To prevent pressure ulcers in the bedridden patient, the most effective intervention would be to:
a. perform skin assessment every day.
b. use a draw sheet to move patient.
c. change the patient's position every 2 hours.
d. remove wet bed linen promptly.
ANS: C
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Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient?
a. Palpation b. Inspection c. Percussion d. Auscultation
During morning care, the nursing assistant asks a patient with dementia, "How was your night?" The patient replies, "It was lovely. My husband and I went out to dinner and to a movie."
The nurse who overhears this should make the assessment that the patient is: a. demonstrating a sense of humor. b. using confabulation. c. perseverating. d. delirious.
A nurse manager is evaluating the efficiency of a process on the nursing unit. The manager believes that the unit could be more efficient if one aspect of this process were delegated to unli-censed personnel
To establish whether the delegation of this duty would be legal, he should check with the: a. ANA. b. current federal defense attorney. c. state nurse practice act. d. policy and procedure manual of the unit.
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