hygiene

Which are appropriate client teaching topics for nurses to provide to clients regarding nail care? Select all that apply. 1. Inspect nails daily. 2. Clip toenails straight across. 3. If cuticles are rough, the client should bite them until they are flush with the skin. 4. Sharp nail scissors should be used for cutting toenails. 5. Use moisturizing lotion to soften cuticles.

1, 2, 5

What must the nurse consider in regards to the integrity of the aging adult's skin? Select All That Apply. 1. Skin is thinner and more fragile. 2. Glandular activity decreases. 3. Collagen and elastin fibers weaken and become less elastic. 4. Skin is susceptible to bacterial infections such as MRSA. 5. Keratin production causes skin to become tough in areas.

1,2,3,

Which health factors affect a person's self-care ability? Select all that apply. 1. Pain 2. Socioeconomic status 3. Limited mobility 4. Family involvement 5. Cognitive impairment

1,2,3,5

Which factors can affect a person's hygiene practices? Select All That Apply. 1. Culture 2. Developmental level 3. Career choice 4. Tolerance for cold 5. Economic status

1,2,5

five times of scheduled hygiene care?

1. hourly rounds 2. early morning care 3. am care 4. pm care 5. H.S care

five health status factors that can affect hygiene?

1. pain 2.limited mobility 3.sensory deficits 4. cognitive impairment 5. other mental disturbances

five factors that influence self-care and hygiene?

1. personal preferences 2. culture or religion 3. economic status 4. developmental level 5. knowledge level

three purposes of bathing?

1. promotion of health 2. social interaction 3. relaxation or pleasure

What benefits can the client experience from bathing? Select All That Apply. 1. Stimulates depth of respirations and provides sensory input. 2. The warmth and friction dilate blood vessels near the surface of the skin, increasing the circulation. 3. It can be a time to strengthen the nurse-client relationship. 4. It promotes relaxation and comfort, enhances well-being, and improves self-image. 5. The approach, method, and time can be adapted to suit the client.

2,3,4

Which factor would be most likely to influence the hygiene practice of the homeless client? A.The client's degree of mental illness B.The client's cultural beliefs C.The client's living environment D.The client's knowledge level

C. the client's living environment

orthodox Jewish law prevents care from who?

The opposite sex

Calluses

a thickened and hardened part of the skin or soft tissue, especially in an area that has been subjected to friction.

cheilosis

abnormal condition of the lip

When assessing a client for self-care abilities, what observations should be addressed? Select All That Apply. 1. Complete independence 2. Requires a device or special equipment 3. Requires help, supervision, or teaching from another person 4. Is totally dependent 5. If the walking space is uncluttered

all of the above

tinea pedis

athlete's foot

halitosis

bad breath

partial bath

bathing areas that may cause odor or are susceptible to bacteria growth, including the perineal area and axillae.

Which term describes a type of bath in which a client is in bed but able to bathe himself or herself?

bed bath

cyanosis

bluish discoloration of the skin caused by lack of oxygen

dental caries

cavities caused by plaque

corn

cone-shaped thickening of epidermis

cerumen

ear wax

alopecia

hair loss

When is a back massage typically offered as part of scheduled care?

hour of sleep

pediculosis

infestation with lice

periodontal disease

inflammation and degeneration of gums, teeth, and surrounding bone

stomatitis

inflammation of oral mucusa

glossitis

inflammation of the tongue

pruritus

itching

Excoriation

loss of superficial layers of skin due to scratching

The nurse is assigned a 39-year-old client with the nursing diagnoses Self-Care Deficit: Bathing and Self-Care Deficit: Toileting. When would be the most appropriate scheduled care time to address the bathing needs of this client?

morning care

pallor

no pink undertones, look for grayish tones and yellowness in darker skin tones

erythema

redness of the skin

abrasion

rubbing away caused by friction

A new client on the medical-surgical unit has not bathed in several days although she is fully capable of engaging in personal hygiene practices and ADLs. Upon investigation, the nurse learns she is homeless and typically utilizes the services of the homeless shelter once a week for her bathing and other hygiene needs. What is an appropriate nursing diagnosis for this client?

self-care deficit

Maceration

softening of tissue by soaking

assist bath

when clients are able to bathe themselves, but need assistance with areas that are hard to reach