34-year-old client who is 28 weeks' pregnant complains of bleeding gums during her obstetrics examination. What can this be attributed to? - correct -answersRise in estrogen levels A 70-year-old client has a nursing diagnosis of Self-Care Deficit:

34-year-old client who is 28 weeks' pregnant complains of bleeding gums during her obstetrics examination. What can this be attributed to? - correct -answersRise in estrogen levels A 70-year-old client has a nursing diagnosis of Self-Care Deficit: Dressing r/t decreased strength and endurance and loss of muscle control and coordination. What is an appropriate nursing intervention for the client? - correct -answersUse Velcro fasteners instead of buttons and zippers. A client has a high risk of gum bleeding due to painful mouth lesions. What might the nurse consider as a precaution? - correct -answersBrush teeth with a foam or cotton mouth swab. A client is providing A.M. care to a client who is on anticoagulation therapy. When assisting the client with shaving, which consideration should be taken? - correct -answersUse an electric razor. A male African American client requires assistance with self-care with bathing and hair. He is currently taking an anticoagulant. What is the best procedure for facial hair removal in this client? - correct -answersUse an electric razor. A new client on the medical-surgical unit has not bathed in several days although she is fully capable of engaging in personal hygiene practices and ADLs. Upon investigation, the nurse learns she is homeless and typically utilizes the services of the homeless shelter once a week for her bathing and other hygiene needs. What is an appropriate nursing diagnosis for this client? - correct -answersSelf-Care Deficit A new client on the medical-surgical unit has not bathed in several days although she is fully capable of engaging in personal hygiene practices and ADLs. Upon investigation, the nurse learns she is homeless and typically utilizes the services of the homeless shelter once a week for her bathing and other hygiene needs. What is an appropriate nursing outcome for this client? - correct -answersClient demonstrates lifestyle changes to meet self-care needs. A nurse is assigned a client who is temporarily non-ambulatory and with a nursing diagnoses including Self-Care Deficit: Bathing and Self-Care Deficit: Toileting. What information should be provided when delegating assistance? Select All That Apply. 1. Limitations and restrictions 2. Specific safety precautions 3. Presence of obstacles 4. Observations to make during the procedure and why they are important. 5. Scheduled care time and length of time needed - correct -answersLimitations and restrictions; Specific safety precautions; Observations to make during the procedure and why they are important. A nurse is assisting a morbidly obese client with bathing. Which specific considerations should be taken? Select All That Apply. 1. Pay special attention to drying skin folds. 2. Instruct the client that a complete bath cannot be given. 3. Provide a trapeze to assist with movement. 4. Provide a long-handled shower head or brush. 5. Do not completely dry the skin. - correct -answersPay special attention to drying skin folds; Provide a trapeze to assist with movement; Provide a long-handled shower head or brush. A nurse is performing oral care on an unconscious client. How should the nurse hold the mouth open? - correct -answersUse a padded tongue blade. An elderly client is ambulatory but requires assistance with bathing. The client has episodes of incontinence and his or her bed and gown is soiled. Which type of bath would be most appropriate? - correct -answersTub bath The nurse is assigned a 39-year-old client with the nursing diagnoses Self-Care Deficit: Bathing and Self-Care Deficit: Toileting. When would be the most appropriate scheduled care time to address the bathing needs of this client? - correct -answersMorning care What is a contributing factor to foot problems in elderly clients? - correct -answersDecreased circulation to lower extremities What would be an appropriate intervention for a client with a nursing diagnosis of Risk for Impaired Skin Integrity related to changes in skin barrier function? - correct -answersProtect the client's healthy skin from the possibility of maceration by using appropriate hydrofiber or alginate dressings. When assessing a client for self-care abilities, what observations should be addressed? Select All That Apply. 1. Complete independence 2. Requires a device or special equipment 3. Requires help, supervision, or teaching from another person 4. Is totally dependent 5. If the walking space is uncluttered - correct -answersComplete independence; Requires a device or special equipment; Requires help, supervision, or teaching from another person When assessing pallor in a light-skinned client, how does the skin appear? - correct -answersPale without underlying tones of pink When educating a client on nail care of the feet, what important aspects should be included? Select All That Apply. 1. Inspect nails daily. 2. Trim with clippers, or file if diabetic. 3. File nails straight across slightly rounding edges. 4. Cut cuticles back with a cuticle clipper. 5. Remove ingrown nails with a cuticle clipper. - correct -answersInspect nails daily; Trim with clippers, or file if diabetic When is a back massage typically offered as part of scheduled care? - correct -answersH.S. care When washing a client's legs, which direction is correct? - correct -answersDistal to proximal Which are care and hygiene challenges nurses must consider when providing care for morbidly obese clients? Select all that apply. 1. Pressure 2. Dry skin 3. Dry mouth 4. Friction and shear 5. Moisture - correct -answersMoisture; Friction and shear; Pressure Which describes the type of bath in which a client does as much as possible, but the nurse assists with hard-to-reach areas, such as the back, feet, and legs? - correct -answersAssist bath Which health factors affect a person's self-care ability? Select all that apply. 1. Pain 2. Socioeconomic status 3. Limited mobility 4. Family involvement 5. Cognitive impairment - correct -answersPain; Limited mobility; Cognitive impairment Which is the most common cause of tooth loss in adults over 35? - correct -answersPeriodontal disease Which is the most important factor a nurse should consider when planning a client's hygiene care? - correct -answersClient's needs Which type of bath is most likely to be a medical order? - correct -answersTherapeutic bath