Chapter 06 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 06 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse is caring for a client who is on bedrest with bathroom While the client is in the 1) bathroom, the nurse changes the client’s bed and makes the bed in what way?

1. A) Unoccupied open bed B) Occupied open bed
2. C) Unoccupied closed bed D) Surgical bed

Answer: A

Explanation: A)       The bed is unoccupied, and the nurse would make an open bed, with the top sheets folded back, so the bed is ready for the client to return to. An occupied bed would be used if the client were unable to get out of bed. A closed bed is made with the top covers over the entire bed to keep the bed clean when not in use. A surgical bed would be made using extra materials in preparation for the returning postoperative client.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The bed is unoccupied, and the nurse would make an open bed, with the top sheets folded back, so the bed is ready for the client to return An occupied bed would be used if the client were unable to get out of bed. A closed bed is made with the top covers over the entire bed to keep the bed clean when not in use. A surgical bed would be made using extra materials in preparation for the returning postoperative client.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The bed is unoccupied, and the nurse would make an open bed, with the top sheets folded back, so the bed is ready for the client to return An occupied bed would be used if the client were unable to get out of bed. A closed bed is made with the top covers over the entire bed to keep the bed clean when not in use. A surgical bed would be made using extra materials in preparation for the returning postoperative client.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The bed is unoccupied, and the nurse would make an open bed, with the top sheets folded back, so the bed is ready for the client to return An occupied bed would be used if the client were unable to get out of bed. A closed bed is made with the top covers over the entire bed to keep the bed clean when not in use. A surgical bed would be made using extra materials in preparation for the returning postoperative client.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 6-1: Define the key terms used in the skill of bed-making.

 

• The nurse is caring for a client in shock, and places the bed at an angle with the head lower than the 2) This position is called the:

1. A) Reverse Trendelenburg B) Trendelenburg position.
2. C) Fowler’s D) Semi-fowler’s position.

Answer: B

Explanation: A)      The Trendelenburg position is used to place the head lower than the feet to improve blood flow to the brain. Reverse Trendelenburg places the bed straight but at an angle that puts the feet lower than the head. Fowler’s position raises the head of bed into a 90-degree angle so the client is sitting upright. Semi-Fowler’s raises the head of the bed approximately 45 degrees so the client’s head is upright

at a reclining angle.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The Trendelenburg position is used to place the head lower than the feet to

improve blood flow to the brain. Reverse Trendelenburg places the bed straight but at an angle that puts the feet lower than the head. Fowler’s position raises the head of bed into a 90-degree angle so the client is sitting upright. Semi-Fowler’s raises the head of the bed approximately 45 degrees so the client’s head is upright

at a reclining angle.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The Trendelenburg position is used to place the head lower than the feet to

improve blood flow to the brain. Reverse Trendelenburg places the bed straight but at an angle that puts the feet lower than the head. Fowler’s position raises the head of bed into a 90-degree angle so the client is sitting upright. Semi-Fowler’s raises the head of the bed approximately 45 degrees so the client’s head is upright

at a reclining angle.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The Trendelenburg position is used to place the head lower than the feet to

improve blood flow to the brain. Reverse Trendelenburg places the bed straight but at an angle that puts the feet lower than the head. Fowler’s position raises the head of bed into a 90-degree angle so the client is sitting upright. Semi-Fowler’s raises the head of the bed approximately 45 degrees so the client’s head is upright

at a reclining angle.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 6-1: Define the key terms used in the skill of bed-making.

 

• The nurse is providing the client with a hygienic and comfortable environment when performing 3) all of the following except:

1. Speaking softly in the hall of the
2. Obtaining a bed extender for the client who is very
3. Placing a room deodorizer in the room of the client with asthma who complains of the odor in

the room.

1. Maintaining room temperature between 68 and 74°F.

Answer: C

Explanation: A)      Deodorizers might be contraindicated for the client with respiratory disorders. All of the other activities are supportive of the client’s environmental needs.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Deodorizers might be contraindicated for the client with respiratory All of the other activities are supportive of the client’s environmental needs.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Deodorizers might be contraindicated for the client with respiratory All of the other activities are supportive of the client’s environmental needs.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. Deodorizers might be contraindicated for the client with respiratory All of the other activities are supportive of the client’s environmental needs.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 6-2: Describe the elements to consider when providing clients with a hygienic

and comfortable environment.

