When you are making a patient's bed, the corner of the top sheet accidentally touches the floor. You should
A. remove the sheet and place it in the soiled linen hamper.
B. tuck the corner under the mattress so it does not contact the patient.
C. place the part that touched the floor at the foot of the bed and continue making the bed.
D. use the sheet that touched the floor on the bottom and get a clean top sheet.
Answer: A
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The nurse is performing a gynecological examination and is ready to insert the speculum. Which angle of insertion is correct for the client in the lithotomy position?
1. 90 degrees. 2. 45 degrees. 3. Straight down. 4. Straight up.
Prescribed is oxycodone 5 mg/acetaminophen (APAP) 325 mg combined tablets, one every 4 hours as needed for pain. The pharmacy sends oxycodone 5 mg/APAP 325 mg tablets. The nurse can administer a maximum of ____________________ tablets in a 24-hour period
What will be an ideal response?
The nurse will determine that teaching a 67-year-old man to irrigate his new colostomy has been effective if the patient
a. inserts the irrigation tubing 4 to 6 inches into the stoma. b. hangs the irrigating container 18 inches above the stoma. c. stops the irrigation and removes the irrigating cone if cramping occurs. d. fills the irrigating container with 1000 to 2000 mL of lukewarm tap water.
In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that:
a. Nonacceptance of the pregnancy very often equates to rejection of the child. b. Mood swings most likely are the result of worries about finances and a changed lifestyle as well as profound hormonal changes. c. Ambivalent feelings during pregnancy usually are seen only in emotionally immature or very young mothers. d. Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth.