The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)

Turn clean pillowcase inside out over the hand holding it.

Keep soiled linen close to uniform.

Apply sterile gloves.

Make a modified mitered corner with sheet, blanket, and spread.

Advise patient will feel a lump when rolling over.

Answer and Explanation

Correct Answer : A,D

A. Turning the clean pillowcase inside out over the hand holding it helps avoid contamination and allows easy application.
B. Soiled linens should be kept away from the nurse's uniform to prevent cross-contamination; hence, this is incorrect.
C. Sterile gloves are not required for bed-making; clean gloves may be used when handling soiled linens.
D. A modified mitered corner keeps the bed neat and helps secure the sheet, blanket, and spread.
E. Advising the patient of a lump when rolling over is not necessary for bed making, as the goal is to provide comfort without lumps.

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Correct Answer is A

Explanation

A. Regular engagement in meditation for 10 minutes daily indicates effective learning and practice of meditation techniques, as consistency is key to developing this skill.
B. Breathing quickly is not indicative of effective meditation, as the practice typically involves slow, deep breathing to promote relaxation.
C. While lying on the floor can be a comfortable position for some, it does not specifically indicate effective learning in meditation, as it depends on the individual’s preferences.
D. Focusing on a particular image can be a part of meditation but does not solely demonstrate effective learning without the context of regular practice and the correct breathing techniques.

A. Assessment B. Diagnosis C. Implementation D. Planning

Correct Answer is D

Explanation

A. Assessment has already been completed as the initial step, involving data collection.
B. Diagnosis is also completed, involving analysis and identification of the patient’s health problems.
C. Implementation occurs after planning, when nursing interventions are executed.
D. Planning is the appropriate next step, involving the creation of specific, measurable goals and interventions based on the identified nursing diagnoses.

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The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a patient how to meditate. Which behavior presented by the patient indicates effective learning?

Correct Answer is A

Explanation

The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing diagnoses. Which step will the nurse take next in the nursing process?

Correct Answer is D

Explanation

A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write?

The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step?

In caring for the patient's spiritual needs, the nurse asks 20 questions to assess the patient's relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)

The patient is admitted with a diagnosis of chronic anxiety. Which action is most appropriate for the nurse to take when providing holistic care?

A patient is experiencing carbon dioxide retention from lung problems. Which type of diet will the nurse most likely suggest for this patient?

The nurse is planning to administer a tuberculin test with a 27-gauge, 5/8-inch needle. At which angle will the nurse insert the needle?

The nurse is evaluating the body alignment of a patient in the sitting position. Which observation by the nurse will indicate a normal finding?