• The nurse caring for an elderly man diagnosed with dementia bathes the client and changes the 4) wound Prior to leaving the room, the nurse should do which of the following?

1. Raise the side
2. Place the head of the bed in the semi-Fowler’s
3. Place the bed in the low
4. Remove the footboard from the

Answer: C

Explanation: A)      The nurse should return the bed to the low position to prevent injury to the client if

he attempts to get out of bed autonomously. Side rails are generally

contraindicated with most clients suffering from dementia because of the risk for injury if they attempt to crawl over the rail. The position of the bed would be determined by the time of day, activities the client will be performing, and client preference. There would be no reason to remove the footboard from the bed.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

 

1. The nurse should return the bed to the low position to prevent injury to the client if

he attempts to get out of bed autonomously. Side rails are generally

contraindicated with most clients suffering from dementia because of the risk for injury if they attempt to crawl over the rail. The position of the bed would be determined by the time of day, activities the client will be performing, and client preference. There would be no reason to remove the footboard from the bed.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. The nurse should return the bed to the low position to prevent injury to the client if

he attempts to get out of bed autonomously. Side rails are generally

contraindicated with most clients suffering from dementia because of the risk for injury if they attempt to crawl over the rail. The position of the bed would be determined by the time of day, activities the client will be performing, and client preference. There would be no reason to remove the footboard from the bed.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. The nurse should return the bed to the low position to prevent injury to the client if

he attempts to get out of bed autonomously. Side rails are generally

contraindicated with most clients suffering from dementia because of the risk for injury if they attempt to crawl over the rail. The position of the bed would be determined by the time of day, activities the client will be performing, and client preference. There would be no reason to remove the footboard from the bed.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

Objective: Learning Outcome 6-2: Describe the elements to consider when providing clients with a hygienic

and comfortable environment.

• The nurse is caring for a client in respiratory What would be the best bed position for this 5) client?

1. A) Semi-Fowler’s position B) Trendelenburg position
2. C) Flat D) Fowler’s position

Answer: D

Explanation: A)      The client with respiratory distress will breathe more easily if the bed is placed in the Fowler’s position, because it reduces the compression of the abdominal contents into the stomach and allows for full lung expansion. Semi-Fowler’s position is the best choice if Fowler’s position is not possible due to the client’s condition, but is not as good as Fowler’s because it still allows some intrusion of abdominal contents into the diaphragm and limits full excursion. Trendelenburg position would be contraindicated because this causes abdominal organs to press into the diaphragm. Flat is also contraindicated, and will increase the client’s respiratory distress.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

 

1. The client with respiratory distress will breathe more easily if the bed is placed in the Fowler’s position, because it reduces the compression of the abdominal contents into the stomach and allows for full lung Semi-Fowler’s position is the best choice if Fowler’s position is not possible due to the client’s condition, but is not as good as Fowler’s because it still allows some intrusion of abdominal contents into the diaphragm and limits full excursion. Trendelenburg position would be contraindicated because this causes abdominal organs to press into the diaphragm. Flat is also contraindicated, and will increase the client’s respiratory distress.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client with respiratory distress will breathe more easily if the bed is placed in the Fowler’s position, because it reduces the compression of the abdominal contents into the stomach and allows for full lung Semi-Fowler’s position is the best choice if Fowler’s position is not possible due to the client’s condition, but is not as good as Fowler’s because it still allows some intrusion of abdominal contents into the diaphragm and limits full excursion. Trendelenburg position would be contraindicated because this causes abdominal organs to press into the diaphragm. Flat is also contraindicated, and will increase the client’s respiratory distress.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The client with respiratory distress will breathe more easily if the bed is placed in the Fowler’s position, because it reduces the compression of the abdominal contents into the stomach and allows for full lung Semi-Fowler’s position is the best choice if Fowler’s position is not possible due to the client’s condition, but is not as good as Fowler’s because it still allows some intrusion of abdominal contents into the diaphragm and limits full excursion. Trendelenburg position would be contraindicated because this causes abdominal organs to press into the diaphragm. Flat is also contraindicated, and will increase the client’s respiratory distress.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 6-3: Identify indications for common bed positions.