Question 1

The nurse is making an occupied bed.Which step will provide comfort for the client during this linen change?
A)Allow for a toe pleat.
B)Place a bath blanket over the client.
C)Slide the mattress to the head of the bed.
D)Raise the side rail.

Accepted Answer

Allowing for a toe pleat provides comfort by preventing the linens from pressing down on the client's feet, which can cause discomfort or restrict movement.

Question 2

The nurse is preparing to provide a client with mouth care.What should the nurse do to ensure safe handling of the client's dentures?
A)Clean biting surfaces.
B)Place a washcloth in the bowl of the sink.
C)Replace the upper dentures first.
D)Rinse dentures thoroughly with hot water.

Accepted Answer

Placing a washcloth in the bowl of the sink will prevent the dentures from breaking if they are dropped.

Question 3

A client's hearing aid needs to be cleaned.What action should the nurse take to complete this task?
A)Clean with a dry,soft cloth.
B)Leave the battery in place when not in use.
C)Store the aid in the bathroom cabinet.
D)Use alcohol to remove any earwax.

Accepted Answer

The best way to clean a hearing aid is to use a soft, dry cloth to wipe away any visible dirt or debris. Using water or cleaning solutions can damage the device.

Question 4

The nurse is preparing to bath a client on the first postoperative day.Which nursing intervention should take priority?
A)Apply lotion to the extremities.
B)Change the water when it becomes cold.
C)Raise side rails when gathering supplies.
D)Remove the soiled dressing during the bath.

Accepted Answer

Raising the side rails is the top priority to ensure client safety during the bath.

Question 5

The nurse is preparing to remove ticks from a client's scalp.Which actions should the nurse perform to safely remove these pathogens from the client?
Standard Text: Select all that apply.
A)Grasp the tick with blunt tweezers.
B)Apply heat to the tick with a match.
C)Wash the area with antibacterial soap.
D)Pull the tick away in a perpendicular movement.
E)Apply petroleum jelly to the surface of the tick.

Accepted Answer

The nurse should grasp the tick with blunt tweezers, wash the area with antibacterial soap, and pull the tick away in a perpendicular movement. Heat from a match or applying petroleum jelly to the surface of the tick are not recommended methods for safe removal.

Question 6

A client needs to have soft contact lenses removed.What should the nurse do when removing the lenses?
A)Gently pinch the lens and lift it out.
B)Have the client look up.
C)Pull the lower eyelid upward.
D)Use the pad of the ring finger.

Accepted Answer

The nurse should gently pinch the soft contact lens and lift it out to avoid damaging the lens or the client's eye.

Question 7

A client has the nursing diagnosis Risk for Impaired Skin Integrity related to immobility.Which nursing intervention should be identified for this client's problem?
A)Encourage the client to eat at least 40% of meals.
B)Keep linens dry and wrinkle-free.
C)Restrict fluid intake.
D)Turn client every 3 hours.

Accepted Answer

Keeping linens dry and wrinkle-free helps prevent pressure ulcers and skin breakdown, which is crucial for a client at risk for impaired skin integrity due to immobility.

Question 8

A connection on a client's intravenous solution was dislodged and solution saturated the client's gown and bed linens.The nurse will provide which type of hygienic care to the client?
A)Hour-of-sleep care
B)As-needed care
C)Early morning care
D)Morning care

Accepted Answer

As-needed care is provided whenever a client's needs arise, such as when an intravenous solution is dislodged and saturates the client's gown and bed linens.

Question 9

The nurse is preparing to shave a client.Which action step should the nurse consider when providing this care?
A)Assist the client to a prone position.
B)Pull the skin taut with the dominant hand.
C)Rinse the razor after each stroke.
D)Use long strokes.

Accepted Answer

Rinsing the razor after each stroke helps to remove hair and shaving cream, ensuring a cleaner and more effective shave while reducing the risk of irritation or cuts.

Question 10

The nurse is making a client's bed.What safety measure should the nurse implement at this time?
A)Begin at the head and move toward the foot,loosening bottom linens.
B)Miter corners at the head of the bed.
C)Place the soiled sheet in a laundry bag.
D)Prepare the client.

Accepted Answer

Placing the soiled sheet in a laundry bag is a safety measure to prevent the spread of infection and ensure proper disposal of contaminated linens.

Question 11

Unlicensed assistive personnel are caring for a client's ears.What information should be reported to the nurse?
A)Excessive earwax
B)Loud talking
C)Presence of a hearing aid
D)Presence of any drainage

Accepted Answer

The presence of any drainage should always be reported to the nurse as it may be an indication of infection or other ear conditions that require medical attention.

Question 12

A client tells the nurse that bathing is done at the sink in the bathroom at home because it is difficult to physically lift the legs to get into the shower.The nurse identifies which factor as influencing this client's hygienic practice?
A)Religion
B)Personal preference
C)Culture
D)Health and energy

Accepted Answer

The client's physical ability, specifically difficulty lifting their legs to get into the shower, is the factor influencing their hygienic practice. This is related to their health and energy level, and their ability to perform the task of bathing in a certain way. Religion, personal preference, and culture are not relevant factors in this particular scenario.

Question 13

A client who is ambulatory is able to get out of bed for morning care.What should the nurse assess before assisting the client out of the bed to change the linen?
Standard Text: Select all that apply.
A)Pulse
B)Respirations
C)Urine output
D)Blood pressure
E)Mobility status

Accepted Answer

Before assisting the ambulatory client out of bed to change the linen, the nurse should assess the pulse, respirations, blood pressure, and mobility status. It is not necessary to assess urine output in this situation. These assessments will ensure the client's safety and prevent any complications during the activity.

