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BED MAKING - Made following discharge

of patient
 A draw sheet maybe used to lift and move the
 In bed stripping it is important to remove all the
patient
sheets together
- True
- False
 This is important to use while bed making because
 Why is it important in tucking the sheet under the
it is important to conserve time and energy.
mattress?
- Body Mechanics
- Secures it in place
 When you are making a patient’s bed, the corner of
 Give the 3 folding’s that we used in open bed for
the top sheet accidentally touches the floor, you
easy transfer of patient to the bed.
should?
- 12-18 inches from the
- Remove the sheet and
headpart
place it in the soiled linen
- Fanfold towards the foot
hamper
part
 You should always wear gloves when changing a
- See notes
patient’s linens
- True
 It is a bed that provide comfort and warmth thus
maintaining body heat and lessening the dangers of
shock.
- Surgical Bed
 It is a bed that will readily meet the need of newly
admitted client
- Closed Bed
 Bed linen is always changed?
- When soiled
 The placement of rubber sheet will depend on
patient’s need.
- True
 Where do you put the pillow after patient’s
surgery?
- At the bed bar
 You should arrange linen in order in which it is to be
used?
- True
 Using the centerfold as a guide ensures equal length
of the sheet on both sides.
- True
 What is the rationale of mitered corners?
- Secures the linen under the
mattress
- Are not used with fitted
sheets
- Are used to hold linen
firmly in place
 In making the bed we don’t have to apply the body
mechanics
- False
 Closed beds are?
REMOVING MEDICATION FROM A VIAL & PREPARING
MEDICATION FROM AN AMPULE

 Removing medications from an ampule is


performed in preparation to administer medications
via the oral route.
- False, Parenteral route
 It is the essential nursing step that deters the
spread of microorganisms prior to performing any
nursing procedure.
- Handwashing
 In preparing medications from an ampule, it is
important to break the ampule with a quick
snapping motion in a direction that is__________.
- Away from you and others
 In preparing medication from an ampule, placing
the needle into the ampule without letting the
needle or hub touch cut edges of the ampule is
important because
- It maintains sterility and
free of glass particles
 Before withdrawing a medication from a prepared
vial, it is important ___________ to create a
positive pressure inside the vial
- Inject air
 Any size and type of syringe may be used in
removing medications from a vial or preparing
medications from an ampule.
- False
 Performing hand hygiene is important because it
increases the spread of microorganisms.
- False
 Removing medications from a vial is performed in
preparation to administer medications via the oral
route
- False
 Checking the medication expiration date is not a
critical assessment step
- False
 When removing a medication from a vial. It is
important to pierce the rubber stopper in which
location?
- Center
BREAST SELF-EXAMINATION (BSE) & TESTICULAR SELF-  The nurse should advice clients to start TSE at which
EXAMINATION age?
- 15 years old
 When palpating for lumps while performing
BSE/TSE, tips of the fingers should be used.
- False
 Normally, one breast is slightly bigger than the
other.
- True
 When is the best time to conduct Breast Self-
Examination?
- One week after
menstruation
 In TSE, finding that one testicle is higher than the
other should prompt the client to seek consult of a
physician
- False
 In BSE, encrusted materials found on the nipple of
pregnant or lactating mothers is normal.
- True
 What is the rationale for placing the hands on your
hips and push inward and downward, flexing the
chest muscles under your breasts?
- This position accentuates
retraction of the breast
tissue.
 How often should Testicular Self-Examination be
done?
- Once a month
 What steps should a client do in a routine breast
self-exam?
- Look at your breasts’ size,
shape, color and discharge
in the mirror.
- Raise arms overhead and
check for any changes in
your breasts
- Lie down and feel each
breast in circular motion;
left hand to right breast,
and right hand to left
breast.
- Check breasts while
standing up or sitting down,
even if in the shower
 When documenting on tenderness of the breasts,
the nurse can make use of the adjectives hard or
soft.
- False

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