Deck 7: Bedmaking

Question 1

The nurse assigns bedmaking to the assistive personnel (AP). Which client's bed should be made by the nurse and not the AP?

A) The postoperative client diagnosed with dementia on complete bed rest
B) The client who is diagnosed with myocardial infarction who has bathroom privileges
C) The client with increased intracranial pressure on complete bed rest
D) The postoperative client

Answer 1

C
Explanation:1. The client with increased intracranial pressure will generally have an increase in pressure with any activity or movement, so the nurse should change this client's bed, although the AP could assist the nurse. The other clients' beds could be safely delegated to the AP.
2. The client with increased intracranial pressure will generally have an increase in pressure with any activity or movement, so the nurse should change this client's bed, although the AP could assist the nurse. The other clients' beds could be safely delegated to the AP.
3. The client with increased intracranial pressure will generally have an increase in pressure with any activity or movement, so the nurse should change this client's bed, although the AP could assist the nurse. The other clients' beds could be safely delegated to the AP.
4. The client with increased intracranial pressure will generally have an increase in pressure with any activity or movement, so the nurse should change this client's bed, although the AP could assist the nurse. The other clients' beds could be safely delegated to the AP.

Question 2

When assigning bedmaking to the assistive personnel (AP), the nurse would instruct the AP on which items? Select all that apply.

A) Proper disposal of linens that contain drainage
B) What tubes or dressings the client might have
C) How to make hospital corners
D) Whom to inform if they notice anything unusual
E) Placing the call bell in a specific location for a client with mobility concerns

Answer 2

A, B, E
Explanation:1. The nurse should instruct the AP on how to dispose of linens that contain drainage and should inform the AP of any tubes or dressings the client may have in place and the importance of placing the call bell in a specific location for a client with mobility concerns. The nurse should not have to teach the AP how to make a bed, because the AP should be familiar with the procedure. There is no need to inform the AP whom to notify because the AP should inform the nurse if anything unusual occurs.
2. The nurse should instruct the AP on how to dispose of linens that contain drainage and should inform the AP of any tubes or dressings the client may have in place and the importance of placing the call bell in a specific location for a client with mobility concerns. The nurse should not have to teach the AP how to make a bed, because the AP should be familiar with the procedure. There is no need to inform the AP whom to notify because the AP should inform the nurse if anything unusual occurs.
3. The nurse should instruct the AP on how to dispose of linens that contain drainage and should inform the AP of any tubes or dressings the client may have in place and the importance of placing the call bell in a specific location for a client with mobility concerns. The nurse should not have to teach the AP how to make a bed, because the AP should be familiar with the procedure. There is no need to inform the AP whom to notify because the AP should inform the nurse if anything unusual occurs.
4. The nurse should instruct the AP on how to dispose of linens that contain drainage and should inform the AP of any tubes or dressings the client may have in place and the importance of placing the call bell in a specific location for a client with mobility concerns. The nurse should not have to teach the AP how to make a bed, because the AP should be familiar with the procedure. There is no need to inform the AP whom to notify because the AP should inform the nurse if anything unusual occurs.
5. The nurse should instruct the AP on how to dispose of linens that contain drainage and should inform the AP of any tubes or dressings the client may have in place and the importance of placing the call bell in a specific location for a client with mobility concerns. The nurse should not have to teach the AP how to make a bed, because the AP should be familiar with the procedure. There is no need to inform the AP whom to notify because the AP should inform the nurse if anything unusual occurs.

Question 3

The nurse assigns the making of an occupied bed to the assistive personnel (AP). Which statement made by the AP would indicate the need for further instruction prior to this assignment?

A) "I will be sure to inform you of any wound drainage."
B) "I will inform you if any of the client's tubes are loose."
C) "I will assess the client's IV tubing."
D) "I will inform you of any problems."

Answer 3

C
Explanation:1. Although the AP cannot assess the client, it is appropriate for the AP to inform the nurse if there is any wound drainage.
2. It is appropriate for the AP to inform the nurse if the client has any loose tubes.
3. The AP cannot assess the client's IV tubing. This is outside the scope of practice for the AP.
4. It is expected that the AP will inform the nurse of any problems that occur during the task that is delegated.

Question 4

The nurse is instructing the assistive personnel (AP) about the different bed positions available. Which statement by the AP indicates the understanding of the different bed positions?

A) "Fowler's is used when assisting clients to bed for sleeping."
B) "Supine is used when assisting the client with eating."
C) "Trendelenburg is used to promote decreased gastric emptying."
D) "Semi-Fowler's is used for clients receiving gastric feedings."

Question 5

Place the steps for making an unoccupied bed in the appropriate order.
Response 1. Arrange the client's room and remove and discard linens.
Response 2. Reposition mattress, wipe off any moisture, and dry thoroughly.
Response 3. Lower side rails on both sides of the bed and raise to comfortable working level.
Response 4. Apply all bottom linens on one side of the bed before moving to the other.
Response 5. Remove soiled linens and place them in a laundry bag.
Response 6. Determine if the client is incontinent or if excess drainage is on the linen.

Question 6

The nurse is instructing the assistive personnel (AP) on positioning the client in the Fowler's position. Which statement by the AP indicates appropriate understanding of this position?

A) "I will put the client's head completely flat."
B) "I will elevate the client's head."
C) "I will only raise the head of the bed 30°."
D) "I will place the bed in the Trendelenburg position."