29, 39, 40, 48 (Infection Control, Hygiene, Activity & Exercise, Immobility, Skin Integrity & Wound Care) 1- A 26 year old is being admitted from the recovery room and is identified as at risk for falls. Which of the following best describes the rationale for this nursing diagnosis? Select one: a. Depression b. Surgical tooth extraction c. Pain medication d. History of asthma 2- A cognitively intact bedridden patient is unable to reach all body parts. Which type of bath will the nurse assign to the nursing assistive personnel? Select one: a. Bag bath b. Partial bed bath c. Complete bed bath d. Sponge bath 3- A diabetic patient presents to the clinic for a dressing change. The wound is located on the right foot and has purulent yellow drainage. Which action will the nurse take to prevent the spread of infection? Select one: a. Review the medication list that the patient brought from home. b. Position the patient comfortably on the stretcher. c. Don gloves and other appropriate personal protective equipment. d. Explain the procedure for dressing change to the patient. 4- After providing perineal hygiene an intact male patient, the nurse ensures: Select one: a. The foreskin remains retracted for the glans to dry b. The patient knows to replace the foreskin back over the glans in 15-20 minutes after drying c. The patient knows to use soap and water with hygiene to the glans going forward d. The foreskin is replaced back over the glans 5- A nurse is assessing activity tolerance of a patien