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 B

Explanation

A. Increasing activity level may be unrealistic for a patient on strict bed rest due to a pelvic fracture.
B. Repositioning every 2 hours is a realistic and achievable goal for a patient on bed rest to prevent complications such as pressure ulcers and maintain circulation.
C. Using a walker for ambulation may not be feasible immediately after a pelvic fracture.
D. Transferring with a sliding board may not be safe or appropriate in the early stages post-injury, especially if bed rest is required.

A. Patient-centered care B. Quality improvement C. Teamwork and collaboration D. Safety

Correct Answer is B

Explanation

A. Patient-centered care emphasizes understanding the patient’s needs and preferences, but it does not specifically address practice gaps.
B. Quality improvement focuses on identifying and addressing discrepancies between current practices and best practices, aiming to improve patient care outcomes.
C. Teamwork and collaboration involve working effectively with others to provide care, not directly identifying practice gaps.
D. Safety is about preventing harm to patients, but quality improvement is more focused on systematic evaluation and process improvement.

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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 developing a care plan for a patient prescribed bed rest as a result of a pelvic fracture. Which goal statement is realistic for the nurse to assign to this patient?

Correct Answer is B

Explanation

A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?

Correct Answer is B

Explanation

A nurse has compassion fatigue. What is the nurse experiencing?

Which sociocultural finding in the history of a patient will alert the nurse to a possible developmental problem?

A nurse is teaching a health class about the heart. Which information from the class members indicates teaching by the nurse is successful for the flow of blood through the heart, starting in the right atrium?

While the nurse is taking a patient history, the nurse discovers the patient has a type of diabetes that results from a head injury and does not require insulin. Which dietary change should the nurse share with the patient?

The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)

A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. The absence of which finding will indicate goal achievement for the nurse's action?

A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?

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?