hygiene

a nurse is assisting an older, continent client with dry skin who is hospitalized. Which approach to hygiene should the nurse take with this client?

alternate between a full bed bath on one day and use of skin lotion or bath oil on the next

which of the following methods can be used to remove a client's soft contact lenses?

ask the client to remove them, if able use the pads of the index finger and thumb to gently pinch and remove the lens

the acute care nurse is preparing to bathe a client and notices that the client is wearing a regular hospital gown and has continuous intravenous (IV) fluids infusing. Which of the following actions by the nurse is most appropriate?

carefully thread the IV bag and tubing through the arm of the regular gown, and then replace it with a snap-arm gown at the end of the bath

A nurse has just finished giving a client a bed bath and has assisted the client into a wheelchair. the nurse is now preparing to change the linens on the bed. Arrange the following steps in the correct order.

disconnect the call bell and tubes from bed linens loosen all linens while moving around the bed snugly roll all soiled linen inside the bottom sheet and place into the hamper pull the bottom sheet over the corners at the head and foot of the mattress on either side place the top sheet on the bed with its centerfold in the center of the bed and unfold tuck the top sheet and blanket under the foot of the bed and miter the corners on either side

the nurse is preparing to bathe a client using a self-contained bathing system that has been premoistened disposable washcloths. Which of the following methods for warming the premoistened cloths is correct?

heat the entire package in the microwave, following the manufacturer's recommendation

the nurse has completed a bed bath on a client who is obese. The client asks the nurse to sprinkle baby power 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

the nurse is preparing to perform oral care for a client who has full dentures. Which of the following actions should the nurse take?

place paper towels or a washcloth in the sink to prevent damage if the dentures are dropped during cleaning provide privacy use a toothbrush and toothpaste to brush all surfaces gently

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

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

a nurse must change the linens on a bed while it is occupied. Which of the following actions should the nurse take?

put on gloves before removing soiled linens place a bath blanket over the client help the client turn toward the opposite side of the bed and fan-fold soiled lines as close to the client as possible

a nurse is shampooing a client's hair while the client is in bed. Which of the following interventions should the nurse make to reduce back strain while performing the procedure?

raise the bed to elbow height

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

remove the anti embolism stockings before 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

a nurse is providing nail care for an older client. Which of the following actions should the nurse take?

round the tips of the nails in a gentle curve using a file gently clean under the nails using an orangewood stick

a nurse is preparing to give a bed bath to a client. Which of the following approaches should the nurse take?

start with the cleanest areas and end with most soiled areas

a female nurse is assisting an older man who has dementia with a bath in his hospital room. Which of the following approaches should the nurse take?

the client should be allowed to complete as much of the bath as he can

a nurse must provide oral care for an older client who cannot effectively manipulate a toothbrush. How often should the nurse brush and floss the client's teeth?

twice a day

the nurse is providing a bed bath for a female client who is unconscious. The nurse should pay special attention to cleaning which of the following areas of the body?

underneath the breasts and in between skin folds

The acute care nurse is talking with an older client who had a complete bed bath earlier in the day. The client states, "I like to be scrubbed clean during my bath, and the person who bathed me today didn't even use soap and water and barely rubbed my skin to dry it." Which of the following responses by the nurse is most appropriate?

use of special bathing products and avoidance of scrubbing help keep your skin intact

which of the following modifications to bathing should be implemented for a client who is incontinent?

use special perineal skin cleansers and moisture barriers

the acute care nurse is talking with a client who just finished performing oral care. The client states, "I have some whitish-yellow patches on my tongue. Should I be concerned?" Which of the following responses by the nurse is most appropriate?

Let me assess the patches. They may indicate the development of a fungal infection.