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