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MCQs On Fundamentals of Nursing 3 1. The charge nurse asks the nursing assistive personnel (NAP) to give a bag bath to a patient with end-stage chronic obstructive pulmonary disease. How should the NAP proceed? A. Bathe the patient’s entire body using 8 to 10 washcloths.B. Assist the patient to a chair and provide bathing supplies.C. Saturate a towel and blanket in a plastic bag, and then bathe the patient.D. Assist the patient to the bathtub and provide a bath chair. The answer is : A. Bathe the patient’s entire body using 8 to 10 washcloths. A towel bath is a modification of the bed bath in which the NAP places a large towel and a bath blanket into a plastic bag, saturates them with a commercially prepared mixture of moisturizer, non rinse cleaning agent, and water; warms in them in a microwave, and then uses them to bathe the patient. A bag bath is a modification of the towel bath, in which the NAP uses 8 to 10 washcloths instead of a towel or blanket. Each part of the patient’s body is bathed with a fresh cloth. A bag bath is not given in a chair or in the tub. 2. For a morbidly obese patient, which intervention should the nurse choose to counteract the pressure created by the skin folds? A. Cover the mattress with a sheepskin.B. Keep the linens wrinkle free.C. Separate the skin folds with towels.D. Apply petrolatum barrier creams. The answer is : B. Keep the linens wrinkle free. Separating the skin folds with towels relieves the pressure of skin rubbing on skin. Sheepskins are not recommended for use at all. Petrolatum barrier creams are used to minimize moisture caused by incontinence. 3. A patient exhibits all of the following during a physical assessment. Which of these is considered a primary defense against infection? A. FeverB. Intact skinC. InflammationD. Lethargy The answer is : B. Intact skin Intact skin is considered a primary defense against infection. Fever, the inflammatory response, and phagocytosis (a proces
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