Question 1

The nurse is caring for a patient who has undergone external fixation of a broken leg and has a cast in place.To prevent skin impairment,what should the nurse do?

Accepted Answer

A) Not allow the patient to turn in bed because that may lead to redislocation of the leg. 
B) Restrict the patient's dietary intake to reduce the number of times on the bedpan. 
C) Assess all surfaces exposed to the cast for pressure areas. 
D) Keep the patient's blood pressure low to prevent overperfusion of tissue. 
A) Not allow the patient to turn in bed because that may lead to redislocation of the leg. 
B) Restrict the patient's dietary intake to reduce the number of times on the bedpan. 
C) Assess all surfaces exposed to the cast for pressure areas. 
D) Keep the patient's blood pressure low to prevent overperfusion of tissue.

Question 2

Of the following interventions,which would be the most important for preventing skin impairment in a mobile patient with local nerve damage?

Accepted Answer

A) Turning the patient every 2 hours. 
B) Limiting caloric and protein intake. 
C) Inserting an indwelling urinary catheter. 
D) Assessing for pain while the patient is bathing. 
A) Turning the patient every 2 hours. 
B) Limiting caloric and protein intake. 
C) Inserting an indwelling urinary catheter. 
D) Assessing for pain while the patient is bathing.

Question 3

When assessing a patient's feet,the nurse notices that the toenails are thick and separated from the nail bed.What is this condition caused by?

Accepted Answer

A) Fungi. 
B) Nail polish. 
C) Friction. 
D) Nail polish remover. 
A) Fungi. 
B) Nail polish. 
C) Friction. 
D) Nail polish remover.

Question 4

The nurse is providing education about the importance of proper foot care to a patient who has diabetes mellitus.Why is this important?

Accepted Answer

A) Plantar warts can develop from foot fungi. 
B) Poor foot care leads to neuropathy. 
C) A strong dorsalis pedis pulse indicates poor blood flow. 
D) Foot ulcers are the most common precursor to amputation. 
A) Plantar warts can develop from foot fungi. 
B) Poor foot care leads to neuropathy. 
C) A strong dorsalis pedis pulse indicates poor blood flow. 
D) Foot ulcers are the most common precursor to amputation.

Question 5

When the nurse provides hygiene care for an older patient,why is it important for the nurse to closely assess the skin?

Accepted Answer

A) As people age,skin becomes more resilient. 
B) As people age,sweat glands become more active. 
C) As people age,skin becomes less subject to bruising. 
D) As people age,less frequent bathing may be required. 
A) As people age,skin becomes more resilient. 
B) As people age,sweat glands become more active. 
C) As people age,skin becomes less subject to bruising. 
D) As people age,less frequent bathing may be required.

Question 6

The nurse is caring for an unresponsive patient who has a nasogastric tube in place for continuous tube feedings.Why does the nurse assess the patient's oral hygiene?

Accepted Answer

A) It helps prevent gingivitis. 
B) It may cause glossitis. 
C) It may lead to halitosis. 
D) It causes tongue coating. 
A) It helps prevent gingivitis. 
B) It may cause glossitis. 
C) It may lead to halitosis. 
D) It causes tongue coating.

Question 7

When assessing a patient's skin,what does the nurse need to know?

Accepted Answer

A) Restricted movement can increase blood circulation. 
B) Paralyzed patients have normal sensory function. 
C) Loss of subcutaneous tissue may increase the rate of wound healing. 
D) Moisture on the skin can lead to skin maceration. 
A) Restricted movement can increase blood circulation. 
B) Paralyzed patients have normal sensory function. 
C) Loss of subcutaneous tissue may increase the rate of wound healing. 
D) Moisture on the skin can lead to skin maceration.

Exam 38: Hygiene

The nurse is caring for a patient who has undergone external fixation of a broken leg and has a cast in place.To prevent skin impairment,what should the nurse do?

Of the following interventions,which would be the most important for preventing skin impairment in a mobile patient with local nerve damage?

When assessing a patient's feet,the nurse notices that the toenails are thick and separated from the nail bed.What is this condition caused by?

The nurse is providing education about the importance of proper foot care to a patient who has diabetes mellitus.Why is this important?

When the nurse provides hygiene care for an older patient,why is it important for the nurse to closely assess the skin?

The nurse is caring for an unresponsive patient who has a nasogastric tube in place for continuous tube feedings.Why does the nurse assess the patient's oral hygiene?

When assessing a patient's skin,what does the nurse need to know?

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