Exam 31: Hygiene

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The nurse is caring for a bedridden patient with long straight hair.Which is the appropriate intervention to prevent the hair from becoming matted?

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C

The nurse is caring for a diabetic patient who has rough skin on the feet and thick,overgrown toenails.Which is the best intervention of the nurse?

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D

The nurse is caring for a patient who has just undergone shoulder replacement surgery.Which is the best option for washing the patient's hair?

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A

Which assessment finding leads the nurse to question the physician's order for irrigation of the patient's ear?

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Which patient outcome is most important for the patient with the nursing diagnosis bathing/hygiene self-care deficit related to neuromuscular impairment and fatigue?

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Which interventions are appropriate for a patient with the nursing diagnosis impaired oral mucus membranes related to immunosuppression,thrush,and ulceration?

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The nurse notes red,moist patches on the skin under the female patient's breasts.What is the appropriate action of the nurse when caring for this area?

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Which interventions are appropriate when providing oral care to an intubated patient receiving mechanical ventilation?

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Which is the highest priority nursing diagnosis for a patient who is frequently incontinent of stool and urine?

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Which intervention is appropriate to prevent the patient from reinfection after recovery from oral thrush?

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Which bath time assessment of the diabetic patient is most important?

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How can the nurse best respect the patient's cultural preferences for hygiene?

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Which assessment finding leads the nurse to lightly wash the patient's legs rather than using long,firm strokes?

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What will the nurse do with extra clean linens that were left over after the patient's bath?

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Which nursing intervention is appropriate when bathing older adult patients?

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Which hygiene interventions are appropriate for a patient with the nursing diagnosis ineffective protection related to impaired blood clotting?

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Which is the priority nursing intervention for a patient with confusion and the diagnosis impaired dentition related to inability to perform oral care?

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Which is the best approach to change nasogastric tube tape that has become crusted with secretions?

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Which patient would benefit from the use of lubricant eye ointment?

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