nclex HYGIENE SLEEP & REST

The nurse evaluates that the older client has a need for further teaching on how to promote sleep when the client makes which statement?

"I drink hot chocolate before bedtime."

The nurse is preparing to bathe a client who has mild Alzheimer's dementia and requires minimal help with hygiene. Which is the priority order of nursing interventions? Arrange the actions in the order that they should be performed. All options must be used.

1 Develop a therapeutic relationship with the client. Allow the client to select the type of bath. 2 Allow the client to select the type of bath. Address privacy by closing the door and pulling the curtains around the bed. 3 Address privacy by closing the door and pulling the curtains around the bed. Provide a back massage for relaxation. 4 Provide a back massage for relaxation. Document interventions and the client's response. 5 Document interventions and the client's response.

The nurse is preparing to provide mouth care to an unconscious client. The nurse collects which items to perform this procedure? Select all that apply.

1. Mouthwash 3. A soft toothbrush 4. Oral suction catheter 5. Bite stick or a padded tongue blade

The nurse is performing oral care for a newly admitted client who is undergoing chemotherapy for thyroid cancer. The nurse should take which actions while performing oral care? Select all that apply.

2. Provide a soft toothbrush. 3. Check oral mucous membranes. 4. Check for missing teeth and cavities.

The nurse is encouraging a client who is incontinent to participate in recreational therapy. Which nursing intervention should the nurse consider performing first?

Change the client's soiled disposable brief.

The nurse is providing eye care to an unconscious client. Which action does the nurse take with a clean, wet cotton ball to cleanse the eye?

Moving from the inner canthus to the outer canthus

The client asks the nurse about various herbal therapies available for the treatment of insomnia. The nurse should encourage the client to discuss the use of which product with the health care provider?

Valerian

The nurse is encouraging an older incontinent client's participation in recreational therapy. What nursing intervention should the nurse consider performing first?

Change the client's soiled disposable brief.

A client is complaining of back discomfort and does not want any pain medication. The nurse has decided to administer a back massage to the client. The nurse should perform the actions in which priority order? Arrange the actions in the order they should be performed. All options must be used.

Check skin areas for redness and integrity. Collect appropriate equipment. Verify the client's identity and explain the procedure to the client. Perform hand hygiene. Help client into a comfortable position. Dim lights. Administer the massage.

The nurse reviews the care plan for a client who is having difficulty sleeping. Which bedtime snack will help the client achieve a restful night's sleep?

A glass of warm milk

The nurse is providing directions to the unlicensed assistive personnel (UAP) regarding clients' hygiene needs. Which is the priority order in which the UAP should assist the clients? Arrange the actions in the order that they should be performed. All options must be used.

A confused client who is incontinent of stool and urine 2 A client who is on bed rest after multiple trauma 3 A client who was admitted for dehydration and failure to thrive 4 A client who is independent with ADLs (activities of daily living)

The nurse on a medical unit is instructing the unlicensed assistive personnel (UAP) regarding toileting needs of the assigned clients. Which is the order of priority in which the unlicensed assistive personnel (UAP) should assist these clients? Arrange the actions in the order that they should be performed. All options must be used.

A client who was admitted 2 days ago with pelvic fracture A client who had left foot amputation 5 days ago A client who has early Alzheimer's dementia An ambulatory client who was admitted for urinary tract infection