Question 1

The nurse notes that a client has significant body odor despite having clean hair, skin, nails, and clothes. Which should the nurse consider about the client regarding this assessment finding?

Accepted Answer

A)   The use of deodorant is against the client's religion.
B)   The client is unaware of how deodorant is to be used.
C)   The client has a disorder that affects the sense of smell.
D)   The client may have limited financial resources to purchase deodorant,E) A) and B)
F) A) and C)

Question 2

Place the steps of providing perineal-genital care for a female in the appropriate order
 Response 1. Apply gloves.
 Response 2. Wipe from the pubis to the rectum.
 Response 3. Place a towel under the client's hips.
 Response 4. Clean the labia minora.
 Response 5. Position and drape the client.

Accepted Answer

The answer of Place the steps of providing perineal-genital care...

Question 3

The nurse is assigning tasks to assistive personnel (AP)  after receiving handoff communication. For which client should the nurse complete hair care?

Accepted Answer

A)   Client with arthritis
B)   Client with heart failure
C)   Client with a cervical spine injury
D)   Client with chronic obstructive pulmonary disease (COP
D)  E) All of the above
F) A) and C) C

Question 4

Place the steps of assisting with the cleaning of a client's hearing aid in the appropriate order
 Response 1. Perform hand hygiene and wear appropriate personal protective equipment.
 Response 2. Remove the hearing aid and turn off and lower the volume.
 Response 3. Remove the earmold and soak in mild soap solution.
 Response 4. After thoroughly drying, insert hearing aid into the client's ear.
 Response 5. Prior to performing procedure, introduce self and identify the client.
 Response 6. Provide for client privacy by drawing curtains or closing the door.

Accepted Answer

5, 1, 6, 2, 3, 4
Explanation:Rationale 1: Performing hand hygiene and wearing appropriate personal protective equipment is the second step.
Rationale 2: Removing the hearing aid and turning it off and lowering the volume is the fourth step.
Rationale 3: Removing the earmold and soaking it in a mild soap solution is the fifth step.
Rationale 4: Drying the hearing aid and placing it in the client's ear is the last step.
Rationale 5: Introducing self and identifying the client is the first step.
Rationale 6: Providing for client privacy by drawing the curtains or closing the door is the third step.

Question 5

Place the steps of providing special oral care for an unconscious client in the correct order.
 Response 1. Prepare the client by positioning in a side-lying position with the head of the bed lowered.
 Response 2. Clean the teeth and rinse the mouth. Brush the teeth gently to prevent irritating the gums.
 Response 3. Ensure client comfort and document procedure per policy.
 Response 4. Perform hand hygiene and observe other appropriate infection control procedures.
 Response 5. Place a towel under the client's chin. Place the curved basin against the client's chin and lower cheek to collect fluid.
 Response 6. Provide for client privacy by drawing curtains around bed or closing the door to the room.

Accepted Answer

The answer of Place the steps of providing special oral...

Question 6

Place the steps of providing foot care to a diabetic client in the appropriate order.
 Response 1. Provide for privacy by pulling curtain or closing door to room.
 Response 2. Fill washbasin with warm water and test temperature of water.
 Response 3. File toenails straight across and even with tops of toes. Use nail clippers to clip nails straight across, then shape with nail file.
 Response 4. Assist client to sitting position. Help bedridden client to supine position with head of bed elevated. Place disposable bath mat on floor under client's feet, or place towel on mattress.
 Response 5. Perform hand hygiene. Arrange equipment on over-bed table.
 Response 6. Help client place feet in basin. Fill basin with warm water, and soak for 10 minutes.

Accepted Answer

5, 1, 4, 2, 6, 3
Explanation:Rationale 1: Maintaining client privacy is the second step as it reduces client anxiety.
Rationale 2: Filling the washbasin with warm water and testing the temperature is the fourth step. This prevents accidental burns to client's skin. Diabetic clients have peripheral neuropathy with decreased sensation.
Rationale 3: The last step is filing and clipping the nails. Filing and cutting straight across avoids skin overgrowth at the nail edges, which leads to ingrown toenails or infection. If nails become thick, a professional should provide nail care.
Rationale 4: The third step is to assist the client into a sitting position. Sitting facilitates immersing feet in the basin. The bath mat protects feet from exposure to soil or debris.
Rationale 5: The first step is to perform hand hygiene and arrange the equipment on the over-bed table. Easy access to equipment prevents delays. Hand hygiene is done before every procedure.
Rationale 6: Helping the client place feet in the basin and soaking them for 10 minutes is the fifth step. Clients with muscular weakness or tremors may have difficulty positioning feet. Warm water softens nails and thickened epidermal cells.

Question 7

The nurse prepares to delegate bathing a client to the assistive personnel (AP) . Which actions are appropriate prior to delegating this task to the AP? Select all that apply.

Accepted Answer

A)   Informing the AP what type of bath is appropriate
B)   Describing precautions specific to the needs of the client
C)   Telling the AP who to notify if there are any concerns
D)   Informing the AP to encourage the client to perform as much self-care as appropriate
E)   Having the AP document the bathing experience for the nurse to read laterF) D) and E)
G) A) and D)

Exam 6: Client Hygiene

The nurse notes that a client has significant body odor despite having clean hair, skin, nails, and clothes. Which should the nurse consider about the client regarding this assessment finding?

Correct Answer
verified

Place the steps of providing perineal-genital care for a female in the appropriate order Response 1. Apply gloves. Response 2. Wipe from the pubis to the rectum. Response 3. Place a towel under the client's hips. Response 4. Clean the labia minora. Response 5. Position and drape the client.

Correct Answer
verified

The nurse is assigning tasks to assistive personnel (AP) after receiving handoff communication. For which client should the nurse complete hair care?

Correct Answer
verified
C

Correct Answer
verified

The nurse prepares to delegate bathing a client to the assistive personnel (AP) . Which actions are appropriate prior to delegating this task to the AP? Select all that apply.

Correct Answer
verified

Exam 6: Client Hygiene

The nurse notes that a client has significant body odor despite having clean hair, skin, nails, and clothes. Which should the nurse consider about the client regarding this assessment finding?

Correct AnswerverifiedShow Answer

Place the steps of providing perineal-genital care for a female in the appropriate order Response 1. Apply gloves. Response 2. Wipe from the pubis to the rectum. Response 3. Place a towel under the client's hips. Response 4. Clean the labia minora. Response 5. Position and drape the client.

Correct AnswerverifiedShow Answer

The nurse is assigning tasks to assistive personnel (AP) after receiving handoff communication. For which client should the nurse complete hair care?

Correct AnswerverifiedC

Correct AnswerverifiedShow Answer

The nurse prepares to delegate bathing a client to the assistive personnel (AP) . Which actions are appropriate prior to delegating this task to the AP? Select all that apply.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified