The nurse is making an occupied bed for a client who is required ...

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The nurse is making an occupied bed for a client who is required to maintain complete bed rest. Place the steps of making an occupied bed in the appropriate order to be performed.
 
  Click on the down arrow for each response in the right column and select the correct choice from the list.
  Response 1. Loosen the bottom soiled linens behind the side-lying client and fan-fold them close to the client.
  Response 2. Pull linens from the center of the bed and make that side of the bed.
  Response 3. Make the side of the bed behind the client and tuck sheets under the client.
  Response 4. Position the client supine and place the clean top linen on the bed.
  Response 5. Remove the soiled linen from the bed.

Question 2

The nurse delegates the making of an occupied bed to the unlicensed assistive personnel (UAP). Which statement made by the UAP would indicate the need for further instruction prior to this assignment?
 
  1. I will be sure to inform you of any wound drainage.
  2. I will inform you if any of the client's tubes are loose.
  3. I will assess the client's IV tubing.
  4. I will inform you of any problems.

[Mholman93]

Answer to Question 1

Correct Answer: 1,3,5,2,4

The nurse removes the top bedding, and may cover the client with the top sheet or a bath blanket. Raise the side rail on the side the client will roll toward, help the client roll, and then loosen the lower linen on the side behind the client. Fan-fold soiled linen toward the client, apply fresh linen, and tuck under the mattress, fan-folding the clean linen toward the center of the bed. Pull the side rail up on that side of the bed and assist the client to roll over the linen in the center of the bed. Move to the other side of the bed, lowering the side rail, and remove the soiled linen. Once the soiled linen is removed, the fresh linen can be pulled over the bed and tucked under the mattress. The client now can be positioned supine, and fresh top sheets can be applied, removing the bath blanket or sheet covering the client by pulling it out from under the clean top linen. Position the client for comfort, place the bed in the low position, and make sure the call bell is conveniently located.

Answer to Question 2

Correct Answer: 3

The UAP cannot assess the client's IV tubing. This is outside the scope of practice for the UAP. Although the UAP cannot assess the client, it is appropriate for the UAP to inform the nurse if there is any wound drainage or if any tubes are loose. It is expected that the UAP will inform the nurse of any problems that occur during the task that is delegated.

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TYSM

[tuate]

Excellent