Bed Baths | Perineal and Catheter Care | Braden, Beds, and TEDS | NCLEX |
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What is supine position
The position a patient about to receive a bed bath should be in
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What is below the level of the bladder
Where should the catheter drainage bag be positioned?
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What is a 9
A very high risk patient on the Braden scale would score below this number
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What is the sclera of the eye
A student nurse is instructed by a registered nurse to monitor a client who has dark skin for cyanosis. The registered nurse determines that the student needs instructions regarding physical assessment techniques for the dark-skinned client if the student states that the best area to assess for cyanosis is
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What is the side of the patient without the IV line
When removing a tied gown from a patient with an intravenous line, we start with this side
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What is observe the perineal area for redness, swelling, irritation, discharge, or signs of skin breakdown
What type of skin assessment should a nurse observe when providing female and male perineal care?
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What are sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
We evaluate these six criteria on the Braden scale
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What is a stage 2 pressure ulcer
A nurse is performing a skin assessment of a client who is immobile and notes the presence of a partial-thicknes skin loss of the upper layer of the skin in the sacral area. The nurse documents these findings as a
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What is Distal to proximal
When washing a patient's extremity (arm or leg) we move in this direction
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What is proximal to distal
Which direction do you clean the catheter?
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What is turning it inside out
What do you do first to the TED sock before placing it on a patient?
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What is elevating the head of the bed
A nurse is caring for a client with severe burns of the face and head. The nurse will place the client in which position?
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What is a patient with diabetes
Soaking the feet in warm water can help maintain the cleanliness of the nails and feet. However, which type of patient don't we do this for?
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Inner thighs, Labia majora, urethral meatus and vaginal orifice
What is the order of performing female perineal care?
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What is making a mitered corner.
In changing a bed, if there is no fitted sheet, what do you do to the corners of the flat sheet?
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What is a normal, benign mole
During a full body skin assessment of a patient you see the following lesion with these characteristics: waxy border, red papule with a central crater. This describes what type of lesion?
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What it the inner to the outer canthus
When washing the eyes, which direction do we clean?
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Clean inner thighs, retract foreskin and wash the tip of the penis and urethral meatus, rinse and dry and return foreskin. Clean shaft of penis and scrotum.
What is the order of performing perineal care on someone with an uncircumcised penis?
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What is ensuring you can slip two fingers between the patient's leg and the sleeve.
How do you check the fit of the sequential compression device on a patient's leg?
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What is a malignant melanoma removal
"I will avoid sun exposure between 11 am to 3 pm." is good advice for a patient that has had what kind of biopsy?
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