Exam 25: Facilitating Hygiene

During the bath, the nurse observed that the patient has dry skin. The best action by the nurse is to:

When making an occupied bed, which action is most important for the nurse to do?

The male patient is sitting in a chair at the bedside. The nurse is preparing to remove the patient's artificial eye. What should the nurse ask the patient to do to best position him for this procedure?

A patient with diarrhea is incontinent of liquid stool. The nurse documents that the patient now has excoriated skin on the buttocks. Which finding by the nurse led to this documentation?

Which areas should the nurse inspect when assessing for cyanosis in a dark-skinned patient? Select all that apply.

During morning care, the male patient asks the nurse to shave him with a disposable razor. Before shaving him, the nurse should take which action?

A patient admitted with an acute exacerbation of chronic obstructive pulmonary disease has a nursing diagnosis of Activity Intolerance. Which type of bath is preferred for this patient?

After receiving a course of chemotherapy, a patient begins losing hair. This adverse effect of chemotherapy should be documented as:

The nurse is teaching an unlicensed assistive personnel (UAP) how to give a complete bed bath. Which instruction should the nurse include?

A patient with a history of seizures who takes phenytoin is at risk for which oral problem?

The school nurse is teaching a group of middle-school students how to prevent tinea pedis. Which remark by a student provides evidence of learning?

While assessing a patient, the nurse notes that the patient's nails are excessively brittle. What does this finding suggest?

A client's epidermis has insufficient melanin. Which nursing diagnosis is appropriate?

Which action would the nurse take when removing and cleaning a hearing aid?

The nurse is about to bathe a female patient who has an intravenous (IV) line with no two-way, needlefree connector and needs to remove the patient's gown. The nurse should take which action?

A female patient with dementia becomes belligerent when the nurse attempts to give her a tub bath. How should the nurse proceed?

The nurse is caring for a patient admitted with dementia. Which action by the nurse is appropriate when providing hygiene care for this patient?

For which patient can the nurse safely delegate morning care to an experienced unlicensed assistive personnel (UAP)?

For which patient is it most important to provide frequent perineal care? The patient:

The nurse is delegating the foot care of a patient with congestive heart failure to the unlicensed assistive personnel (UAP). At which temperature would the nurse tell the UAP to prepare the water?