The patient is in pain and doesn't want the head of the bed raised. Which method should the nurse use to change the patient's bed linens?
a. Ask the patient to raise the lower body to remove the soiled linen.
b. Keep the top sheets over the patient and slowly roll him or her to each side.
c. Keep the patient on the left side and get extra help to remove soiled linens quickly.
d. Fanfold the top linen to the bottom of the bed and replace with clean linen.
B
Because the patient is in pain and can't get out of the bed, the nurse makes the bed using the oc-cupied bed technique. To maintain patient comfort and privacy, the nurse keeps the patient cov-ered while rolling from side to side slowly to prevent dizziness while exchanging the soiled and clean linens. The soiled linens are folded toward the center of the bed and tucked under the pa-tient; then the fresh linens are applied. When the first side is completed, the patient is gently rolled over the ridge of linens in the center so the other side may be accessed. The soiled linens are then removed, and the fresh linens are smoothed over and tucked in.
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a. 3 b. 6 c. 9 d. 12
Which statement accurately demonstrates that a research finding is statistically and clinically significant?
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A client with a Staphylococcus aureus infection present in a sacral pressure ulcer has received treatment with three courses of antibiotics without eliminating the infection. What does the nurse understand has occurred with the client?
A) The client has a multidrug-resistant strain of bacteria. B) The client has been misdiagnosed and has another type of microorganism present. C) Staphylococcus aureus cannot be treated by antibiotics. D) Staphylococcus aureus is a fungus and must be treated with an antifungal agent, not an antibiotic.
During an assessment, a patient begins to cough. What should the nurse realize about this finding?
1. The patient has a cold. 2. The patient is nervous. 3. Something other than air was entering the larynx. 4. Something other than air was entering the epiglottis.