Ch 6

Question 1

The nurse wants the UAP to make an unoccupied open bed. How would the nurse describe this to the UAP?

1. Make the bed while the client is in the bed and with the top covers folded back
2. Make the bed while the client is out of the bed and with the top covers folded back
3. Make the bed while the client is in the bed with the top covers drawn to the top of the bed
4. Make the bed while the client is out of bed with the top covers drawn to the top of the bed

Answer 1

2

Question 2

To allow for more room for the clients feet, the nurse made a fold in the sheet 5-10 cm across the bed near the foot. Which term correctly describes the nurses action?

1. A miter of the sheet
2. A vertical toe pleat
3. A fan food of the sheet
4. A horizontal toe pleat

Answer 2

4

Question 3

The nurse enters a clients room to perform an assessment. The client is complaining of syncope and the blood pressure reads 64/36mmHg. The nurse placed the client in Trendelenburgs position. How is the client placed in the bed?

1. Positioned completely horizontal
2. Sitting in bed with the head of the bed raised 30*
3. Positioned with the head of the bed raised and the foot lowered
4. Positioned with the head of the bed lowered and the foot raised.

Answer 3

4

Question 4

A client has his left pleural chest tube removed. Within minutes of the chest tube removal, the client develops difficulty breathing. In which position should the nurse place the patient?

1. Fowler’s
2. Trendenlenburgs
3. Semi-Fowler’s
4. Reverse Trendenlenburg

Answer 4

1

Question 5

A student nurse is learning how to make a surgical bed. Which statement made by the student nurse indicates the need for further teaching?

1. “A flannel bath blanket provides additional warmth for the client “
2. “I will place top covers on the bed as I would for an unoccupied bed”
3. “I will tuck the sheets in and miter the corners of the sheets”
4. “Pillows are left on a chair to facilitate transferring the client to the bed”

Answer 5

3

Question 6

Which practice guidelines need to be implemented during bed making? Select all that apply

1. Hold soiled linen close to the uniform
2. Linen for one client can be placed on another clients bed
3. Place soiled linen directly in a portable linen hamper
4. Gather all linen before starting to strip a bed
5. Do not shake soiled linens in the air

Answer 6

3, 4, and 5

Question 7

The nurse plans to delegate bed making to the UAP. Which of the following clients beds could the nurse safely delegate? Select all that apply

1. The postoperative client who had a lumbar laminectomy performed yesterday
2. The client in traction following surgery for an internal fixation of the femur this morning
3. The client on complete bed rest secondary to improving symptoms of Guillain-Barré syndrome (a neurologic disorder)
4. The older adult client who has been chronically confined to bed
5. The client in traction following a fractured cervical vertebra

Answer 7

3 and 4

Question 8

A client is complaining of not being able to sleep while in the hospital. Which of the following interventions by the nurse is appropriate? Select all that apply

1. Keep the door to the room open
2. Post a “Do not disturb” sign on the door
3. Lower the lights
4. Lower room temp below 20* (68*)
5. Decrease the noise level at change of shift

Answer 8

2, 3, and 5

Question 9

The nurse is caring for a client who has recently suffered a cerebrovascular accident (stroke) and has orders for bathroom privileges only. When changing this clients bed the nurse would make a/an

1. Occupied bed
2. Unoccupied bed
3. Surgical bed
4. Closed bed

Answer 9

2

Question 10

Which of the following would the nurse consider appropriate for an alert adult client? Select all that apply

1. The 6’6” client has an extended length bed
2. All of the side rails are up
3. The bed is in the low position
4. The wheels on the bed are in the “lock” position
5. The two upper (top) quarter-length side rails are up

Answer 10

1, 3, 4, and 5