Foundations Chapter 30 Hygiene

A nurse is examining an adult client with inflammation of the gums. The nurse observes bleeding gums. How should the nurse record the findings in the client's medical record? -Caries -Tartar -Gingivitis -Plaque

-Gingivitis

A client with psoriasis tells the nurse, "I finally found a remedy online that will cure my psoriasis." What is the appropriate nursing response? -"Advertised remedies that promise a cure may be a scam." -"The medication your healthcare provider prescribed will cure psoriasis." -"This is great news; please let me know how this remedy works for you." -"I know you will feel much better after you have been cured of psoriasis."

-"Advertised remedies that promise a cure may be a scam."

The nurse is helping a client perform oral hygiene. When asked whether the client flosses, the client states, "I don't like to floss because it makes my gums bleed." What is the appropriate nursing response? (Select all that apply.) -"I understand; flossing makes my gums bleed too." -"Flossing removes plaque and food debris that a toothbrush may miss." -"The chance of tooth and gum disease can be reduced by flossing." -"You can use flossing in place of brushing teeth." -"When flossing, be certain to choose waxed floss."

-"Flossing removes plaque and food debris that a toothbrush may miss." -"The chance of tooth and gum disease can be reduced by flossing."

The nurse is teaching a nursing student about caring for a client with dentures. Which education will the nurse provide? -"Use your ungloved hands to remove an unconscious client's dentures." -"Clean dentures with hot water to eliminate bacteria." -"After brushing dentures, leave them out of the client's mouth overnight." -"Hold dentures over a plastic basin or towel when cleaning them."

-"Hold dentures over a plastic basin or towel when cleaning them."

A nurse is assessing the client's ability to perform ear care. Which statement by the client requires further education by the nurse? -"I use a washcloth to clean the auricles and cerumen when needed." -"I use cotton-tipped applicators daily to remove cerumen." -"I never use bobby pins or other sharp objects when cleaning cerumen." -"I clean my ear mold on my hearing aid daily before use."

-"I use cotton-tipped applicators daily to remove cerumen." Clients should be educated to not use cotton-tipped applicatosr because it may push cerumen further back into the ear canal. Bobby pins and sharp objects should never be used to remove cerumen because they can puncture the tympanic membrane. If a client has a hearing aid device, care includes careful handling, wiping of the mold, and monitoring for dead batteries.

The nurse has completed teaching regarding pediculosis. Which client statement requires further nursing teaching? -"I will look for eggs on hairs ¼ to ½ inch from the scalp and skin surfaces." -"Lice can be spread by direct contact." -"I will use conditioner so that the lice eggs will slide off my hair." -"A pediculicide shampoo is needed to treat this condition."

-"I will use conditioner so that the lice eggs will slide off my hair."

The parents of 3 young children have discussed the dental health needs of their children with the nurse. Which statement indicates the need for further instruction? -"Brushing is important to remove bacteria from the mouth and teeth." -"Tartar cannot be brushed or flossed way." -"Flouride treatments are needed until my children reach the age of 14." -"If my children do not have cavities by the age of 10, fluoride treatments can be discontinued."

-"If my children do not have cavities by the age of 10, fluoride treatments can be discontinued."

A nurse is evaluating the effectiveness of health promotion teaching related to hygiene at a community workshop. Which statements by one of the participants requires further teaching to ensure understanding? Select all that apply. -"It is important to brush your teeth regularly but flossing is not necessary since it can damage the gums." -"It is important to include hair care and shampooing along with brushing in your hygiene routine." -"Hygiene does not contribute to my well-being so I can choose to not perform hygiene." -"Bathing regularly and applying lotion and cream as needed are important." -"Hygiene measures have no affect on skin."

-"It is important to brush your teeth regularly but flossing is not necessary since it can damage the gums." -"Hygiene does not contribute to my well-being so I can choose to not perform hygiene." -"Hygiene measures have no affect on skin."

Which statement made by the client, regarding flat patches of brown skin on the face, demonstrates understanding? -"Older people often have splotchy skin due to seborrheic keratoses." -"I know these spots are called senile lentigines and they are likely cancer." -"All of these spots are called seborrheic keratosis and they should be taken off." -"These brown spots are senile lentigines and are common when you get older."

-"These brown spots are senile lentigines and are common when you get older."

