gosnell chapter 9 exam questions
guide with correct answers
The nurse is preparing to bathe a patient. What temperature should the
room temperature be set at?
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?
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?
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?
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?
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?
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?
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?
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?
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?
, 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?
To stimulate appetite
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How will a nurse correctly place a patient's dentures after cleaning?
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
water is at 110 when shampooing a patient's hair
When must the nurse remember to use an electric razor when shaving a
patient?
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?
Gently washing the leg and patting dry with a towel