ATI Engage Fundamentals - Hygiene

A nurse is caring for a client who practices a religion the nurse is not familiar with. Which of the following actions should the nurse take?

Discuss with the client their individual perspective on health and illness.

A charge nurse is reviewing oral care and hygiene practice with another nurse for a client who has glaucoma. Which of the following information should the charge nurse include?

The nurse should educate the client and caregivers about the importance of routine dental visits to maintain oral health.

A nurse is planning care for a client who has incontinence. Which of the following information should the nurse consider when providing skin care for the client?

Urinary incontinence can cause a yeast infection.

A nurse is performing foot care for a client. Which of the following actions should the nurse take?

Use a towel to completely dry between the toes.

A nurse is performing a bed bath for a client. Which of the following should the nurse remember when preparing to bathe the client?

Washing the client in bed is less effective than taking a shower. Rationale: Washing a client in bed is less effective than taking a shower and should only be used when there is no other option available.

A nurse is teaching a client about the function of mucous membranes in protecting the body from pathogens. Which of the following statements should the nurse include?

"The mucous membranes in the nose contain cilia that trap particles, preventing them from invading the body."

A nurse is teaching a client who has a new diagnosis if a skin infection about the function of the skin in the body. Which of the following components should the nurse include?

"The skin contains Langerhans cells that kill pathogens."

A nurse is reviewing information about the structure and function of the nails with a client. Which of the following information should the nurse include?

The cuticle of the nail forms a barrier to prevent infections. Rationale: the cuticle of the nail connects the skin on the finger and nail plate, forming a barrier to prevent infections.

A nurse is reviewing the anatomy of the skin with a newly licensed nurse. Which of the following information should the nurse include as a characteristic of the epidermis?

The epidermis consists of squamous epithelial cells.

A nurse is reviewing information about performing oral hygiene with an assistive personnel (AP). Which of the following information should the nurse include?

"Clean the tongue with the toothbrush or tongue-scraper during oral hygiene."

A nurse is teaching the importance of hand washing to a client. Which of the following statements should the nurse make about hand hygiene in a health care setting?

"Effective hand washing can decrease hospital infection rates."

A nurse is caring for an older adult client whose caregiver reports that the client is resistant to bathing at home. Which of the following statement should the nurse make?

"Give the client choices regarding their bathing preferences to encourage them to bathe."

A nurse is caring for a client who has bariatric care needs and has a rash between skin folds. Which of the following actions should the nurse take?

Assist the client as needed to ensure proper hygiene is performed. Rationale: The nurse should assist the client as needed because it might be difficult for the client to reach some areas on their body.

A nurse is reviewing oral hygiene practices with an assistive personnel. Which of the following should the nurse include? (SATA)

A fluoride mouthwash should be used to promote oral health. The teeth should be brushed twice daily for 2 min. Poor oral hygiene can lead to gingivitis. Use a soft-bristled toothbrush for brushing the teeth.

A nurse is discussing the role of tooth enamel with a client. Which of the following information should the nurse include in the discussion?

Enamel protect the teeth from pathogens. Rationale: Enamel protects the teeth from pathogens by providing a coating that covers the teeth.

A nurse is discussing health promotion programs with a client. Which of the following information should the nurse include?

Health promotion programs emphasize behavior changes in relation to prevention of illness.

A nurse is caring for a client who has right-sided hemiplegia following a stroke. Which of the following should the nurse consider when caring for this client?

The nurse should have the client remove clothing from the unaffected side first.

A nurse is reviewing a list of client care tasks with another nurse. In which of the following scenarios should the nurse plan to use soap and water to perform hand hygiene? (SATA)

The nurse's hands become visibly soiled. The nurse removes the meal tray of a client who has infectious diarrhea. The nurse empties the urinal of a client who has Clostridium difficile.

A nurse is performing nail hygiene on a client. Which of the following actions should the nurse take?

Trim the nails straight across. Rationale: Nails should be trimmed straight across and then a file can be used to smooth any rough nail edges.

A nurse is reviewing hand washing skills with a newly licensed nurse. In which order should the nurse plan to perform this task using soap and water?

Wet hands with warm water. Apply the amount of soap recommended by the manufacturer. Rub hands together vigorously for at least 15 seconds. Rinse hands with water. Use a disposable towel to dry. Use a towel to turn off the faucet.