The health care environment can be very stressful for a client. During an orientation session of nursing students, the nursing instructor teaches students how to minimize a stressful environment. Which statement from the students indicates the teaching was effective? Select all that apply. -"When I place soiled items in the client's trash, I will remove the bag from the room when I leave." -"We should discuss the client's condition outside of the room in order not to violate HIPAA." -"It is important to keep the room at a comfortable temperature for the client." -"Always ask the client if anything is needed before you leave the room." -"Spray the room daily with Lysol to reduce the spread of germs and maintain a sterile smell to assure the client it's clean."

-"When I place soiled items in the client's trash, I will remove the bag from the room when I leave." -"It is important to keep the room at a comfortable temperature for the client." -"Always ask the client if anything is needed before you leave the room."

The mother of a school-age child voices concern to the nurse about her 4-year-old son continuing to wet the bed at night. What information should be provided by the nurse? -"It is very uncommon for a child of this age to have bedwetting issues." -"Did any of your other children have this problem?" -"While this is distressing it is not completely uncommon, but interventions are not normally introduced until age 6." -"You will need to strictly restrict intake in the afternoon and evenings to prevent this from happening."

-"While this is distressing it is not completely uncommon, but interventions are not normally introduced until age 6."

A grandmother visits the pediatric clinic with her daughter and 18-month-old granddaughter. The grandmother states, "I told my daughter she needs to get that baby potty trained. She is too old to be messing in her pants." What is the best response the nurse can make? -"To help with potty training, the child should be placed on the toilet in the morning." -"The child should have fluids limited after 7 p.m. to help decrease the chance of nighttime bedwwetting." -"A child her age should have control of the bladder by now, but her bowels won't be trained until next year." -"You should start potty training at age 2 to 3 years. At 18 months, she will not be ready to be potty trained."

-"You should start potty training at age 2 to 3 years. At 18 months, she will not be ready to be potty trained."

The nurse is caring for four clients. For which client is a sitz bath most appropriate? -42-year old recovering from a C-section delivery -51-year old with hemorrhoids -60-year old who is 1-day post-op from a knee replacement -73-year old with pneumonia who can get up to bedside commode

-51-year old with hemorrhoids

A nurse caring for the skin of clients of different age groups should consider which accurately described condition? -An infant's skin and mucous membranes are protected from infection by a natural immunity. -Secretions from skin glands are at their maximum from age 3 on. -The skin becomes thicker and more leathery with aging and is prone to wrinkles and dryness. -An adolescent's skin ordinarily has enlarged sebaceous glands and increased glandular secretions.

-An adolescent's skin ordinarily has enlarged sebaceous glands and increased glandular secretions. Adolescents have enlarged sebaceous glands and increased glandular secretions, which predisposes them to acne. Infants have natural immunities, but not pertaining to the mucous membranes. Secretions from skin glands occur later than age 3 months. While the skin may have more wrinkles as a person ages, the skin actually becomes thinner with age.

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. -Remove the contact from the area it is located using gloved fingers. -Remove the contact with a contact remover. -Do not attempt to remove the contact because this will cause damage to the cornea.

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

An Indian client is admitted to a facility for treatment of pneumonia. Since admission, she has been unwilling to participate in care offered by the nursing staff but is too weak to provide her own care. The nurse is planning care for this client with a diagnosis of Bathing/Hygiene: Self-Care Deficit. What would the priority nursing intervention be? -Assign a care provider who shares the same culture as the client. -Assess the skin every day using the Braden scale. -Delegate hygiene/bathing to an unlicensed assistive personnel (UAP). -Assess the client's cultural views regarding hygiene and self-care.

-Assess the client's cultural views regarding hygiene and self-care.

A nurse is teaching a client with a burn injury regarding the function of the skin structure. Which teaching elements are appropriate to include when explaining risks for injury to the client? (Select all that apply.) -Because of the burn, the skin is not able to fully the protect the body from injury and infection. -It may be necessary to wear layers of clothing to keep warm, as the skin is what helps the body regulate body temperature. -Full exposure of the burned area to sunlight is very important to convert vitamin D. -Be sure to place the burned area into the tub water first to make sure the temperature of the water is acceptable. -Additional caloric intake may be needed to help maintain fluid and nutritional balance to foster healing of the burned area

-Because of the burn, the skin is not able to fully the protect the body from injury and infection. -It may be necessary to wear layers of clothing to keep warm, as the skin is what helps the body regulate body temperature. -Additional caloric intake may be needed to help maintain fluid and nutritional balance to foster healing of the burned area

Which is a recommended guideline when removing contact lenses from a client's eyes? -Before removing hard or gas-permeable lenses, use gentle pressure to center the lens on the cornea. -Once removed, place both lenses in a cup and label it with the name of the client. -If an eye injury is present, remove lenses immediately to avoid causing additional injury. -If the contact lenses cannot be removed, they will have to be removed by the physician under sterile conditions.

