91影视

A client is hospitalized for the first time. Which of the following actions ensures safety of the client? 1\. Keep unnecessary furniture out of the way. 2\. Keep lights on all the time. 3\. Keep side rails up at all times. 4\. Keep all equipment out of view.

A client who is unconscious needs frequent mouth care; in what position should the client be placed? 1\. Fowler鈥檚 position 2\. side-lying position 3\. supine position 4\. Trendelenburg position

What are the factors that might make the nurse鈥檚 client reluctant to participate in morning care? 1\. illness, injury, cultural, stress 2\. illness, behavior, dependency 3\. disease, infection, doesn鈥檛 want to, high energy level 4\. nursing care poor

Why should the nurse have the client participate in their morning hygiene care? 1\. promotes cleanliness and decreases illness 2\. promotes health and well-being 3\. promotes happiness and greater recovery 4\. promotes skills and new procedures

Which action is completed when removing contaminated clothing and bed linen from a client? 1\. Scrub hands and arms well. 2\. Carry contaminated clothing/bed linen away from nurse鈥檚 body. 3\. Doesn鈥檛 matter how contaminated, items are disposed of. 4\. Wash hands.

Which step should be avoided when bathing a client who has a history of deep vein thrombosis? 1\. sliding the basin under the foot while supporting and raising the lower leg 2\. using long, firm strokes when washing from the ankles to knees 3\. patting the skin gently with a towel to dry it after bathing 4\. cleaning between the toes when bathing the feet

Which is the best way for the nurse to position a hemiplegic client in a semi- Fowler鈥檚 position? 1\. Turn the client to one side and support with a back pillow. 2\. Position client鈥檚 head on a large, firm pillow. 3\. Elevate head and trunk 70鈥�90 degrees. 4\. Flex the client鈥檚 knees.

. Select an appropriate technique for shaving a male client. 1\. Soften the beard with a warm, moist towel before beginning. 2\. Use downward strokes when shaving the neck. 3\. Use a safety razor when shaving a client who is at risk for excessive bleeding. 4\. Use upward strokes when shaving the face.

Which documented statement reflects the most important nursing action to prevent skin breakdown? 1\. 鈥淎ll bony prominences massaged.鈥� 2\. 鈥淣o reddened areas noted during bath.鈥� 3\. 鈥淗eels supported on a foam donut.鈥� 4\. 鈥淩epositioning side-back-side q2h.鈥�

What are two important considerations to be incorporated into the bed/bath procedure? 1\. Ensure client privacy and maintain warmth. 2\. Maintain professionalism and do all care for the client. 3\. Allow client independence and assist only with skin care. 4\. Maintain client dignity and ask the family to provide perineal care.