208 ch 31 hygiene prep u

Normal saline

A client has been recently admitted to the hospital unit following a suspected stroke, and a family member states that the client's soft contact lenses are still in place. Which solution should the nurse use for the storage of the client's lenses after removal?

She has motivation to participate in self-care.

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?

"It is the result of blood accumulating in the dilated vessels.

A client with a localized inflammatory response asks the nurse why the area is reddened. Which response by the nurse would be most appropriate?

An adolescent's skin ordinarily has enlarged sebaceous glands and increased glandular secretions.

A nurse caring for the skin of clients of different age groups should consider which accurately described condition?

18,000 cells/mm

A nurse in an oncology care unit is reviewing the laboratory test results of several clients. The nurse identifies that the client with which leukocyte count most likely has an infection?

Providing a back rub before bed

A nurse is caring for a client who has had difficulty sleeping. What nursing intervention may facilitate the client's rest?

intravenous antibiotic administration

A nurse is preparing an education plan for a client being discharged home after successful treatment for a wound infection. What would the nurse be least likely to include in the education plan?

Evidence-based practice has failed to establish a relationship between healthy teeth and a diet sufficient in calcium, phosphorus, and vitamin D.

False

If a patient wears contact lenses out cannot remove them, the amily caregiver is responsible for emoving them.

False

An offensive breath odor, called. is often indicative of a systemic disorder.

Halitosis

eustachian tube is shorter and straighter.

Otitis media occurs in children because the:

Infestation of the hair and scalp with lice, known as , can be spread directly by contact with the hair of infested persons.

Pediculosis

A marked inflammation of the gums, known as involves degeneration of the dental periosteum and bone.

Periodontitis

(To Dental caries result from failure ti remove a destructive, bacterial film that builds up on teeth and eventually leads to the destruction of tooth enamel.

Plaque

An inflammation of the oral mucosa, called can cause symptoms such as heat, pain, increased flow of saliva, and halitosis.

Stomatitis

inserting an arm within each sleeve while touching the outer surface of the gown

The circulating nurse is observing a surgical technician donning a surgical gown. Which action by the technician indicates that the nurse should intervene to maintain sterile donning technique?

bacterial infection.

The laboratory calls the nurse to report the client has a shift of the differential count to the left. The nurse knows this indicates the client most likely suffers from:

Launder gowns, linens, and towels separate from other clients' items

The nurse is caring for a client who has been diagnosed with pediculosis. What intervention will the nurse provide?

droplet

The nurse is caring for an older adult with influenza. Which precautions will the nurse begin?

be sure that there are gloves of various sizes and gowns for use

The nurse is initiating isolation precautions for a client who has chronic Clostridium difficile infection. What should the nurse be sure to include with these precautions?

respiratory infection

The nurse notes that the client's temperature is 101.2°F (38.4°C) at 8 a.m. Elevated temperature may be due to several factors. What could be the reason for this?

) A whistling sound that is audible when a hearing aid is held in the hand with the power on and the volume high indicates that the battery is functioning properly.

True

) The major cause of tooth loss in adults older than 35 years of age is gum disease.

True

Glossitis refers to an inflammation f the tongue, which can be caused by deficiencies of vitamin 312, folic acid, and iron.

True

hair should be washed as often as necessary

When an adolescent client asks the nurse how to care for long hair, the nurse should instruct the client that:

An 81-year-old client who has been receiving multiple antibiotics for the treatment of sepsis

Which client presents the most significant risk factors for the development of Clostridium difficile infection?

Client receiving chemotherapy

Which client should the nurse determine is at greatest risk for vancomycin-resistant enterococci (VRE) infection?