Hygiene questions

A nurse is beginning a completed bed bath for a client. After removing the client's gown and placing a bath blanket of the body, which of the following areas should the nurse wash first? A. Face B. Feet C. Chest D. Arms

A

A nurse is listening to a student provide instruction to a patient who is having difficulty with activities needed to care for soft contact lenses. Which of the following statements by the nursing student might require some correction by the nurse? A. use tap water to clean soft lenses B. follow recommendations of the lens manufacturer when inserting the lenses C. keep lenses moist or wet when not worn D. use fresh solution daily when storing and disinfecting lenses

A

A nurse uses long firm, strokes distal to proximal with bathing a patient's legs because: A. it promotes venous circulation B. it covers a larger area of the leg C. Completes care in a timely fashion D. it prevents blood clots in legs

A

A nurse is instructing a client who has diabetes mellitus about foot care. Which of the following guidelines should the nurse include? (select all that apply) A. inspect the feet daily B. use moisturizing lotion on the feet C. wash the feet with warm water and let them air dry D. use over-the-counter products to treat abrasions E. wear cotton socks

A, B, E

The American Dental Association suggests that patients who are at risk for poor hygiene use the following interventions for oral care: (select all that apply) A. use antimicrobial toothpaste B. brush teeth 4 times a day C. use 0.12% chlorhexidine gluconate (CHG) oral rinses D. use a soft toothbrush for oral care E. avoid cleaning the gums and tongue

A, C, D

An 88yr old patient comes to the medical clinic regularly. During a recent visit the nurse noticed that the patient had lost 10lbs in 6wks without being on a special diet. The patient tells the nurse that he has had trouble shewing his food. Which of the following factors are normal aging changes that can affect an older adult's oral health? (select all that apply) A. dentures do not always fit properly B. most older adults have an increase in saliva secretions C. with aging the periodontal membrane becomes tighter and painful D. many older adults are edentulous, and remaining teeth are often decayed E. the teeth of elderly patients are more sensitive to hot and cold

A, D

What is the proper position to use for an unresponsive patient during oral care to prevent aspiration? (select all that apply) A. prone position B. sims' position C. semi-fowler's position with head to side D. Trendelenburg position E. supine position

B, C

The student nurse is teaching a family member the importance of foot care for his or her mother, who has diabetes. Which safety precautions are important for the family member to know to prevent infection? (select all that apply) A. cut nails frequently B. assess skin for redness, abrasions, and open areas daily C. soak feet in water at least 10 minutes before nail care D. apply lotion to feet daily E. Clean between toes after bathing

B, D, E

While planning morning care, which of the following patients would have the highest priority to receive his or her bath first? A. a patient who just returned to the nursing unit from a diagnostic test B. a patient who prefers a bath in the evening when his wife visits and can help him C. a patient who is experiencing frequent incontinent diarrheal stools and urine D. a patient who has been awake all night because of pain 8/10

C

a patient receiving chemotherapy experiences stomatitis. the nurse advises the patient to use: A. community mouthwash B. alcohol-based mouth rinse C. normal saline rinses D. firm toothbrush

C

When you are assigned to a patient who has a reduced level of consciousness and requires mouth care, which physical assessment techniques should you perform before the procedure? (select all that apply) A. oxygen saturation B. heart rate C. respirations D. gag reflex E. response to painful stimuli

C, D

A nurse is preparing to perform denture care for a client. Which of the following actions should the nurse plan to take? A. pull down and out at the back of the upper denture to remove B. brush the dentures with a toothbrush and denture cleaner C. rinse the dentures with hot water after cleaning D. place the dentures in a clean, dry storage container after cleaning them

B

A nurse is performing mouth care for a client who is unconscious. Which of the following actions should the nurse take? A. turn the client's head to the side B. place two fingers in the client's mouth to open it C. brush the client's teeth once per day D. inject a mouth rinse into the center of the client's mouth

A

A nurse is planning care for a client who develops dyspnea and feels tired after completing morning care. Which of the following actions should the nurse include in the client's plan of care? A. Schedule rest periods during morning care B. Discontinue morning care for 2 days C. Preform all care as quickly as possible D. ask a family member to come in to bathe the client

A

the nurse delegates needed hygiene care for an elderly stroke patient. Which intervention would be appropriate for the nursing assistive personnel to accomplish during the bath? A. checking distal pulses B. providing range-of-motion (ROM) exercises to extremities C. determining type of treatment for stage 1 pressure ulcer D. changing the dressing over an intravenous site

B

A patient with a malignant brain tumor requires oral care. the patient's level of consciousness has declined, with the patient only being able to respond to voice commands. Place the following steps in the correct order for administration of oral care. A. if patient is uncooperative or having difficulty keeping mouth open, insert an oral airway B. raise bed, lower side rail, and position patient close to side of bed with head of bed raised up to 30 degrees C. using a brush moistened with chlorhexidine paste, clean chewing and inner tooth surface first D. for patients without teeth, use a toothette moistened in chlorhexidine rinse to clean oral cavity E. remove partial plate or dentures if present F. gently brush tongue but avoid stimulating gag reflex

B, E, A, C, F, D

the nurse observes and adult Middle Eastern patient attempting to bathe himself with only his left hand. the nurse recognizes that this behavior likely relates to: A. obsessive compulsive behavior B. personal preferences C. the patient's cultural norm D. controlling behaviors

C

Integrity of the oral mucosa depends on salivary secretion. Which of the following factors impairs salivary secretion? (Select all that apply.) A Use of cough drops B Immunosuppression C Radiation therapy D Dehydration E Presence of oral airway

C, D

A nurse is assigned to care for the following patients. Which of the patients is most at risk for developing skin problems and thus requiring thorough bathing and skin care? A. a 44yr old female who has had removal of a breast lesion and is having her menstrual period B. a 56yr old male patient who is homeless and admitted to the emergency department with malnutrition and dehydration and who has an intravenous line C. a 60yr old female who experienced a stroke with right sided paralysis and has an orthopedic brace applied to the left leg D. a 70yr old patient who has diabetes and dementia and has been incontinent of stool

D

When a nurse delegates hygiene care for a male patient to a nursing assistive personnel, the NAP must use an electric razor to shave the patient with the following diagnosis: A. Congestive heart failure B. Pneumonia C. Arthritis D. Thrombocytopenia

D