-Before removing hard or gas-permeable lenses, use gentle pressure to center the lens on the cornea.

A client has a diagnosis of Bathing/Hygiene Self-care Deficit due to recent surgery and decreased strength. An outcome goal is for the client to participate in self-care measures by the end of the week. Which documentation by the nurse shows the outcome was met? -Client demonstrated bathing independently while seated in the bathroom. Client experienced no difficulty with the procedure and experienced no pain. -Client recognizes the need for self-care and states he is able to perform independently. -Client is able to wash his upper extremities independently and needs assistance with his lower extremities. -Bath completed with no distress of discomfort noted.

-Client demonstrated bathing independently while seated in the bathroom. Client experienced no difficulty with the procedure and experienced no pain.

The nurse is caring for a client with diabetes who has thick toenails. What is the appropriate nursing intervention? -Clip the toenails with large clippers. -Contact a podiatrist to care for toenails. -Use a handheld electric rotary file to reduce length of toenails. -Clean under toenails with a wooden orange stick.

-Contact a podiatrist to care for toenails.

The nurse is caring for a client with diabetes who has thick toenails. What is the appropriate nursing intervention? -Clip the toenails with large clippers. -Contact a podiatrist to care for toenails. -Use a handheld electric rotary file to reduce length of toenails. -Clean under toenails with a wooden orange stick.

-Contact a podiatrist to care for toenails. Clients who have diabetes, impaired circulation, or thick nails are at risk for vascular complications secondary to trauma. The services of a podiatrist should be obtained.

There are many problems that can occur on the feet that, if found, need to be assessed further. Which common foot problem is a cone-shaped lesion, which is usually found on the fourth or fifth toe over a toe joint? -Callus -Corn -Plantar wart -Bunion

-Corn

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

-Cut the nail straight across.

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

-Cut the nail straight across. By cutting the nail straight across, the nurse can protect the toes from trauma.

Self-care refers to a person's ability to perform primary care functions- in four areas- without the help of others. Which is not one of these areas? -Bathing -Toileting -Feeding -Driving

-Driving

The nurse is providing perineal care for clients in a hospital setting. What is an appropriate nursing action when providing this type of care? -Always proceed from the most contaminated area to the least contaminated area. -Do not retract the foreskin in an uncircumcised male. -Dry the cleaned areas and apply an emollient as indicated. -Powder the area to prevent the growth of bacteria.

-Dry the cleaned areas and apply an emollient as indicated.

The nurse is caring for an older adult client who has refused a bath for several days, and has now developed a rash on the buttocks. What is the priority nursing intervention? -Explain that cleanliness helps to remove bacteria from skin, which can prevent infection. -Offer a choice of types of soap and shampoo. -Schedule bath in the morning or evening according to client's preferred bathing time. -Encourage client to help with self-hygiene as able.

-Explain that cleanliness helps to remove bacteria from skin, which can prevent infection.

A client is being discharged today from the hospital. The nurse delegates morning care to the unlicensed assistive personnel (UAP). The assessment finds that the client is able to stand and ambulate independently without weakness or dizziness. The nurse will delegate what type of care to be provided based on the assessment findings? -Complete bed bath -Partial care -Independent showering -The client should not be bathed

-Independent showering

The nurse is teaching a client about hearing aid care. Which teaching is appropriate? (Select all that apply.) -Keep extra batteries on hand. -Do not get hair spray or other chemicals on the hearing aid. -Store the hearing aid in a very warm environment so that it will not crack. -Use a small knife to remove cerumen that becomes embedded in the earpiece. -Carefully wipe the outer surface of the hearing aid to maintain cleanliness.

-Keep extra batteries on hand.

The nurse is educating an adolescent on how to treat acne. What would the nurse include as an education point? -Gently squeeze the infected areas to release the infection. -Wash your face less frequently to avoid removing beneficial oils. -Keep hair off the face and wash hair daily. -Use cosmetics and emollients to cover the condition.

