Exam 25: Facilitating Hygiene

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

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

Which action should the nurse be sure to take when preparing a patient for a bed bath?

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?

During morning care,the patient asks the nurse to shave him with a disposable razor.Before shaving him,the nurse should:

The nurse is about to bathe a female patient who has an intravenous line,and needs to remove her gown.The nurse should:

Bath water should be prepared at which temperature to prevent chilling and excess drying of the skin?

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

For which patient can the nurse safely delegate morning care to the nursing assistive personnel (NAP)? Assume an experienced NAP,and base your decision on patient condition.Assume there are no complications other than the conditions stated.

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

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

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

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

For which patient(s)should the nurse avoid using back massage? Select all that apply.

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

Which of the following is a correct step in removing and cleaning a hearing aid?

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?

The 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?

Which of the following is/are a benefit of bathing? Select all that apply.

The nurse has been teaching a student how to perform mouth care for her unconscious patient.The student will show evidence of learning if she places the patient in which position for this care?