funds exam 2 Ch. 31 Hygiene

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? A) "Client normally bathes and washes her hair every other day; applies moisturizer to dry areas on her elbows and forearms." B) "Client prioritizes personal hygiene in her daily routines and is proactive with skin care." C) "Client bathes more often than necessary and consequently experiences dry skin." D) "Client's level of personal hygiene is acceptable and age-appropriate."

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

Which client is most likely to require hospitalization related to problems associated with the feet? A) A client with peripheral vascular disease B) A client with osteoporosis C) A client with asthma D) A client with diabetes insipidus

A) A client with peripheral vascular disease

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? A) Apply moisture barriers to the skin of the perineal area. B) Provide excessive hydration to the skin of the perineal area. C) Wash the perineal area frequently with soap and water. D) Aggressively cleanse the perineal area with a washcloth or towel.

A) Apply moisture barriers to the skin of the perineal area.

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? A) Cleanse to remove secretions from less-soiled to more-soiled areas. B) Cleanse using a cotton cloth and warm water. C) Use tissue rolls to clean the client's perineal area. D) Provide the client with a bed pan or a jar to collect the urine.

A) 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. A) Comatose client B) Confused client C) Depressed client D) Client undergoing chemotherapy E) Hypertensive client

A) Comatose client B) Confused client C) Depressed client D) Client undergoing chemotherapy

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? A) Facilitates oil distribution B) Cleans hair and scalp C) Removes excess oil D) Cleans the hair of dirt

A) Facilitates oil distribution

A nurse is providing perineal care to a female client. In which direction would the nurse move the washcloth? A) From the pubic area toward the anal area B) From the anal area to the pubic area C) From side to side within the labia D) The direction does not make any difference

A) From the pubic area toward the anal area

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? A) Inform the client that baby powder is not used because it may become a medium for bacterial growth. B) Carefully apply baby powder to skin folds only. C) Pour a small amount of powder into the hand and gently pat the perineal area while avoiding aerosolization of the powder. D) Apply a generous amount of baby powder to all areas where skin touches skin.

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

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? A) Partial care B) As-needed care C) Self-care D) Complete care

A) 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? A) Periodontitis B) Plaque C) Halitosis D) Caries

A) Periodontitis

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? A) Provide the client with an electric shaver. B) Provide the client with a firm bristled toothbrush. C) Do not allow the client to shower. D) Avoid massaging the client's back with lotion.

A) 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? A) Remove the antiembolism stockings during the bath. B) Leave the antiembolism stockings in place, but be sure to remove all wrinkles. C) Fold the antiembolism stockings half-way down to allow assessment of the popliteal pulse. D) Leave the antiembolism stockings in place and spot-clean any soiled areas on the stockings.

A) 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? A) Retract the foreskin while washing the penis; then, immediately pull the foreskin back into place. B) Retract the foreskin while washing the penis, allow 10 to 15 minutes for the glans penis to dry; then, replace the foreskin in its original position. C) Avoid retraction of the foreskin because injury and scarring could occur. D) Soak the end of the penis in warm water before cleaning the shaft of the penis.

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

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? A) Socioeconomic class B) Culture C) Developmental level D) Health state

A) Socioeconomic class

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? A) Use a nonsoap cleaning agent. B) Use organic soap and shampoo. C) Bathe the client more often, but without using soap or shampoo. D) Provide the client with bed baths rather than tub baths.

A) 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? A) Use an antifungal powder on the client's feet if necessary. B) Carefully remove any corns or calluses that are present. C) Soak the client's feet for 15 to 20 minutes prior to cleansing. D) Avoid using soaps or commercial cleansers whenever possible.

