Ch. 31 Hygiene Prep U Practice

A home health nurse is visiting a client who is receiving chemotherapy for cancer treatment. What question would the nurse ask to assess for complications or side effects of chemotherapy

"Have your mouth and lips become sore and inflamed with ulcers?

A client who has been reluctant to have the hair shampooed for 1 week tells the nurse, "I do not want you to shampoo my hair. It does not need washing." What response by the nurse is appropriate?

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

An older adult client recently suffered a stroke. The client is bedbound from the resultant paralysis of the right arm and right leg. Which intervention by the nurse is the best strategy to maintain skin integrity?

Avoid hot water during bathing.

The nurse is providing care to a client's eyes. What actions are appropriate when providing eye care? Select all that apply.

Clean the eye from the inner canthus to the outer canthus using a wet, warm washcloth; cotton ball; or compress. Use a protective shield if necessary to keep the lids closed when the blink reflex is absent. use a different section for each stroke until the eye is clean

A nurse is making the bed of a client whose limited mobility prevents her from leaving the bed. What should the nurse do when performing this procedure?

Fan-fold soiled linens as close to the client as possible.

A nurse assisting a client with contact lens removal finds that the hard contact is not over the cornea. What would be the appropriate intervention in this situation?

Gently slide the hard lens over the cornea and remove it with gloved fingers.

A new mother has brought her infant into the pediatric clinic. The infant has a red rash on the buttocks. What should the nurse instruct the mother

Keep the diaper and buttocks clean and dry and apply zinc oxide

A nurse is shaving a male client's face. Which should the nurse do

Pull the skin taut and shave in the direction of hair growth using short strokes

A nurse is caring for a client with a decreased level of consciousness (LOC). When performing mouth care, what action by the nurse will decrease complications of oral care

The client should be placed in a side-lying position to prevent aspiration

The nurse provides care for a female client having difficulty urinating after a vaginal hysterectomy. Which strategy(ies) does the nurse use to assist the client with urinary elimination? Select all that apply.

Turn on the water in the bathroom Pour warm water over the perineum Place client in sitting position Provide a sitz bath

A nurse is providing oral care to children on a pediatric unit. Which guideline should the nurse follow for providing care in special situations

Water should be used to clean an infant's teeth.

In which situation would it be appropriate to shave the beard of an unconscious client without his permission

When inserting an endotracheal tube

An older adult client is reporting dry, itching skin. The nurse should assess:

how often the client is bathing.

The nurse is observing a student who is using a safety razor to shave a client. Which action would require intervention by the nurse?

pulling the razor against the direction of hair growth