How should the nurse cleanse the meatal opening when

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22. How should the nurse cleanse the meatal opening when performing male perineal care? a. From the meatus outward b. With an alcohol swab c. In a circular motion d. With a cotton-tipped applicator ANS: A The nurse should cleanse the meatal opening from the meatus outward.
DIF: Cognitive Level: Application REF: 214 | 219 OBJ: 8 TOP: Perineal care KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 23. The nurse lowers the bed to place the patient on the bedpan. The angle of the head of the bed should be raised to:
DIF: Cognitive Level: Application REF: 225 OBJ: 12 TOP: Elimination KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 24. What does the nurse recognize is important to consider when using the nursing process to plan hygiene care of the patient?
DIF: Cognitive Level: Application REF: 228 OBJ: 2 TOP: Hygiene KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 25. The nurse is providing personal hygiene for a Hindu patient from India. What intervention should the nurse implement?
DIF: Cognitive Level: Application REF: 188 OBJ: 2 TOP: Hygiene KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 26. The nurse is assisting a patient to perform personal hygiene. What is the most important focus of the nurse when assisting this patient? a. Nursing care b. Independence c. Repetition
d. Performance ANS: B The nurse should encourage the patient’s independence as much as possible. DIF: Cognitive Level: Comprehension REF: 187 OBJ: 2 TOP: Hygiene KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 27. The nurse discovers a reddened area over a patient’s hip. What should be the nurse’s first intervention?
DIF: Cognitive Level: Application REF: 203 OBJ: 5 TOP: Pressure injuries KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

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