Test Bank For Foundations of Nursing, 9th Edition (Cooper,
2023) Chapter 1- / All Chapters with
Answers and Rationals
The nurse is preparing to bathe a patient. What temperature should the room temperature be set at?
- ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: To stimulate appetite
How will a nurse correctly place a patient's dentures after cleaning? - ANSWER: 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 - ANSWER: water is at 110 when shampooing a patient's hair
When must the nurse remember to use an electric razor when shaving a patient? - ANSWER: 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? - ANSWER: 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? -
ANSWER: Podiatrist
How often should the nurse clean the meatal-catheter junction of a person with an indwelling
catheter? - ANSWER: 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? - ANSWER: 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? -
ANSWER: 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 - ANSWER: Every 8 hours
How should the nurse handle soiled linens? - ANSWER: hold away from the uniform
How should the nurse clean the meatal opening when preforming male perineal care? - ANSWER:
With the meatus outward
The nurse lowers the bed to place the patient on the bedpan. The angle of the head of the bed should
be raised to: - ANSWER: 30 degrees
What does the nurse recognize is important to consider when using the nursing process to plan the
hygiene care of a patient? - ANSWER: patient's preferences
The nurse is providing person hygiene for a Hindu patient from India. What intervention should the
nurse implement? - ANSWER: Give patient a daily bath
The nurse is assisting the patient to preform personal hygiene. What is the most important focus of
the nurse when assisting a patient? - ANSWER: Independence
The nurse discovers a reddened area over a patient's hip. What should be the nurse's first
intervention? - ANSWER: Press area gently to assess for blanching ( a stage one ulcer will not blanch)
The nurse is educating a patient regarding a tub bath. What is the maximum length of time the nurse
should instruct the patient to remain in the water? - ANSWER: No more than 20 minutes, 10-20 mins
Where should the nurse preforming a back-rub begin? - ANSWER: The sacral area
The nurse is caring for a patient experiencing presbycusis. What intervention should the nursing
personnel be instructed to implement? - ANSWER: speak slowly and clearly to the patient
Trendelenburg position - ANSWER: The body is laid flat on the back (supine position) with the feet
higher than the head by 15-30 degrees, (tilted with the head of the bed down)
Reverse Trendelenburg's position - ANSWER: The head of the bed is raised and the foot of the bed is
lowered (tilted with the foot of the bed down)
Which guideline should be given for a backrub? - ANSWER: Observing the skin for abnormalities, 3-5
minutes, minimal talking, alcohol or a rub as a disinfectant when drying the skin
The nurse is preparing to make an occupied bed. What procedure will the nurse follow to complete
the task? (select all that apply) - ANSWER: Remove the spread and blanket separately
Place the bath blanket over patient on top sheet
2023) Chapter 1- / All Chapters with
Answers and Rationals
The nurse is preparing to bathe a patient. What temperature should the room temperature be set at?
- ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: 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? - ANSWER: To stimulate appetite
How will a nurse correctly place a patient's dentures after cleaning? - ANSWER: 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 - ANSWER: water is at 110 when shampooing a patient's hair
When must the nurse remember to use an electric razor when shaving a patient? - ANSWER: 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? - ANSWER: 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? -
ANSWER: Podiatrist
How often should the nurse clean the meatal-catheter junction of a person with an indwelling
catheter? - ANSWER: 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? - ANSWER: 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? -
ANSWER: 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 - ANSWER: Every 8 hours
How should the nurse handle soiled linens? - ANSWER: hold away from the uniform
How should the nurse clean the meatal opening when preforming male perineal care? - ANSWER:
With the meatus outward
The nurse lowers the bed to place the patient on the bedpan. The angle of the head of the bed should
be raised to: - ANSWER: 30 degrees
What does the nurse recognize is important to consider when using the nursing process to plan the
hygiene care of a patient? - ANSWER: patient's preferences
The nurse is providing person hygiene for a Hindu patient from India. What intervention should the
nurse implement? - ANSWER: Give patient a daily bath
The nurse is assisting the patient to preform personal hygiene. What is the most important focus of
the nurse when assisting a patient? - ANSWER: Independence
The nurse discovers a reddened area over a patient's hip. What should be the nurse's first
intervention? - ANSWER: Press area gently to assess for blanching ( a stage one ulcer will not blanch)
The nurse is educating a patient regarding a tub bath. What is the maximum length of time the nurse
should instruct the patient to remain in the water? - ANSWER: No more than 20 minutes, 10-20 mins
Where should the nurse preforming a back-rub begin? - ANSWER: The sacral area
The nurse is caring for a patient experiencing presbycusis. What intervention should the nursing
personnel be instructed to implement? - ANSWER: speak slowly and clearly to the patient
Trendelenburg position - ANSWER: The body is laid flat on the back (supine position) with the feet
higher than the head by 15-30 degrees, (tilted with the head of the bed down)
Reverse Trendelenburg's position - ANSWER: The head of the bed is raised and the foot of the bed is
lowered (tilted with the foot of the bed down)
Which guideline should be given for a backrub? - ANSWER: Observing the skin for abnormalities, 3-5
minutes, minimal talking, alcohol or a rub as a disinfectant when drying the skin
The nurse is preparing to make an occupied bed. What procedure will the nurse follow to complete
the task? (select all that apply) - ANSWER: Remove the spread and blanket separately
Place the bath blanket over patient on top sheet