-Keep hair off the face and wash hair daily.

A new mother has brought her infant into the pediatric clinic. The infant has an excoriation on the buttocks. What should the nurse instruct the mother? -Leave the baby's buttocks open to air for 2 hours each day. -Apply gentian violet to the buttocks with every diaper change. -Change diaper as soon as it is soiled and apply cornstarch. -Keep the diaper and buttocks clean and dry and apply zinc oxide.

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

When caring for a client with dentures, what should the nurse teach the client? -Keeping dentures out for long periods of time permits the gum line to change, affecting denture fit. -Dentures should be wrapped in tissue or a disposable wipe when out of the mouth and stored in a disposable cup. -Dentures should never be stored in water because the plastic material may warp. -A brush and nonabrasive powder should be used to clean the dentures, and hot water should be used to rinse them.

-Keeping dentures out for long periods of time permits the gum line to change, affecting denture fit.

The nurse is caring for a client who has been diagnosed with pediculosis. What intervention will the nurse provide? -Lesions should be squeezed gently to release pus. -Launder gowns, linens, and towels separate from other clients items. -There would be no intervention, as this chronic skin disorder is noninfectious. -Apply cortisone to this reddened rash.

-Launder gowns, linens, and towels separate from other clients items. Pediculosis is an infestation of lice. The nurse will plan to launder linens, gowns, and bath items separately from items of other clients to prevent the transmission of infection. The other actions are not interventions the nurse would provide.

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? -Normal saline -Sterile water -Hypertonic solution -Hypotonic solution

-Normal saline

The nurse is caring for a woman who informs the nurse that she needs assistance to remove and clean her glass eye. What actions by the nurse are most appropriate to accomplish the task? -Apply pressure over the eye with your index finger and thumb under the eye. -Pull up the upper lid and place your index finger under the glass edge. -Pull the inner canthus toward the bridge of the nose and lift under the glass. -Pull down on the lower lid and exert slight pressure below the lid.

-Pull down on the lower lid and exert slight pressure below the lid.

A client has a nursing diagnosis of Self-Care Deficit: Bathing. What would an appropriate "related/to (r/t)" statement include? -R/t the inability to recognize the need to urinate or defecate -R/t right-sided weakness -R/t the inability to perform bathing independently -R/t impaired mobility

-R/t right-sided weakness

Which nursing action is appropriate when providing foot care for a client? -Soak the feet in a solution of mild soap and tepid water. -Rinse the feet, dry thoroughly, and apply moisturizer on the tops and bottoms. -For diabetic clients, trim the nails with nail clippers. -Cut off any corns or calluses.

-Rinse the feet, dry thoroughly, and apply moisturizer on the tops and bottoms.

When performing health education regarding hygiene, the nurse should advise female clients to avoid the use of which products/activities? Select all that apply. -Routine douching -Vaginal deodorants -Tampons -Commercial soap -Unscented sanitary napkins

-Routine douching -Vaginal deodorants

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? -She has hot water to bathe in. -She has good mobility around her home. -She has motivation to participate in self-care. -She has family and friends who help her with self-care.

-She has motivation to participate in self-care.

A nurse is educating a client on how to care for their dentures. What is a recommended teaching guideline? -Remove dentures whenever possible to rest the gums. -Wrap dentures in a napkin when not using them. -Keep dentures near you in the bedding for easy access. -Store dentures in cold water when not in use.

-Store dentures in cold water when not in use.

The nurse is teaching a client about hearing aid care. Which teaching is appropriate? -Do not change batteries by yourself. -Clean the hearing aid with a bleach. -Store the hearing aid in cool environment. -Use sandpaper to clean off hardened cerumen residue.

-Store the hearing aid in cool environment.

The nurse is assisting a 56-year-old female who has undergone a mastectomy with her morning care. Which action by the client requires further teaching by the nurse? -The client applies deodorant. -The client provides care independently. -The clients applies cosmetics after her bath. -The client uses a bag bath.

-The client applies deodorant. Clients who have undergone surgery for a mastectomy should avoid the use of deodorants or antiperspirants postoperatively because they act to close sweat glands and can cause skin irritations.

