Question 1

The patient is complaining of alopecia.To treat this condition,the nurse:

Accepted Answer

A)  Shaves hair off of the affected area 
B)  Uses permethrin (Nix) 
C)  Offers the patient access to scarves or wigs 
D)  Places a drop of oil on the area 
A)  Shaves hair off of the affected area 
B)  Uses permethrin (Nix) 
C)  Offers the patient access to scarves or wigs 
D)  Places a drop of oil on the area C

Question 2

The usual sequence of the bed bath involves:

Accepted Answer

A)  Washing the feet after the legs 
B)  Washing the eyes after the face 
C)  Washing the legs before the abdomen 
D)  Washing the back area before the extremities 
A)  Washing the feet after the legs 
B)  Washing the eyes after the face 
C)  Washing the legs before the abdomen 
D)  Washing the back area before the extremities A

Question 3

Critically ill patients on a ventilator are at risk for ventilator-associated pneumonia (VAP).Sources of VAP include: (Select all that apply.)

Accepted Answer

A)  Bacteria in the oral pharynx 
B)  Dental plaque 
C)  Chlorhexidine rinses 
D)  Too frequent oral hygiene 
A)  Bacteria in the oral pharynx 
B)  Dental plaque 
C)  Chlorhexidine rinses 
D)  Too frequent oral hygiene A,B

Question 4

Shaving a patient with a disposable razor is contraindicated for a patient with:

Accepted Answer

A)  Heart disease 
B)  Diabetes mellitus 
C)  A head injury 
D)  A bleeding disorder 
A)  Heart disease 
B)  Diabetes mellitus 
C)  A head injury 
D)  A bleeding disorder

Question 5

______________ are mucous membranes with underlying supportive tissue that encircle the neck of erupted teeth to hold them in place.

Accepted Answer

Gingivae
The gums,or gingival tissue,are

Question 6

Before the beginning of a client's bed bath,the nurse should:

Accepted Answer

A)  Lower the bed 
B)  Offer the bedpan or urinal 
C)  Partially undress the client 
D)  Place the head of the bed in high-Fowler's position 
A)  Lower the bed 
B)  Offer the bedpan or urinal 
C)  Partially undress the client 
D)  Place the head of the bed in high-Fowler's position

Question 7

Fifty-five percent of foot ulcers are due to repeat trauma over time,often caused by ____________________.

Accepted Answer

poorly fit

Question 8

Tissue that surrounds the fingernail,slowly grows over the nail,and must be regularly pushed back with a soft nail brush is known as the __________________.

Accepted Answer

cuticle
The nail is surrounded by a cuti

Question 9

When teaching parents oral care for a child,the nurse instructs them to:

Accepted Answer

A)  Give bottles with juice at bedtime 
B)  Begin dental visits after the child is 8 years old 
C)  Allow the preschool child to floss his teeth without parental supervision 
D)  Limit snacks to three to four per day 
A)  Give bottles with juice at bedtime 
B)  Begin dental visits after the child is 8 years old 
C)  Allow the preschool child to floss his teeth without parental supervision 
D)  Limit snacks to three to four per day

Question 10

The nurse is about to provide oral hygiene for an unconscious patient.To do so,she places the patient in which position?

Accepted Answer

A)  Fowler's 
B)  Semi-Fowler's 
C)  Sims' 
D)  Supine 
A)  Fowler's 
B)  Semi-Fowler's 
C)  Sims' 
D)  Supine

Question 11

A nurse recognizes that a shampoo may be contraindicated for a bed-bound patient with:

Accepted Answer

A)  Heart disease 
B)  Diabetes mellitus 
C)  A neck injury 
D)  A bleeding disorder 
A)  Heart disease 
B)  Diabetes mellitus 
C)  A neck injury 
D)  A bleeding disorder

Question 12

Normal flora that do not cause disease but do prevent disease-causing microorganisms from reproducing are known as:

Accepted Answer

A)  Sebum 
B)  The epidermis 
C)  Resident bacteria 
D)  The dermis 
A)  Sebum 
B)  The epidermis 
C)  Resident bacteria 
D)  The dermis

Question 13

________________ is defined as excessive growth of body and facial hair.

Accepted Answer

Hirsutism
Hirsutism

Question 14

While giving the patient a bed bath,the nurse notices a reddened area on the patient's coccyx.The nurse should:

Accepted Answer

A)  Decrease the temperature of the bath water 
B)  Massage the reddened area to decrease the redness 
C)  Apply topical moisturizing agents 
D)  Ignore the redness since it will return to normal soon 
A)  Decrease the temperature of the bath water 
B)  Massage the reddened area to decrease the redness 
C)  Apply topical moisturizing agents 
D)  Ignore the redness since it will return to normal soon

Question 15

The nurse is preparing to provide a complete bed bath to a patient who has a running IV.She places a bath blanket over the patient and:

