Clinical Nursing Skills- A Concept-Based Approach, 4e Pearson Education Test Bank ISBN- 978-0136909507 Chapter 2: Caring Interventions Verified 2024
... [Show More] Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ The nurse is observing a UAP performing a bed bath for a client. Which action by the UAP requires the nurse to intervene? A) Washing the client's arms from wrists to shoulders. B) Washing the client's eyes and face first before the rest of the body. C) Washing, rinsing, and drying the client's leg from thigh to ankle. D) Washing the client's back and then the perineum. Answer: C Explanation: A) The arms should be washed from wrist to shoulder. B) The eyes and face should be washed before the rest of the body. C) The correct method in performing a bed bath is washing, rinsing, and drying the client's leg from ankle to thigh. D) The back is washed before the perineum. Page Ref: 98-99 Cognitive Level: Analyzing Client Need/Sub: Physiological Integrity: Basic Care and Comfort Standards: Nursing Process: Assessment | Learning Outcome: 2.3 | QSEN Competencies: Patient-Centered Care AACN Domains and Comps.: 2.3 Integrate assessment skills in practice. NLN Competencies: Relationship Centered Care 2 2) The nurse delegates soft contact lens care to a UAP. Which action by the UAP requires the nurse to intervene? A) Placing the client in the semi-Fowler's position. B) Placing the client's removed disposable lenses in the trash. C) Placing the gloved thumb and forefinger directly on the soft lens on top of the eyeball. D) Placing the gloved thumb on the client's lower eyelid and gloved index finger on the client's upper lid, pressing lightly on the eyeball. Answer: D Explanation: A) The client should be in the semi-Fowler position. B) Disposable lens should be placed in the trash. C) Pressure should not be applied directly on the soft lens covering the eyeball. D) Placing the gloved thumb on the client's lower eyelid and gloved index finger on the client's upper lid, pressing lightly on the eyeball is the technique to remove rigid contact lenses, not soft lenses. Page Ref: 110 Cognitive Level: Analyzing Client Need/Sub: Health Promotion and Maintenance Standards: Nursing Process: Intervention | Learning Outcome: 2.3 | QSEN Competencies: Patient-Centered Care AACN Domains and Comps.: 5.2 Contribute to a culture of patient safety. NLN Competencies: Relationship Centered Care [Show Less]