The nurse has provided instruction to the client concerning the use of the sitz bath. After the instruction the nurse is evaluating the client's understanding of the education. Which findings indicate the need for further instruction? Select all that apply. -The client uses cool water for the treatment. -The client heats the water to a temperature between 115°F (46°C) and 120°F (49°C). -The client reports that the treatment will take approximately 20 minutes. -The client explains to the nurse that the treatment will result in a reduction of discomfort for her hemorrhoids as a result of vessel constriction. -The client reports the treatment will promote circulation to the problem area.

-The client uses cool water for the treatment. -The client heats the water to a temperature between 115°F (46°C) and 120°F (49°C). -The client explains to the nurse that the treatment will result in a reduction of discomfort for her hemorrhoids as a result of vessel constriction.

The nursing student is providing hygiene education for a family who will soon take an older adult client home from the hospital. Which teaching provided by the nursing student requires nursing instructor intervention? -Obtain a tub or shower seat if the client has mobility issues. -Use bath oil in the tub to decrease dry skin. -Grab bars should be placed in the shower or tub at arm level. -Soap should be used sparingly so the client's skin does not become overly dry.

-Use bath oil in the tub to decrease dry skin.

The nurse is caring for a client who is on warfarin therapy. Which teaching will the nurse provide? -Take aspirin for headaches that develop. -Use electric razor for shaving purposes. -Buy hard-bristle toothbrush to ensure proper oral hygiene. -Reassure client that prolonged bleeding of wounds and gums is normal.

-Use electric razor for shaving purposes.

A nurse providing hygiene and bathing for older adult clients knows that additional safety measures may be necessary in their care. The nurse delegates some aspects of care to an unlicensed assistive personnel (UAP). Which of the following are true regarding safety of the older adult while bathing? Select all that apply. -Use of a tub/shower seat may be necessary if balance problems are present. -Use vigorous rubbing motions when drying the skin to increase circulation. -Water temperature should be monitored carefully due to decreased temperature sensation. -Use a long-handled shower brush or attachment to help with limited mobility. -Use scented bath oils for tubs to improve dryness of the skin and decrease odors, since bathing may occur less frequently.

-Use of a tub/shower seat may be necessary if balance problems are present. -Water temperature should be monitored carefully due to decreased temperature sensation. -Use a long-handled shower brush or attachment to help with limited mobility.

The nursing student is providing hygiene education for a family who will soon take an older adult client home from the hospital. Which teaching provided by the nursing student requires nursing instructor intervention? -Obtain a tub or shower seat if the client has mobility issues. -Check bath water temperature before allowing client to bathe. -Grab bars should be placed in the shower or tub at arm level. -Use soap daily when bathing to remove debris and keep skin moist.

-Use soap daily when bathing to remove debris and keep skin moist.

Which modification to bathing should be implemented for a client who is incontinent? -Use special perineal skin cleaners and moisture barriers. -Use a topical antiseptic, such as povidone-iodine, in the perineal area. -Decrease the frequency of bathing to preserve skin integrity. -Perform a full bed bath each time the client has an episode of incontinence.

-Use special perineal skin cleaners and moisture barriers.

A woman is being treated for breast cancer with 5-FU and cisplatin in large doses. She should expect: -anxiety. -alopecia. -dandruff. -seborrhea.

-alopecia. Most commonly, hair loss (alopecia) is caused by cancer treatment.

On the first postoperative day, the client is assisted to the bathroom. It is important for the nurse to: -allow the client privacy. -assess the client's safety. -assess the client's pain. -allow sufficient time.

-assess the client's safety.

A client has a diagnosis of Bathing/Hygiene Self-care Deficit due to recent surgery and decreased strength. An appropriate goal to include in the client's plan of care would be: -client will participate in self-care measures by the end of the week. -client will recognize the need for self-care. -client will verbalize the need to use to use the bedpan by the end of shift. -client will consent to no hygiene measures.

-client will participate in self-care measures by the end of the week.

When a black adolescent client asks the nurse how to care for long hair, which is braided into small braids, the nurse should instruct the client that: -braids should be undone every day. -combs should be washed as often as necessary. -hair should be washed as often as necessary. -lubricants or oils should not be used on the braids.

-hair should be washed as often as necessary.

An older adult client is reporting dry, itching skin. The nurse should assess: -how often the client is bathing. -when the client's last tub bath was. -what linens they are using. -when the severe itching occurs.

-how often the client is bathing.

An older adult client is reporting dry, itching skin. The nurse should assess: -how often the client is bathing. -when the client's last tub bath was. -what linens they are using. -when the severe itching occurs.