Accepted Answer

A)  Removes the gown from the arm with the IV first 
B)  Removes the gown from the arm without the IV first 
C)  Removes the gown after the bath to keep the patient warm 
D)  Readjusts the IV rate before removing the gown 
A)  Removes the gown from the arm with the IV first 
B)  Removes the gown from the arm without the IV first 
C)  Removes the gown after the bath to keep the patient warm 
D)  Readjusts the IV rate before removing the gown

Question 16

The nurse is caring for a ventilated patient in the ICU who has just undergone coronary artery bypass.The nurse is concerned that the patient may be at risk for ventilator-acquired pneumonia (VAP).Because of this,she:

Accepted Answer

A)  Does not provide oral hygiene because this may cause bacterial contamination of the airway 
B)  Is careful not to use chlorhexidine in oral care because it provides a medium for bacterial growth 
C)  Does not use chlorhexidine in oral care because it enhances the rate at which VAP develops 
D)  Includes the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP 
A)  Does not provide oral hygiene because this may cause bacterial contamination of the airway 
B)  Is careful not to use chlorhexidine in oral care because it provides a medium for bacterial growth 
C)  Does not use chlorhexidine in oral care because it enhances the rate at which VAP develops 
D)  Includes the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP

Question 17

Regular oral hygiene is necessary to maintain the integrity of tooth surfaces and to prevent gum inflammation known as ____________.

Accepted Answer

gingivitis
Regular oral hygien

Question 18

When taking a shower in the home setting,the patient at risk for falls may benefit from: (Select all that apply.)

Accepted Answer

A)  Installation of grab bars 
B)  Adhesive strips applied to the tub floor 
C)  Addition of a shower chair or stool 
D)  An hydraulic lift 
A)  Installation of grab bars 
B)  Adhesive strips applied to the tub floor 
C)  Addition of a shower chair or stool 
D)  An hydraulic lift

Question 19

The optimal position for a female patient for the provision of perineal care is:

Accepted Answer

A)  Prone 
B)  Side-lying 
C)  High-Fowler's 
D)  Dorsal recumbent 
A)  Prone 
B)  Side-lying 
C)  High-Fowler's 
D)  Dorsal recumbent

Question 20

In providing perineal care for a male patient,the nurse realizes that the patient has not been circumcised.The nurse should:

Accepted Answer

A)  Retract the foreskin after care has been completed 
B)  Place patient in a prone position 
C)  Replace foreskin to its natural position after care has been provided 
D)  Wait until patient has an erection to clean the penis 
A)  Retract the foreskin after care has been completed 
B)  Place patient in a prone position 
C)  Replace foreskin to its natural position after care has been provided 
D)  Wait until patient has an erection to clean the penis

Exam 17: Personal Hygiene and Bedmaking

The patient is complaining of alopecia.To treat this condition,the nurse:

The usual sequence of the bed bath involves:

Critically ill patients on a ventilator are at risk for ventilator-associated pneumonia (VAP).Sources of VAP include: (Select all that apply.)

Shaving a patient with a disposable razor is contraindicated for a patient with:

______________ are mucous membranes with underlying supportive tissue that encircle the neck of erupted teeth to hold them in place.

Before the beginning of a client's bed bath,the nurse should:

Fifty-five percent of foot ulcers are due to repeat trauma over time,often caused by ____________________.

Tissue that surrounds the fingernail,slowly grows over the nail,and must be regularly pushed back with a soft nail brush is known as the __________________.

When teaching parents oral care for a child,the nurse instructs them to:

The nurse is about to provide oral hygiene for an unconscious patient.To do so,she places the patient in which position?

A nurse recognizes that a shampoo may be contraindicated for a bed-bound patient with:

Normal flora that do not cause disease but do prevent disease-causing microorganisms from reproducing are known as:

________________ is defined as excessive growth of body and facial hair.

While giving the patient a bed bath,the nurse notices a reddened area on the patient's coccyx.The nurse should:

The nurse is preparing to provide a complete bed bath to a patient who has a running IV.She places a bath blanket over the patient and:

The nurse is caring for a ventilated patient in the ICU who has just undergone coronary artery bypass.The nurse is concerned that the patient may be at risk for ventilator-acquired pneumonia (VAP).Because of this,she:

Regular oral hygiene is necessary to maintain the integrity of tooth surfaces and to prevent gum inflammation known as ____________.

When taking a shower in the home setting,the patient at risk for falls may benefit from: (Select all that apply.)

The optimal position for a female patient for the provision of perineal care is:

In providing perineal care for a male patient,the nurse realizes that the patient has not been circumcised.The nurse should:

Using Evidence in Nursing Practice

Admitting, transfer, and Discharge

Communication

Reporting and Recording

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Pressure Ulcer Care

Care of Eye and Ear Prostheses

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination

Ostomy Care

Preoperativepostoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Warm and Cold Therapy

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

Filters