Chapter 33 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 33 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse is preparing to provide morning care to a client. What should the nurse explain to the client as the reason for a daily bath?

1. Assess skin integrity
2. Develop a nurse–client relationship
3. Moisturize the skin
4. Stimulate circulation

Correct Answer: 4

Rationale 1: Giving a bath to a client will allow the nurse to assess the skin but this is not the most important purpose.

Rationale 2: Giving a bath to a client will allow the nurse to develop a nurse–client relationship but this is not the most important purpose.

Rationale 3: Giving a bath to a client will allow the nurse to moisturize the skin but this is not the most important purpose.

Rationale 4: The three major reasons for a bath are to remove waste products such as perspiration, stimulate circulation, and refresh the client.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5. Identify the purposes of bathing.

MNL Learning Outcome: 4.4.1. Describe the hygienic practices implemented in bathing a client.

Page Number: 674

 

Question 2

Type: MCSA

The nurse is preparing to bath a client on the first postoperative day. Which nursing intervention should take priority?

1. Apply lotion to the extremities.
2. Change the water when it becomes cold.
3. Raise side rails when gathering supplies.
4. Remove the soiled dressing during the bath.

Correct Answer: 3

Rationale 1: Applying lotion to the skin would be performed before or after, not during, the bath.

Rationale 2: Changing the water needs to be done before it becomes cold, but it is not a priority.

Rationale 3: Raising the side rails would take priority when planning care. This is a safety issue, and safety is second on Maslow’s hierarchy of needs. The client is only 1 day postop and may still be sedated, posing a risk for a potential fall.

Rationale 4: A dressing change would be performed before or after, not during, the bath and only with a doctor’s order.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7. Compare and contrast the task-centered approach and the person-centered approach to bathing.

MNL Learning Outcome: 4.4.1. Describe the hygienic practices implemented in bathing a client.

Page Number: 677

 

 

Question 3

Type: MCMA

A client who is ambulatory is able to get out of bed for morning care. What should the nurse assess before assisting the client out of the bed to change the linen?

 

Standard Text: Select all that apply.

 

1. Pulse
2. Respirations
3. Urine output
4. Blood pressure
5. Mobility status

 

Correct Answer: 1, 2, 4, 5

 

Rationale 1: When changing the linen of an unoccupied bed the nurse should assess the client’s pulse.

 

Rationale 2: When changing the linen of an unoccupied bed the nurse should assess the client’s respirations.

 

Rationale 3: Urine output does not need to be assessed prior to assisting a client out of the bed to change the linen.

 

Rationale 4: When changing the linen of an unoccupied bed the nurse should assess the client’s blood pressure.

 

Rationale 5: When changing the linen of an unoccupied bed the nurse should assess the client’s mobility status.

 

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 15. Verbalize the steps used in: h. Changing an unoccupied bed.

MNL Learning Outcome: 4.4.1. Describe the hygienic practices implemented in bathing a client.

Page Number: 710