Unitek SAC 5 Quiz 9

Which condition can result in a pressure ulcer?

When the client lies on wrinkled sheets

A RN is discussing pressure ulcer staging with a newly licensed vocational nurse. Which of the following statements should the RN use to describe a stage 2 pressure ulcer?

an abrasion, blister, or a shallow crater in the skin

When carrying heavy objects, the nurse recognizes that the load should be held:

close to the body midline

A nurse provides a fracture bedpan for a client who has a femur fracture and needs to defecate. When the client asks why the nurse chose that type of bedpan, which of the following responses should the nurse make?

"This kind of bedpan is easier to place under you."

Convert 48 kg to lbs? Use numbers only for answer, round to the tenth

105.6

The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area. How long should a client remain in a sitz bath?

20-30 minutes

The nurse is providing a back rub to the client. To give an effective back rub, the nurse must massage for:

3-5 minutes

When performing passive range-of-motion exercises, the number of times that the nurse should move each joint through ROM is:

5

Convert 112 lbs to kg? Use numbers only for answer. Round to the nearest tenth.

50.9

Before giving the client a bath, the nurse assures that the room temperature is between:

68-74 degrees Farenheit

An older adult client in a long-term care facility had a stroke 4 weeks ago and has been unable to move independently since that time. The nurse caring for her should observe for which of the following findings that indicates a complication of immobility?

A reddened area over the sacrum

The nurse explains that when range-of-motion is performed by the client alone, it is called

Active Range of Motion

With lifting or moving a client up in bed, the nurse should protect his or her back by:

Bending the knees and raising the bed to waist height

A nurse is assisting a client with range-of-motion exercises of the feet and ankles. Which of the following terms should the nurse use when documenting the client turning the sole of her foot outward away from the body's midline?

Eversion

A nurse is assisting a client with range-of-motion exercises of the neck. Which of the following terms should the nurse use when documenting the client touching her chin to her chest?

Flexion

The nurse must follow the principles of medical asepsis while making the patient's bed. One of these principles relates to the handling of linen. Soiled linen must be:

Held away from the uniform

Which statement is accurate regarding a draw sheet when used for lifting a client? Select all that apply.

It decreases the effort required by the nurse It assists the nurse in use of proper body mechanics It can decrease the risk of a pressure ulcer due to shearing

A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?

Lower the client to the floor

In which position is the patient lying face down or chest down?

Prone

The nurse is performing a backrub for the client. To begin the backrub, the nurse starts at the:

Sacral area

Immersion of the buttocks and perineum in a small basin of continuously circulating water is called a:

Sitz bath

A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?

Support extremities above and below joints.

A nurse is collecting data from a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal?

The client faces the object as they move it across the floor.

A nurse is caring for a client whose right leg has been amputated after a motor vehicle accident. Which device should the nurse provide for the patient to assist in moving about in bed while also strengthening their upper extremities?

Trapeze

A nurse in a long-term care facility is caring for a client who is unresponsive. When performing oral hygiene for the client, which of the following actions should the nurse take?

Turn the client on his side before starting oral care.