A flat occupied bed makes it easier to remove and apply linens. When the head of the bed is raised, it is difficult to remove and apply linens evenly. Adjusting the bed to the lowest position forces the nurse to bend over to make the bed and may cause back strain. The nurse is encouraged to position the bed in a comfortable working position, which may or may not be at the nurse’s waist level.
--------------------------------------------------------------------------------
Question 2
Wrong Answer When removing the soiled linens from a bed, the nurse should first:
Your Answer:
Loosen the bottom linen
Rationale:
Loosening the top linen at the foot of the bed makes it easier to remove. Once the top linen has been loosened at the foot of the bed, the patient can be covered with a blanket. Next, the top linen is removed from the bed. Then, the bottom linen is loosened to make removal easier.
--------------------------------------------------------------------------------
Question 3
Correct Answer Remaining in bed while the linens are changed is most likely necessary for:
Your Answer:
Patients with spinal precautions ordered
Rationale:
Patients may not be able to get out of bed during a linen change because of postprocedure precautions, such as spinal precautions. In such cases, guidelines for making an occupied bed should be followed. Patients who have had hip surgery, those with a tracheostomy, and those with an arm fracture can usually get out of bed and are encouraged to ambulate during a linen change.
--------------------------------------------------------------------------------
Question 4
Wrong Answer To prevent the development of a pressure ulcer, the nurse making an occupied bed should:
Your Answer:
Tuck the top sheet and blanket tightly under the mattress at the foot of the bed
Rationale:
Tucking the top sheet and blanket loosely under the mattress at the foot of the bed decreases the chance of the feet rubbing the sheets and forming pressure ulcers on the patient’s toes and heels. Tucking the linens tightly under the mattress at the foot of the bed can cause rubbing of the patient’s feet on the sheets and result in pressure ulcers. Linens should be changed when soiled or wet but do not need to be changed more routinely than organization practice. Multiple drawsheets can create uncomfortable bumps in the bedding and areas of pressure.
--------------------------------------------------------------------------------
Question 5
Correct Answer After removing dirty linen from the bed, the nurse should:
Your Answer:
Fold the linen into a bundle or square, hold it away from the body, and place it in the linen bag
Rationale:
Used linen should not be shaken, placed on the floor, or carried across the room because this increases the risk of disseminating microorganisms into the air or onto clothing. To reduce the risk of cross infection, the nurse should take a linen bag to the patient’s bedside and carefully place the used linen directly into the linen bag. The patient should be side-lying and holding onto the bed rail during the bed change and should not hold the sheets.
--------------------------------------------------------------------------------