Deck 50: Personal Hygiene and Skin Care

Question 1

What information should the nurse provide the client regarding effective oral hygiene and mouth care?

A) Floss vigorously to remove debris between teeth.
B) Practice oral hygiene to improve appetite and taste of food.
C) Use a small toothbrush for sensitive teeth and gums.
D) Moisten lips with water to prevent dryness.

Answer 1

Practice oral hygiene to improve appetite and taste of food.

Question 2

A nurse is caring for an unresponsive client. Which therapeutic nursing intervention is appropriate when providing mouth care to this client?

A) Have a suction catheter available, if ordered.
B) Avoid using cleansing solutions.
C) Avoid using a tongue blade.
D) Put the client in a supine position.

Answer 2

Have a suction catheter available, if ordered.

Question 3

A nurse is caring for an unresponsive client. Which position will encourage fluids to drain out of the mouth and thus prevent choking when providing the client oral care?

A) Prone
B) Sims'
C) Side-lying
D) Supine

Answer 3

Side-lying

Question 4

How often should the nurse plan to perform oral hygiene for an unresponsive client who is breathing through the mouth?

A) 30 minutes
B) 60 minutes
C) 90 minutes
D) 120 minutes

Question 5

What is the observable characteristic associated with oral sores?

A) Breath odor
B) Inflammation of the tooth sockets
C) Brownish deposits on the tongue
D) Tooth decay

Question 6

The nurse should make sure that a client' dentures are removed in which clinical situations? Select all that apply.

A) The client is unresponsive
B) The client is physically aggressive
C) The client has a history of seizures
D) The client going being prepared for surgery
E) The client has recently returned from the post-surgical recovery unit

Question 7

The nurse removes the client's dentures because of a change in medical condition. Which steps should be completed after removal of the client's dentures? Select all that apply.

A) Document that the dentures were removed
B) Label the denture container carefully
C) Store the client's dentures safely
D) Send home with family
E) Share the reason for removal with the family.

Question 8

Which instruction should the nurse provide the client with regard to care and insertion of a hearing aid?

A) Clean the earpiece regularly with alcohol.
B) Keep the hearing aid turned on at all times.
C) Increase volume before inserting hearing aid into the ear.
D) Avoid exposing the hearing aid to heat and moisture.

Question 9

What are rationales for not placing objects like cotton swabs, toothpicks or matches into the ear canal? Select all that apply.

A) The ear canal can be easily injured
B) Cotton swab frequently becomes lodged in ear
C) The eardrum can be punctured
D) Earwax can be pushed further into the ear canal
E) Matches and toothpicks carry bacteria into the inner ear

Question 10

During a bed bath the nurse observes drainage from the client's eye. Which guideline should the nurse follow when removing secretions from the eye? Select all that apply.

A) Wash the eye area before washing other parts of the body.
B) Wipe the client's eyelid with a cotton ball soaked in antiseptic solution.
C) Moisten a clean washcloth and cleanse from the inner to the outer canthus.
D) Wipe the eyes using different corners of the wash mitt.
E) The eye should be wiped in the direction of the tear duct.

Question 11

A client has an infection in the left eye that is producing drainage. What is the rationale for using separate supplies for each eye?

A) The infection must not be introduced into the affected eye's tear duct
B) Tissue around the eye is sensitive and easily damaged
C) The infection must not be introduced into the unaffected eye
D) It is necessary to remove the dried matter away from the inner canthus

Question 12

Which statement correctly describes the technique to use when removing dentures form the client's mouth?

A) Remove dentures by rocking them from right to left.
B) Remove the lower plate by pulling upward.
C) Remove upper dentures by gently grasping the teeth.
D) Remove dentures by gently moving them up and down.

Question 13

Which are appropriate nursing interventions when caring for fingernails? Select all that apply.

A) Remove any nail polish from the client's nails first.
B) Scrub the client's nails gently with a stiff nail brush.
C) Dry the client's hands thoroughly when finished.
D) Clean the client's nails with a gently formulated soap.
E) Remove soil beneath the nails only by soaking the hands.

Question 14

Which steps are appropriate when assisting the client in shaving the face? Select all that apply.

A) Avoid rubbing the face immediately after shaving.
B) Hold the skin taut while making strokes with the razor.
C) Apply shaving cream if the client wishes.
D) Move razor against direction of hair growth.
E) Pat the skin dry when shaving is completed.

Question 15

Which diseases require special orders before the nurse can cut the client's nails? Select all that apply.

A) Diabetes type 1
B) Fungal infection
C) Hemophilia
D) Very thickened nails
E) Diabetes type 2

Question 16

Which client should be closely supervised by the nurse when given a disposable blade razor for shaving?

A) Client with fine hand tremors
B) Client with poor eyesight
C) Client with type 2 diabetes
D) Client who is suicidal

Question 17

A nurse in a long-term care facility is caring for a client with long hair. Which procedures should the nurse follow when providing hair care? Select all that apply.

A) Avoid fastening the hair with a latex rubber band.
B) Use hairpins to keep hair in place.
C) Wash client's comb and brush regularly.
D) Avoid styling long hair in braids.
E) Consider hair care as part of the client's daily hygiene

Question 18

The nurse is taking care of the nails of a client. What is the correct sequence when providing fingernail care?
1) Shape the fingernails with an emery board.
2) Clip hangnails with manicure scissors or cuticle snippers.
3) Trim the client's fingernails straight across with nail clippers.
4) Soak the client's fingers in a basin or warm water and mild soap.

A) 1, 2, 3, 4
B) 2, 4, 3, 1
C) 3, 1, 2, 4
D) 4, 3, 1, 2

Question 19

Which body fluids are generally acidic and very irritating to the skin? Select all that apply.

A) Sputum
B) Perspiration
C) Urine
D) Vomitus
E) Feces

Question 20

A nurse is providing perineal care to a client who has delivered a baby. Which interventions should a nurse provide during perineal care? Select all that apply.

A) Place a towel under the client's hips.
B) Wash the upper thighs, then the genital area.
C) Use a separate portion of the washcloth for each stroke.
D) Cleanse the perineal area from back to front.
E) Gloves should be worn when providing perineal care.

Question 21

A nurse is assisting a client with washing the face and hands. Which nursing consideration is indicated during the procedure?

A) Vigorously rub the face to remove dead skin.
B) Do not rub soap directly on the hands.
C) Open the washcloth to wipe the face.
D) Allow the client to make a choice about using soap on the face.

Question 22

A nurse is required to give a backrub to a client who has been admitted to a healthcare facility after a stroke. What is the primary reason this client should receive a backrub?

A) Prevents breakdown of the skin owing to prolonged bed rest
B) Provides relaxation and comfort
C) Allows the nurse to observe the condition of the client's skin
D) Part of the bathing process for the client

Question 23

What is the primary reason for the nurse to use warm water when preparing to soak a client's feet?

A) It improves muscle tone.
B) It provides a therapeutic touch.
C) It helps the blood vessels to dilate.
D) It helps to promote a feeling of calmness and vitality.

Question 24

The nurse uses a variety of patterns when giving the back rub. What pattern is being used by the nurse when giving effleurage?

A) Stroking the large surfaces of the client's back in long, smooth strokes, with the palms of the hands
B) Pressing on muscle groups or single muscles, picking them up and squeezing them gently
C) Using light tapping with the edge of the hands to stimulate circulation
D) Rubbing around the bony prominences of the client's body, such as at the end of the spine and along each shoulder blade