Bed-making infection control and comfort

  • NCLEX-PN
  • Basic Care and Comfort
  • Matrix
  • Difficulty 3 of 5

Question

A nurse is changing an occupied bed for a frail older adult. For each action, indicate whether it is indicated or not indicated.

RowIndicatedNot indicated
Shake soiled sheets vigorously to remove crumbs before baggingNot correct✓ Correct
Place soiled linens directly into a linen bag✓ CorrectNot correct
Make a toe pleat so the client can move the feet and pressure is reduced✓ CorrectNot correct
Use a clean fitted sheet that briefly touched the floor after brushing it offNot correct✓ Correct

Answer

Shake soiled sheets vigorously to remove crumbs before bagging: Not indicated · Place soiled linens directly into a linen bag: Indicated · Make a toe pleat so the client can move the feet and pressure is reduced: Indicated · Use a clean fitted sheet that briefly touched the floor after brushing it off: Not indicated

Rationale

Safe occupied bed-making avoids shaking linens and keeps soiled sheets off the floor and bagged. Smooth, wrinkle-free bottom layers and a toe pleat reduce pressure on fragile feet. Clean linens that contact the floor are treated as soiled and are not placed on the bed.

RememberBag soiled linens without shaking; keep sheets off the floor; add a toe pleat.

Sources

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