Exam 29: Hygiene

A bedridden patient with long hair may experience problems with matting.What is the most appropriate nursing action?

The nursing assistive personnel (NAP)has been delegated the task of changing a postsurgical patient's bed.The NAP miscalculated the amount of linen needed and took more than needed.What is the best thing for the NAP to do with the unused linen?

The nurse is caring for a patient who is on a heparin drip for a deep vein thrombosis (DVT).During the bath,the nurse will wash the lower extremities using which of the following?

A patient is non-English speaking and unable to answer questions.When preparing to bathe this patient the nurse needs to remember which of the following?

The nurse is assigned to assist a 59-year-old woman who has suffered a stroke and has limited mobility.The nurse is performing perineal care and understands that the best way to prevent disease transmission to the perineum is that it should be cleaned:

The nurse is caring for a 64-year-old patient who is hospitalized after surgery for a left total knee replacement.While preparing the patient's personal care items for oral care,the patient states,"I have noticed a lot of plaque formation between professional teeth cleanings." Which of the following foods would the nurse suggest to help reduce plaque formation?

The nurse is working on a long-term rehabilitation unit,is providing care for a 46-year-old woman who was the victim of a violent crime and suffered a head injury.The patient has an endotracheal tube,which is secured with tape.The tape is crusted with dried secretions.The nurse is providing personal hygiene for the patient and needs to replace the tape.What is the best way for the nurse to remove the tape?

The student nurse caring for a 56-year-old patient with acquired immunodeficiency syndrome (AIDS).While providing oral care for the patient the student nurse notes that the gums are reddened and bleed easily.The student nurse identifies this as a sign of what condition?

A patient requires toenail care.While the nurse performs nail care and nail care education the patient is instructed to always do which of the following?

Which of the following interventions will decrease the chance of dry skin?

The nursing student is caring for a patient with a hearing aid.The nursing student sees that the patient has taken out his or her hearing aid and set it on the windowsill.What should be the nursing student's next intervention?

A nurse who works for a pediatric clinic is preparing a 13-year-old patient with strep throat for the health care provider.Which of the following is the most important patient teaching information to prevent re-infection?

A nursing student who is working on a postsurgical unit assisting patients with personal hygiene plans to provide a back rub to each of her patients.The nursing student discusses the importance of this activity because research demonstrates that it enhances patient comfort and relaxation with the nurse assigned to these patients.The nurse instructs her that back rubs would be contraindicated on which of the following patients?

A 25-year-old patient was admitted to the surgical floor wearing contact lenses.Assistive personnel ask the nurse if contact lenses need special attention.The nurse informs the assistive personnel that non-extended-wear contacts left in the eyes for an extended period of time can cause which of the following?

A student nurse is bathing a patient with right lower lobe pneumonia.The student nurse is concerned with maintaining the patient's dignity,warmth,and safety.Which of the actions will prevent the spread of microorganisms?

Older adult patients produce less sebum and perspire less than younger patients.Therefore when providing personal hygiene the nurse should do which of the following?

A student nurse is caring for four patients in her senior clinical rotation.The patients are scheduled for baths that include washing their hair.Which of the patients will the student nurse need a health care provider's order to shampoo the hair?

An unconscious patient requires mouth care every 2 hours.Before attempting mouth care,the nurse should first do which of the following?

The health care provider orders meticulous foot care on a patient with diabetes.What is the best rationale for the nurse to assess the patient for complications?

A 45-year-old woman with diabetes who has been hospitalized with diabetic ketoacidosis.Which of the following is most important for the nurse to assess during bath time?