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1. You are assigned to give a bed bath to a patient who has a urinary
catheter, an IV line, and a wound dressing on the left leg. What is the
correct order of washing the patient's body parts?
a) Face, neck, chest, abdomen, arms, legs, back, perineal area
b) Face, arms, chest, abdomen, legs, back, perineal area, neck
c) Face, neck, arms, chest, abdomen, perineal area, legs, back*
d) Face, arms, neck, chest, abdomen, back, legs, perineal area
Rationale: The correct order of washing the patient's body parts is from
the cleanest to the dirtiest areas. The face and neck are usually the cleanest
areas, followed by the arms and chest. The abdomen and perineal area are
considered dirty areas because of the presence of body fluids and
secretions. The legs and back are also dirty areas because they may be in
contact with the bed linens or the wound dressing. Therefore, option c is
the correct answer.
2. You are measuring the vital signs of a patient who has a fever of 38.5°C
(101.3°F). What is the most appropriate site for measuring the patient's
pulse?
a) Radial artery
b) Carotid artery
c) Brachial artery
d) Temporal artery*
Rationale: The most appropriate site for measuring the patient's pulse
depends on the patient's condition and the accuracy of the measurement.
The radial artery is the most common and convenient site for measuring
the pulse, but it may not be accurate in patients with fever or shock
because of peripheral vasoconstriction. The carotid artery is used for
assessing the circulation to the brain and for performing cardiopulmonary
resuscitation (CPR), but it may cause vagal stimulation and lower the
heart rate if pressed too hard. The brachial artery is used for measuring
blood pressure and for assessing the circulation to the arm, but it may be
difficult to locate in obese or edematous patients. The temporal artery is a
reliable site for measuring the pulse in patients with fever because it
reflects the core body temperature and is easily accessible. Therefore,
option d is the correct answer.
3. You are performing a head-to-toe assessment on a patient whoÂ
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