Chapter 18

Question 1

The bath that aids in the reduction of inflammation of the perineal and anal areas of the patient is called a \_\_\_\_\_ bath.
 Sitz
 Bed
 Medicated
 Whirlpool

Answer 1

sitz

Question 2

The LPN is giving a bed bath to a patient with diabetes. While assessing the skin, which area of the body needs special attention?
 Back
 Arms
 Feet
 Legs

Answer 2

Feet

Question 3

A patient is noted with a pressure ulcer on his sacrum. The pressure ulcer has full thickness skin loss with necrosis of the subcutaneous tissue. Which classification is this pressure ulcer?
 Stage I
 Stage II
 Stage III
 Stage IV

Answer 3

Stage 3

Question 4

A bedfast patient has a sacral pressure ulcer. The nurse instructs the staff that the patient needs to be repositioned how often?
 Every 4 hours
 Every 2 hours
 Every hour
 Once a shift

Answer 4

every two hours

Question 5

The nurse is doing discharge teaching with a female patient who is going with a Foley catheter. Which of the following statements by the patient indicates the need for further teaching?
“I will wash my perineum from back to front.”
“I will use soap and water for cleaning.”
“I will pat-dry my perineum after washing.”
“I will wash after each bowel movement.”

Answer 5

I will wash my perineum from front to back

Question 6

An immobile patient with incontinence and poor nutrition is at highest risk for:
Imbalanced nutrition: less than body requirements
Impaired skin integrity
Impaired urinary elimination
Impaired physical mobility

Answer 6

impaired skin integrity

Question 7

he purpose of positioning a patient at the 30-degree lateral position is to provide:
 Proper alignment of joints
 An alternate position to lie in
 Reduction of pressure points
 Better comfort

Answer 7

reduction of pressure points

Question 8

A patient who is hard of hearing removes his hearing aid before going to bed. What is an important step for him to remember?
Keep it located in the bathroom when not being worn.
Avoid routine cleaning.
Clean any wax build-up in the ear canal with a cotton swab.
Turn off the battery.

Answer 8

turned off

The hearing aid needs to be stored in a safe place, cleaned regularly, and turned off to prolong the battery life.

Question 9

Your patient is on anticoagulant therapy and is requesting to shave. What is the most appropriate response to the patient?
“You will not be able to shave until the medication is stopped.”
“You will be able to shave only with an electric razor.”
“You can go ahead and shave as normal.”
“Make sure to use plenty of shaving cream.”
10.

Answer 9

shave with electric razor

Question 10

As a nurse, you set an example for your patients regarding hygiene. Select all of the personal hygiene measures you should perform.
Bathe twice a day.
Clean uniform every day.
Keep fingernails clean, short, manicured.
Do not wear makeup, jewelry, or perfumes.
Always be clean-shaven.
Use breath mints.

Answer 10

clean uniform
fingernails clean

use breath mints