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A client has requested assistance with tooth brushing. What necessary supplies will the nurse
gather? Select all that apply.
- Emesis basin,
- Toothpaste,
- Toothbrush,
- Disposable gloves,
- Towel
Necessary supplies for tooth brushing include toothpaste, toothbrush, emesis basin, towel,
and disposable gloves. The nurse would also include other PPE as needed, a glass of water,
and mouth rinse. Lip lubricant is optional but should be offered to the client.
The nurse is assisting a hospitalized client with oral care. How will the nurse position the client?
Sitting at the edge of the bed
To prevent aspiration, it is best to assist the client to a sitting position. If the client is unable to
sit, the side-lying position is also acceptable. The other options would place the client at risk
for aspiration.
A nurse is assisting a client with denture care. What is the best way to remove the client's
dentures?
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,Apply gentle pressure with a 4 × 4 gauze to grasp the denture plate.
Applying gentle pressure with a 4 × 4 gauze prevents slippage and discourages the spread of
microorganisms. Asking the client to take a deep breath and exhaling and using a tongue
blade are not effective for removing denture plates. Sterile gloves are not necessary for
providing oral care.
The nurse is preparing to perform oral care for a client who has full dentures. Which actions
should the nurse take? Select all that apply.
- Provide privacy while the client removes dentures from the mouth.,
- Place paper towels or a washcloth in the sink to prevent damage if the dentures are dropped
during cleaning.,
- Use a toothbrush and paste to gently brush all surfaces.
Putting paper towels or a washcloth in the sink protects against breakage. The nurse should
provide privacy to the client during removal of the dentures, which many people are
embarrassed by. A toothbrush and paste are appropriate to clean dentures. Rinsing with
normal saline is unnecessary; plain water is fine. Upper dentures should be placed before
lower dentures. A toothbrush and paste, not sterile gauze, should be used to clean gums and
mucous membranes.
The nurse is providing denture care for a client who is too sedated to assist. Which is a
recommended guideline for this procedure?
Apply gentle pressure with a piece of gauze to remove the upper dentures.
Providing denture care for a client, the nurse would apply gentle pressure with a piece of
gauze to remove the upper dentures, place them in a denture cup, line the sink with a paper
towel to prevent breakage when cleaning the dentures with a toothbrush and toothpaste,
rinse them, and return the dentures to the client.
The nurse is teaching a client about denture care. Which statement from the client indicates a
need for further teaching?
"When I eat, I will remove my dentures and place them in a napkin."
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,Clients should be encouraged to wear dentures to assist with eating. Dentures should not be
wrapped in a napkin or paper towels, because they may be mistaken for trash. This statement
indicates a need for further teaching. Dentures should not be placed in the bedclothes or
linens, because they may be lost in the laundry. Storing dentures in cold water prevents
warping. Special cleaners may be used to soak dentures and remove remaining food or other
debris.
Which aspect of denture care is appropriate for the nurse to delegate to the unlicensed assistive
personnel (UAP)?
Brushing the dentures
Brushing the dentures is within the scope of practice for the UAP and therefore it is
appropriate to delegate this aspect of denture care. Assessment, planning and teaching fall
within the scope of practice for the nurse and are not appropriate for delegation to the UAP.
Where should the nurse roll soiled linens when removing them from an unoccupied bed?
Inside the bottom sheet
The nurse should snugly roll all the soiled linen inside the bottom sheet and place it directly
into the hamper to help prevent the spread of microorganisms. The floor is heavily
contaminated, and soiled linens would further contaminate the furniture. Rolling the used
lines inside the top sheet is not efficient.
How should the nurse open the bottom sheet when making an unoccupied bed?
Fanfold to the center
The nurse would place the bottom sheet with its center fold in the center of the bed, open the
sheet and fanfold to the center of the bed. Opening items on the bed reduces strain on the
nurse's arms and diminishes the spread of microorganisms. Centering the sheet provides
sufficient coverage for both sides of the mattress.
The nurse has placed the rolled, soiled linens in the laundry hamper. What should be the nurse's
next action?
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, Remove gloves, unless indicated for transmission precautions.
After placing the soiled linens in the laundry hamper, the nurse would remove gloves, unless
indicated for transmission precautions, and then place the bottom sheet with its center fold in
the middle of the bed. This can be done without gloves, because the linens are clean. If the
mattress is soiled, it should be cleaned according to facility policy. Scrubbing the mattress
with antimicrobial cleanser is not necessary.
The nurse is changing the linens on a client's bed. What is the nurse's primary objective for this
nursing action?
Provide client comfort
The main purpose for changing the linens on a client's bed is to provide client comfort.
Tidying up the room, preparing for visitors, and removing soiled linens are also benefits of
this action, but the main objective is to make the client comfortable and free of skin
alterations due to wrinkled linens.
The nurse is changing a client's bedding while the client is out of the room getting an X-ray.
What would the nurse do with the reusable linens?
Fold the linens in fourths on the bed and then hang them over a clean chair.
The nurse would fold reusable bedding, such as a sheet, blanket, or spread, in fourths on the
bed and then hang it over a clean chair. Folding the reusable linens saves time and energy
when they are replaced on the bed. Folding bedding while it is on the bed reduces strain on
the nurse's arms. Having another nurse assist may not be an effective use of time. The
overbed table should be reserved for client items. The nurse would want to place the
reusable lines on the bed after the client has returned to the bed.
The nurse provides care to a sedated client with soiled sheets. Which action does the nurse take
to move the client?
Ask for help from a staff member.
The nurse obtains helps from a fellow staff member so that the client can be properly cleaned
and safely turned. The nurse protects the client's alignment and observes personal safe body
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