The patient must stay in bed for a bed change. Which actions will ...

[soccerdreamer_17]

The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)
 
  a. Apply sterile gloves.
  b. Keep soiled linen close to uniform.
  c. Advise patient will feel a lump when rolling over.
  d. Turn clean pillowcase inside out over the hand holding it.
  e. Make a modified mitered corner with sheet, blanket, and spread.

Question 2

The nurse is caring for a patient with cognitive impairments. Which actions will the nurse take during AM care? (Select all that apply.)
 
  a. Administer ordered analgesic 1 hour before bath time.
  b. Increase the frequency of skin assessment.
  c. Reduce triggers in the environment.
  d. Keep the room temperature cool.
  e. Be as quick as possible.

[beccamahon]

Answer to Question 1

ANS: C, D, E
When making an occupied bed, advise patients they will feel a lump when turning, turn clean pillowcase inside out, and make a modified mitered corner. Clean gloves are used. Keep soiled linen away from uniform.

Answer to Question 2

ANS: B, C
If a patient is physically dependent or cognitively impaired, increase the frequency of skin assessment. Adapt your bathing procedures and the environment to reduce the triggers. For example, administer any ordered analgesic 30 minutes before a bath and be gentle in your approach. Keep the patient's body as warm as possible with warm towels and be sure the room temperature is comfortable.