A) 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. A) Use an emery board to file toe nail edges B) Cut the toenails short C) Cut the nail in one piece D) Avoid cutting into calluses E) Cut the nails straight across

A) Use an emery board to file toe nail edges D) Avoid cutting into calluses E) 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? A) Wash hair daily B) Use dry shampoo C) Use oil-based shampoo D) Use anti-lice shampoo

A) Wash hair daily

On the first postoperative day, the client is assisted to the bathroom. It is important for the nurse to do what? A) Allow the client privacy B) Assess the client's safety C) Assess the client's pain D) Allow sufficient time

B) Assess the client's safety

A client age 78 years with diabetes needs to have his toenails trimmed. It is important for the nurse to do what? A) Remove ingrown toenails B) Cut the nail straight across C) Protect the foot from blisters D) Soak the foot in witch hazel

B) Cut the nail straight across

A nurse is providing oral care to a client with dentures. What action would the nurse do first? A) Assess the mouth and gums. B) Don gloves. C) Wash the client's face. D) Apply lubricant.

B) Don gloves.

Which of the following is a correct guideline to follow when providing a bed bath for a client? A) When cleaning the eye, move the washcloth from the outer to the inner aspect of the eye. B) Fold the washcloth like a mitt on your hand so that there are no loose ends. C) Clean the perineal area before cleaning the gluteal area. D) Change the bath water after washing each body part.

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

Which client would be most at risk for alterations in oral health? A) Infant who is breast-fed B) Man with a nasogastric tube C) Woman who is pregnant D) Healthy young adult

B) Man with a nasogastric tube

A school nurse is assessing children in the third grade for pediculosis capitis. What assessments should be made? A) The pubic area for growth of hair B) The head for nits on hair shafts C) The nails for evidence of cleanliness D) The body for evidence of abuse

B) The head for nits on hair shafts

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? A) "Perhaps you don't recognize your bad body odor." B) "You must eat a lot of greasy foods to have this acne." C) "Tell me about what you do to take care of your skin." D) "Why do you only take a bath once a week?"

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

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? A) "That's not good. Use a Q-tip or your finger instead." B) "You really like to keep your child clean. Good for you!" C) "That is dangerous; you might puncture the eardrum." D) "Show me exactly how you use the hairpin."

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

A nurse is assisting a client to shave his beard. Which of the following statements accurately describes a recommended step in this process? A) Cover the client with a blanket. B) Fill a basin with cool water. C) Apply cream to area to be shaved in a layer about 1/2-inch thick. D) Shave against the direction of hair growth in upward, short strokes

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

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? A) Yes, this helps prevent vaginal odor. B) Yes, this decreases vaginal secretions. C) No, douching removes normal bacteria. D) No, douching may increase secretions.

C) No, douching removes normal bacteria.

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? A) None; they should be placed in saline B) To increase comfort when replaced in the mouth C) To prevent drying and warping of plastic D) To ensure the dentures are not thrown away

C) To prevent drying and warping of plastic

Which of the following factors does not affect personal hygiene practices? A) Culture B) Income level C) Health state D) Gender

D) 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? A) Diffuse scaling of the epidermis B) Itching and flaking of whitish scales C) Premature loss of hair D) Inflammation related to bites along the hairline

D) Inflammation related to bites along the hairline

Which clent would be at greatest risk for injury to the skin and mucous membranes? A) Infant 10 days old with no health problems B) adolescent 17 years of age with asthma C) Man 44 years of age with hemorrhoids D) Man 77 years of age with diabetes

D) Man 77 years of age with diabetes

A student has been assigned to provide hygiene care to four clients. Which one would require special consideration for perineal care? A) Middle-aged man with a nasogastric tube B) Young adult man who has had a hernia repair C) Young woman who has had cosmetic surgery D) Middle-age woman with a Foley catheter

D) Middle-age woman with a Foley catheter

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? A) Provide total physical hygiene, including perineal care. B) Provide total physical hygiene, excluding hair care. C) Provide supplies and orient to the bathroom. D) Provide supplies and assist with hard-to-reach areas.

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

What type of bath is preferred to decrease the inflammation after rectal surgery? A) Bed bath B) Tub bath C) Whirlpool bath D) Sitz bath

D) Sitz bath