Hygiene & Bathing
To ensure patient safety and thermal comfort, the water temperature for a standard complete bed bath must be tested and maintained at this specific temperature in Fahrenheit
What is 105-110°F?
This object is the absolute highest priority safety item and must always be placed within the immediate, comfortable reach of the patient
What is the call bell?
When prioritizing client care, the nurse must consider this fundamental, bottom level of Maslow's Hierarchy of Needs, which includes oxygen, nutrition, and elimination
What are physiological needs?
When performing perineal hygiene on a female patient, the washcloth strokes must always move in this direction
What is front-to-back
To prevent falls in a hospital bed, up to three side rails are standard, but raising this many rails is classified as a physical restraint and requires a physician's order [
What is four side rails?
If a pediatric patient cries out "It hurts too much, I can't do it!" during scheduled postoperative ambulation, this is the nurse's first action
What is asking the child to point to a pain scale (assessing pain level)?
To prevent dangerous aspiration during oral care on a comatose or unconscious patient, the nurse must position them in this manner
What is a side-lying (lateral) position with their head turned to one side?
When storing a patient's dentures in a designated denture cup at the bedside, the nurse must perform this action to prevent loss or misplacement
What is marking the denture cup with the patient's name?
Characterized by lasting longer than 6 months and recurrent or persistent episodes, this pain type is exemplified by progressive conditions like osteoarthritis
What is chronic pain?
Before shaving a patient with a blade razor, the nurse should place this on their face for several minutes to soften the hair follicle
What is a warm, moist towel?
The primary clinical reason for keeping bed sheets completely smooth and wrinkle-free is to prevent this on the patient's skin
What are skin creases or pressure-induced skin breakdown?
Discussing a patient's medical condition or personal details with anyone outside their direct care team is a violation of this federal standard
What is HIPAA (or patient confidentiality/privacy)?
If a client complains of feeling tired and weak halfway through their morning bath, this is the correct nursing response
What is stopping the bath immediately, securing the patient's safety, and allowing them to rest?
A nurse must use special caution, or potentially use an electric shaver instead of a blade razor, when shaving a patient who has a medical history of this type of condition
What is a bleeding disorder (or receiving anticoagulant therapy)?
To prevent hospital psychosis and help a patient in a long-term care facility remain oriented, the nurse should display this in the patient's room
What is a calendar?