ch 31 hygiene

A nurse is conducting a health history for a client with a skin problem. What question or statement would be most useful in eliciting information about personal hygiene?

Tell me about what you do to take care of your skin."

A school nurse is assessing children in the third grade for pediculosis capitis. What assessments should be made?

The head for nits on hair shafts

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 mother of a child 2 years of age tells the nurse she always cleans the child's ears with a hairpin. What would the nurse tell the mother?

"That is dangerous; you might puncture the eardrum."

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

A client with peripheral vascular disease

A nurse is assisting a client to shave his beard. Which of the following statements accurately describes a recommended step in this process?

Apply cream to area to be shaved in a layer about 1/2-inch thick

The nurse and nursing aid are providing perineal care for an incontinent client. What information is important for the nurse to consider when providing perineal care?

Apply moisture barriers to the skin of the perineal area.

On the first postoperative day, the client is assisted to the bathroom. It is important for the nurse to do what?

Assess the client's safety

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.

Which of the following clients ia at an increased risk for oral problems? Select all that apply.

Comatose client Confused client Depressed client Client undergoing chemotherapy

A client age 78 years with diabetes needs to have his toenails trimmed. It is important for the nurse to do what?

Cut the nail straight across

A nurse is providing oral care to a client with dentures. What action would the nurse do first?

Don gloves.

A nurse is brushing the hair of a client admitted to the health care facility following a fracture in the hand. The nurse implements this action based on the understanding that brushing the hair achieves which of the following?

Facilitates oil distribution

Which of the following is a correct guideline to follow when providing a bed bath for a client?

Fold the washcloth like a mitt on your hand so that there are no loose ends.

A nurse is providing perineal care to a female client. In which direction would the nurse move the washcloth?

From the pubic area toward the anal area

Which of the following factors does not affect personal hygiene practices?

Gender

A client is admitted to the health care facility with a diagnosis of pediculosis capitis. Which of the following would the nurse expect to find in the client?

Inflammation related to bites along the hairline

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.

Which clent would be at greatest risk for injury to the skin and mucous membranes?

Man 77 years of age with diabetes

Which client would be most at risk for alterations in oral health?

Man with a nasogastric tube

A student has been assigned to provide hygiene care to four clients. Which one would require special consideration for perineal care?

Middle-age woman with a Foley catheter

A female client in a reproductive health clinic tells the nurse practitioner that she douches every day. Should the nurse tell the client to continue this practice?

No, douching removes normal bacteria.

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

While conducting an oral assessment, a nurse notices the client's gums are red and swollen, some teeth are loose, and blood and pus can be expressed when the gums are palpated. What condition do these symptoms indicate?

Periodontitis

A student has been assigned to provide morning care to a client. The plan of care includes the information that the client requires partial care. What will the student do?

Provide supplies and assist with hard-to-reach areas.

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.

The nurse is planning to bathe a client who has thigh-high antiembolism stockings in place. Which of the following actions is correct?

Remove the antiembolism stockings during the bath.

The nurse is preparing to perform perineal care on an uncircumcised adult male client who was incontinent of stool. The client's entire perineal area is heavily soiled. Which of the following techniques for cleaning the penis is correct?

Retract the foreskin while washing the penis; then, immediately pull the foreskin back into place.

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

Sitz bath

A homeless person uses the soap and towels in a public restroom to wash up. This is an example of which type of factor affecting personal hygiene practices?

Socioeconomic class

Before a long-term care resident goes to sleep at night, his dentures are placed in a denture cup with clean water. What rationale supports placing dentures in water?

To prevent drying and warping of plastic

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 antifungal powder on the client's feet if necessary.

What care should the nurse take when providing foot care for 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 is assessing a client during a health care camp. The nurse observes that the client has poor hygiene and an itchy, infected scalp. Which of the following should the nurse ask the client to do?

Wash hair daily