Question 14

The nurse is preparing to provide hygienic care to a client.On what will the nurse focus this care?
A)Clothes
B)Family
C)Hair
D)Nutritional

Accepted Answer

Hygienic care typically includes bathing or showering, washing the hair, brushing teeth, cleaning the skin, and maintaining cleanliness of the bed linens and clothing. While all of these are important, the focus of the care may vary depending on the client's individual needs. In this case, the nurse will focus on providing hair care to the client.

Question 15

The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?
A)Dry,dark,thin
B)Smooth,taut,shiny
C)Smooth texture and not oily or dry
D)Tender,warm scalp

Accepted Answer

A smooth texture and not oily or dry hair is a normal, healthy finding when shampooing a client's hair. Dry, dark, thin hair (A) may indicate a nutritional deficiency or health condition. Smooth, taut, shiny hair (B) may indicate the use of hair products or treatment but could also indicate an abnormal overproduction of oils. Tender, warm scalp (D) may indicate an infection or injury.

Question 16

A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.

Accepted Answer

The nurse should assist the client in removing the hearing aid when necessary to ensure proper removal and prevention of any damage or injury to the ear or the aid itself.

Question 17

The nurse identifies the diagnosis Self-Care Deficit related to cognitive impairment as appropriate for a client.What should the nurse select as an expected outcome for this client?
A)The client will be able to name the staff that works on the day shift.
B)The client will eliminate safety hazards in her environment.
C)The client,with supervision,will brush her teeth.
D)The nurse will stress the importance of adequate fluid intake.

Accepted Answer

The expected outcome for a client with Self-Care Deficit related to cognitive impairment would be focused on improving the client's ability to perform basic self-care tasks. Option C, "The client, with supervision, will brush her teeth," is the best choice as it addresses self-care while also accounting for the client's cognitive impairment. Options A, B, and D do not directly address the self-care deficit related to cognitive impairment.

Question 18

The nurse is preparing to provide morning care to a client.What should the nurse explain to the client as the reason for a daily bath?
A)Assess skin integrity
B)Develop a nurse-client relationship
C)Moisturize the skin
D)Stimulate circulation

Accepted Answer

A daily bath helps to stimulate circulation, which is beneficial for overall health and can aid in the prevention of skin breakdown and other complications.

Question 19

During the morning bath of a client,the nurse identifies areas of erythema below the client's breasts.What should the nurse do to enhance comfort and healing for the client?
A)Wash the skin carefully.
B)Apply alcohol-free lotion.
C)Wash the area without soap.
D)Remove hair in the area.

Accepted Answer

The answer of During the morning bath of a client,the...

Question 20

The nurse is reviewing assigned clients for morning care needs.Which situation could pose a threat to one client's personal hygiene?
A)A client has a newly formed ileostomy.
B)A client performs meticulous foot care.
C)A German client refuses to bathe everyday.
D)The room temperature is set at 72°F.

Accepted Answer

A newly formed ileostomy requires careful management and hygiene to prevent infection and skin irritation, posing a potential threat to personal hygiene if not properly cared for.

Quiz 33: Hygiene

The nurse is making an occupied bed.Which step will provide comfort for the client during this linen change?

The nurse is preparing to provide a client with mouth care.What should the nurse do to ensure safe handling of the client's dentures?

A client's hearing aid needs to be cleaned.What action should the nurse take to complete this task?

The nurse is preparing to bath a client on the first postoperative day.Which nursing intervention should take priority?

The nurse is preparing to remove ticks from a client's scalp.Which actions should the nurse perform to safely remove these pathogens from the client? Standard Text: Select all that apply.

A client needs to have soft contact lenses removed.What should the nurse do when removing the lenses?

A client has the nursing diagnosis Risk for Impaired Skin Integrity related to immobility.Which nursing intervention should be identified for this client's problem?

A connection on a client's intravenous solution was dislodged and solution saturated the client's gown and bed linens.The nurse will provide which type of hygienic care to the client?

The nurse is preparing to shave a client.Which action step should the nurse consider when providing this care?

The nurse is making a client's bed.What safety measure should the nurse implement at this time?

Unlicensed assistive personnel are caring for a client's ears.What information should be reported to the nurse?

A client tells the nurse that bathing is done at the sink in the bathroom at home because it is difficult to physically lift the legs to get into the shower.The nurse identifies which factor as influencing this client's hygienic practice?

A client who is ambulatory is able to get out of bed for morning care.What should the nurse assess before assisting the client out of the bed to change the linen? Standard Text: Select all that apply.

The nurse is preparing to provide hygienic care to a client.On what will the nurse focus this care?

The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?

A client's hearing aid needs to be removed.What action should the nurse perform?

The nurse identifies the diagnosis Self-Care Deficit related to cognitive impairment as appropriate for a client.What should the nurse select as an expected outcome for this client?

The nurse is preparing to provide morning care to a client.What should the nurse explain to the client as the reason for a daily bath?

During the morning bath of a client,the nurse identifies areas of erythema below the client's breasts.What should the nurse do to enhance comfort and healing for the client?

The nurse is reviewing assigned clients for morning care needs.Which situation could pose a threat to one client's personal hygiene?