Plus
Thread the IV bag and tubing though the arm of the regular gown, then replace it with a snap-
arm gown at the end of the bath. - CORRECT ANSWER ✔️✔️ -The acute care nurse is preparing
to bathe a client and notices that the client is wearing a regular hospital gown and has continuous
intravenous (IV) fluids infusing. Which action by the nurse is most appropriate?
Contact a podiatrist to care for toenails. - CORRECT ANSWER ✔️✔️ -The nurse is caring for a
client with diabetes who has thick toenails. What is the appropriate nursing intervention?
Suction toothbrush - CORRECT ANSWER ✔️✔️ -The nurse is providing oral care to an
unconscious client. Which piece of equipment would be important to use in order to
individualize care for this client?
The client should use an electric razor. - CORRECT ANSWER ✔️✔️ -A nurse is delegating
shaving of a client who is prescribed anticoagulant therapy to the unlicensed assistive personnel
(UAP). What information is most important for the nurse to include for this client?
Wipe from the pubic area toward the anal area. - CORRECT ANSWER ✔️✔️ -A nurse is
providing perineal care for a female client who has a decreased level of consciousness. Which
technique should the nurse employ when providing this care?
Inform the UAP that she should be wearing gloves. - CORRECT ANSWER ✔️✔️ -The unlicensed
assistive personnel (UAP) is remaking the bed in a hospital room where the client was just
discharged. The nurse observes the UAP performing the action pictured above. What initial
instruction should the nurse provide to the UAP?
, Using a tool to remove a contact lens that has adhered to the resident's eye - CORRECT
ANSWER ✔️✔️ -A registered nurse is overseeing the care of several residents of a long-term care
facility. Which task would be inappropriate to delegate to unlicensed assistive personnel (UAP)?
Brushing the dentures - CORRECT ANSWER ✔️✔️ -Which aspect of denture care is appropriate
for the nurse to delegate to the unlicensed assistive personnel (UAP)?
Glossitis - CORRECT ANSWER ✔️✔️ -A client with iron deficiency has a common complication
that results in an inflammation of the tongue. What is the term used for this condition?
45-year-old woman with type 2 diabetes - CORRECT ANSWER ✔️✔️ -Which client is most at
risk for foot difficulties?
Explain that cleanliness helps to remove bacteria from skin, which can prevent infection. -
CORRECT ANSWER ✔️✔️ -The nurse is caring for an older adult client who has refused a bath
for several days and has now developed a rash on the buttocks. What is the priority nursing
intervention?
Use a special cleaning solution for eye glass lenses - CORRECT ANSWER ✔️✔️ -The nurse is
providing care for a client and observes that the eyeglasses are cloudy and soiled. What action
should the nurse take to be sure the lenses are clean and not damaged during cleaning?
"I am placing the new linens under the rolled, soiled lines to avoid contamination." - CORRECT
ANSWER ✔️✔️ -A nurse is caring for a client with limited physical mobility. The nurse has
completed bathing the client and a student nurse asks, "Why are you making a trochanter roll?"
After reviewing the image, which response by the nurse to the student would be most accurate?