-how often the client is bathing. Frequent bathing for the older client can dry skin and contribute to skin breakdown.

A home health nurse is visiting a client who is receiving chemotherapy for cancer treatment. Which condition may result from chemotherapy? -changes in skin color -excess hair growth -loss of hair -dry, brittle nails

-loss of hair

A 55-year-old client has just undergone surgery for a knee replacement. He asks the nurse if he can shave because his face is itching from the stubble. What information is a priority for the nurse to verify prior to shaving the client? -medications listed on the client's medication administration record (MAR) -cultural views and attitudes toward facial hair and grooming -client's allergies to soap since shaving cream is contraindicated in the hospital -the last time shaving was performed because clients can only shave twice weekly in the hospital

-medications listed on the client's medication administration record (MAR)

A client is hospitalized with orthostatic hypotension from dehydration. A nurse must delegate the task of hygiene and morning care to an unlicensed assistive personnel (UAP). What type of bath should the nurse instruct the UAP to provide to the client? -complete bed bath -partial bath -independent showering -The client should not be bathed

-partial bath Even while hospitalized, independence is encouraged, so allowing the client to receive a partial bath with assistance is appropriate. The client is likely stable enough to allow hygiene measures.

A kindergarten student is sent to the school nurse because they have been vigorously scratching her scalp for a few hours. The nurse's first action will be to assess the child for the presence of: -pediculosis. -alopecia. -ticks. -fleas.

-pediculosis. Infestation with lice is called pediculosis and results in frequent scratching and marks on the scalp. Alopecia is the absence or loss of hair. Ticks and fleas can cause itching but they are common infections to animals and not humans.

The nurse has delegated oral care for an unconscious client to an unlicensed assistive personnel (UAP). Which UAP action requires immediate nursing intervention? -placing the client supine to perform mouth care -moistening oral swabs before inserting them into the mouth -mixing equal parts baking soda and table salt in warm water to be used to remove accumulated secretions -applying petroleum jelly to lips

-placing the client supine to perform mouth care

The nurse is observing a student who is using a safety razor to shave a client. Which action would require intervention by the nurse? -washing the skin with soap and water prior to shaving -pulling the razor against the direction of hair growth -rinsing the razor after each stroke of the razor -applying direct pressure to an area that is bleeding

-pulling the razor against the direction of hair growth

A 35-year-old woman is 1 day postpartum. She is reporting moderate perineal pain after giving birth and would like to clean the area. Which method of bathing is most appropriate for this client? -sitz bath -sit-down shower chair -bag bath -partial bath at a washbasin

-sitz bath

A school nurse is dealing with an outbreak of pediculosis in an elementary school. Which education points should the nurse prioritize when educating the parents of students who have lice and nits? -the importance of completely finishing the prescribed treatment -the importance of teaching their children adequate personal hygiene habits -the fact that the health problem is self-limiting -the need to destroy all clothing and bedding that the child has used

-the importance of completely finishing the prescribed treatment

A pediatric nurse is providing a health promotional education program to a group of preschool parents. One parent asks the nurse the following question: "I have started buying bottled water. How will this affect my children?" It is important for the nurse to educate the mothers that: -there is a need to determine if the bottled water has fluoride. -the preschool child should not drink bottled water. -the preschool child should only drink milk. -the parent should alternate bottle and tap water.

-there is a need to determine if the bottled water has fluoride.

The nurse is preparing to delegate a bath for a 90-year-old client who is nonresponsive and has mild skin breakdown. Which type of bath will the nurse delegate to the unlicensed assistive personnel (UAP)? -traditional bed bath with linen change -shower with assist -bag bath -tub bath

-traditional bed bath with linen change

When an adult client from Indonesia refuses a complete bath on the day after abdominal surgery, the nurse should: -understand that his culture may influence his hygiene and ask him his preference. -ask another nurse to assist in giving the client a complete bath every other day. -give the client a bath pan and tell him she will return when he has finished. -Encourage the client to bathe daily as part of protection from infection.

-understand that his culture may influence his hygiene and ask him his preference.

A nursing student is caring for a client with dentures. Which action by the nursing student would require intervention by the nurse? -using ungloved hands to remove an unconscious client's dentures -cleaning dentures with tepid water from the sink -encouraging the client to leave the dentures in their mouth overnight -holding dentures over a plastic basin or towel when cleaning them

-using ungloved hands to remove an unconscious client's dentures