Hygiene

When an adult client from Indonesia refuses a complete bath on the day after abdominal surgery, the nurse should:

Understand that his culture may influence his hygiene and ask him his preference

The nurse has completed an assessment of a client's typical hygiene practices. How should the nurse best document the findings of this assessment in the client's chart?

"Client normally bathes and washes her hair every other day; applies moisturizer to dry areas on her elbows and forearms."

The nurse has completed teaching regarding pediculosis. Which client statement requires further nursing teaching?

"I will use conditioner so that the lice eggs will slide off my hair."

The health care environment can be very stressful for a client. During an orientation session of nursing students, the nursing instructor teaches students how to minimize a stressful environment. Which statement from the students indicates the teaching was effective? Select all that apply.

"When I place soiled items in the client's trash, I will remove the bag from the room when I leave." "It is important to keep the room at a comfortable temperature for the client." "Always ask the client if anything is needed before you leave the room."

What care should the nurse take when providing foot care to a client with peripheral vascular disease? Select all that apply

-Use an emery board to file toe nail edges -avoid cutting into calluses -cut the nails straight across

A nurse providing hygiene and bathing for older adult clients knows that additional safety measures may be necessary in their care. The nurse delegates some aspects of care to an unlicensed assistive personnel (UAP). Which of the following are true regarding safety of the older adult while bathing? Select all that apply.

-Use of a tub/shower seat may be necessary if balance problems are present. -Water temperature should be monitored carefully due to decreased temperature sensation. -Use a long-handled shower brush or attachment to help with limited mobility.

Which of the following clients is at an increased risk for oral problems?

-comatose patient -confuses patient -depressed patient -patient undergoing chemo

The nurse is caring for a female client who is unconscious. The nurse should pay special attention to cleaning which area of the body?

Underneath the breasts and in between skin folds

Which client is most likely to require hospitalization related to problems associated with the feet?

A client with peripheral vascular disease

If a patient needs to potty on the first post op day what should the nurse do?

Assess safety

A nurse is explaining the need for bathing to an elderly client who has been avoiding a daily bath. Which benefit of bathing should the nurse explain to the client?

Bathing reduces the possibility of infection.

An older adult client with Parkinson's disease is unable to take care of himself. The client frequently soils his bed and is unable to clean himself independently. How should the nurse in this case ensure the client's perineal care?

Cleanse to remove secretions from less-soiled to more-soiled areas.

What type of bath is preferred to decrease the inflammation after rectal surgery?

sitz bath

The nurse has completed bed bath on a client who is obese. The client asks you to sprinkle baby powder in the perineal area. Which of the following actions is correct?

Inform the client that baby powder is not used because it may become a medium for bacterial growth.

Brushing hair facilitates what?

Oil distribution

The nurse assists the client to the bathroom sink to perform morning care. The nurse observes the client wash his face, arms, abdomen, and legs. The nurse washes the client's back and rectal area and applies soap to the back. The client brushes his teeth and ambulates to a chair in his room with assistance. How will the nurse describe the morning care on the client's chart?

Partial Care

Upon review of the client's orders, the nurse notes that the client was recently started on an anticoagulant. What is an appropriate consideration when assisting the client with morning hygiene?

Provide the client with an electric shaver.

A client is undergoing chemotherapy for ovarian cancer which has metastasized. She has been experiencing increased nausea and vomiting associated with treatment. Which is an internal resource that the client has to help her attain her self-care goals?

She has motivation to participate in self-care.

The acute care nurse is preparing to bathe a client and notices that the client is wearing a regular hospital gown and has continuous intravenous (IV) fluids infusing. Which action by the nurse is most appropriate?

Thread the IV bag and tubing though the arm of the regular gown, then replace it with a snap-arm gown at the end of the bath

An older adult resident of a long-term care facility has recurring problems with dry skin. Which of the following strategies should the nursing staff utilize in order to help meet the resident's hygiene needs while preventing skin dryness?

Use a nonsoap cleaning agent

A nurse is preparing to provide foot care to a client who has decreased mobility. Which of the following techniques should the nurse employ when providing this care?

Use an anti fungal if necessary

Which health problem is most clearly suggestive of a history of inadequate dental care?

periodontitis