NUR 215 Exam 2 (Hygiene) - Practice Questions with Verified Answers

NUR 215 Exam 2 (Hygiene) - Practice Questions with Verified Answers A 34-year-old client who is 28 weeks' pregnant complains of bleeding gums during her obstetrics examination. What can this be attributed to? Rise in estrogen levels A client has a high risk of gum bleeding due to painful mouth lesions. What might the nurse consider as a precaution? Brush 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? Use 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? Use 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? Self-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? Client 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 Limitations and restrictions; Specific safety precautions; Observations to make during the procedure and why they are important. 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? Use Velcro fasteners instead of buttons and zippers. 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. Pay 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? Use a padded tongue