answers
Select all factors that may influence a person's hygiene practices
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
SELECT ALL THAT APPLY |/\ |/\ |/\
- Personal preferences
|/\ |/\
- Health
|/\
- Culture
|/\
- Religion
|/\
- Energy level -
|/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔Personal preferences
|/\ |/\ |/\
Health
Culture
Religion
Energy Level |/\
Which scheduled hygiene care is usally thought of as including a
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
back massage to help the patient relax?
|/\ |/\ |/\ |/\ |/\ |/\ |/\
- Early morning care
|/\ |/\ |/\
- Hour of sleep care
|/\ |/\ |/\ |/\
- As needed (PRN) care
|/\ |/\ |/\ |/\
- Morning care -
|/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔hour of sleep care
|/\ |/\ |/\ |/\ |/\
1
\\\\\\
|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\
/
|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\ \\\\
,The nurse is teaching nursing assistive personnel how to give a
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
complete bed bath. Which instruction should the nurse include?
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
- "Cleanse only those areas likely to cause odor."
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
- "Wash the patient's back, buttocks, and perineum first."
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
- "Provide the patient with warm water for washing his perineum."
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
- "Bathe the patient from head -to-toe, cleanest areas first." -
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
|/\ CORRECT ANSWERS ✔✔bathe the patient from head-to-toe, |/\ |/\ |/\ |/\ |/\ |/\
cleanest areas first
|/\ |/\ |/\
A nurse has been teaching a student how to perform mouth care for
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
the unconscious patient. The student will show evidence of
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
learning if the patient is placed in which position?
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
Side-lying
Semi-Fowler's
Prone
Supine - |/\ |/\ CORRECT ANSWERS ✔✔Side-lying |/\ |/\
A nurse prepares to change a client's bed. Which actions will the
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
nurse take to minimize the effects of the environment during this
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
task?
|/\
SELECT ALL THAT APPLY |/\ |/\ |/\
- Hold contaminated linen away from the body
|/\ |/\ |/\ |/\ |/\ |/\ |/\
2
\\\\\\
|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\
/
|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\ \\\\
,- Place pillows on the sink
|/\ |/\ |/\ |/\ |/\
- Place used linen on the floor
|/\ |/\ |/\ |/\ |/\ |/\
- Fold and place bedspread on the roommate's chair.
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
- Avoid shaking the linen -
|/\ |/\ |/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔- Avoid |/\ |/\ |/\
shaking the linen
|/\ |/\ |/\
- Hold contaminated linen away from the body
|/\ |/\ |/\ |/\ |/\ |/\ |/\
When using the SBAR method of communicating a client's
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
condition, the nurse would include which info in the background
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
section?
|/\
- Patient states that he feels dizzy and light-headed.
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
- Request fingerstick glucose monitoring.
|/\ |/\ |/\ |/\
- Admission diagnosis is new -onset type 2 diabetes.
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
- Blood pressure is 130/90 mm Hg; heart rate is 890 beats per
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
minute. -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔Admission diagnosis is new - |/\ |/\ |/\ |/\ |/\ |/\
onset type 2 diabetes.
|/\ |/\ |/\
Which question would the nurse ask to identify an immediate
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
physiologic consequence when a older adult's teeth are in poor
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
condition and the client says that he or she only eats soft foods?
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
"Would you like me to help you make an appointment with the
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
dentist?"
|/\
"Have you lost any weight recently?"
|/\ |/\ |/\ |/\ |/\
3
\\\\\\
|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\
/
|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\ \\\\
, "Do you have any problems with your bowel movements?"
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
"Do you take any over-the-counter vitamin supplements?" -
|/\ |/\ |/\ |/\ |/\ |/\ |/\
|/\ CORRECT ANSWERS ✔✔have you lost any weight recently? |/\ |/\ |/\ |/\ |/\ |/\ |/\
Which older adult has the greatest risk for falls?
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
A 73-year-old who takes frequent walking excursions.
|/\ |/\ |/\ |/\ |/\ |/\
A 90-year-old who frequently calls for help to change position.
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
An 80-year-old who uses a cane when ambulating.
|/\ |/\ |/\ |/\ |/\ |/\ |/\
A 68-year-old who has decreased sensation in the lower
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
extremities. -
|/\ |/\ |/\ CORRECT ANSWERS ✔✔A 68-year-old who has |/\ |/\ |/\ |/\ |/\
decreased sensation in the lower extremities.
|/\ |/\ |/\ |/\ |/\ |/\
Which actions will the nurse take for a client who requires physical
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
restraints?
|/\
SELECT ALL THAT APPLY |/\ |/\ |/\
Provide soft, calming music. |/\ |/\ |/\
Encourage family members to go home at night. |/\ |/\ |/\ |/\ |/\ |/\ |/\
Check the patient every 30-60 minutes.|/\ |/\ |/\ |/\ |/\
Turn the television on if the client is agitated.
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
Place the client in an area where he or she can be supervised.
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
Release the restraints every 1 to 2 hours for turning, repositioning,
|/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\ |/\
and toileting. -
|/\ |/\ |/\ |/\ CORRECT ANSWERS ✔✔- Provide soft, calming |/\ |/\ |/\ |/\ |/\
4
\\\\\\
|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\
/
|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\|/\ \\\\