A client with glaucoma is the subject of a review of oral hygiene and care practices by a charge
nurse and another nurse. Which of the following information ought to be provided by the charge
nurse? A. The most common oral hygiene problem is gingivitis.
B. The client's visual impairment has no effect on their ability to get dental care. C. Clients
without visual impairment maintain better oral hygiene than visually impaired clients. D. ANS-D.
The client and caregivers should be educated by the nurse about the significance of regular
dental visits for maintaining oral health. The client and the caregivers should be educated by the
nurse about the significance of regular dental visits for maintaining oral health. It is essential for
the nurse to educate the client and caregivers regarding the need for routine dental visits to
decrease the risk of developing oral health problems.
A client with incontinence is receiving assistance from a nurse in the planning of care. When
providing the client with skin care, which of the following information should the nurse take into
account? A. Infection risk is reduced when skin integrity changes. B. Urinary incontinence can
cause a yeast infection.
C. Mild soap is contraindicated for cleansing the skin.
D. A pH-balanced cleanser increases skin irritation. - ANS-B. A yeast infection can arise from
urinary incontinence. Due to excessive moisture, urological incontinence can result in a yeast
infection. A nurse is caring for a client who has bariatric care needs and has a rash between
skinfolds. Which of the following actions should the nurse take?
A. Assist the client as needed to ensure proper hygiene is performed.
B. Aggressively rub the skinfolds dry to manage moisture.
C. Use a lye soap bar to cleanse the skinfolds and the rash area.
D. Apply moisturizer to the rash and skinfolds. ANS-A Assist the client as needed to ensure
proper hygiene is performed.
The nurse should assist the client as needed because it might be difficult for the client to reach
some areas on their body.
Following a stroke, a client has right-sided hemiplegia, which is being cared for by a nurse.
Which of the following should the nurse consider when caring for this client?
A. The nurse should perform personal hygiene tasks for the client.
B. The client has a minor loss of strength on the right side of the body.
C. The client's clothing should be removed from the unaffected side first by the nurse. D. Oral
care is much easier for the client to perform than bathing. - ANS-C. The nurse should have the
client remove clothing from the unaffected side first.
The unaffected arm is used to place clothing on the affected side first when dressing the client.
When undressing, the clothing is removed from the unaffected side first, then the affected side.
A nurse is caring for a client who practices a religion the nurse is not familiar with. Which of the
following actions should the nurse take?
A. Ensure the nurse caring for the client is of the same sex.
B. Leave the water running while the client takes a bath.
, C. Allow the client time for prayer immediately following bath time.
D. Discuss with the client their individual perspective on health and illness. - ANS-D. Discuss
the client's individual perspective on illness and health. The client's religious preferences should
be discussed with the nurse because different religions have different points of view. A nurse is
caring for an older adult client whose caregiver reports that the client is resistant to bathing at
home. Which of the following statements ought to be made by the nurse? A. That's not typical.
As clients age, they are typically more receptive to bathing."
B. "It is fine if the client does not bathe regularly at home."
C. "Give the client choices regarding their bathing preferences to encourage them to bathe."
D. "Provide the client with the reasons why they need to bathe." - ANS-C. "Encourage the
client to take a bath by giving them choices about how they want to bathe." Giving the client
choices about bathing preferences may persuade them to bathe or shower.
A nurse is discussing health promotion programs with a client. Which of the following
information should the nurse include?
A. Health promotion programs emphasize behavior changes in relation to prevention of illness.
B. Health promotion programs encourage decreased use of health services.
C. Health promotion programs restrict the client's control over their general health.
D. Community involvement is discouraged by health promotion programs, ANS-A. Health
promotion programs emphasize behavior changes in relation to prevention of illness.
Health promotion programs emphasize encouraging the client to take control of improving their
overall health.
A nurse is discussing the role of tooth enamel with a client. Which of the following information
should the nurse include in the discussion?
A. The enamel shields the teeth from germs. B. The substance enamel cannot be broken
down. C. The teeth are shielded from harm by enamel, a flexible material. D. Enamel covers
the pulp. - ANS-A. Enamel protects the teeth from pathogens.
Enamel protects the teeth from pathogens by providing a coating that covers the teeth.
A nurse is performing a bed bath for a client. Which of the following should the nurse
remember when preparing to bathe the client?
A. The client's dignity is preserved by bathing them completely in bed. B. Taking a shower is
more effective than washing the client in bed. C. A basin, soap, and water should be used for a
complete bed bath. D. - ANS-B. Take this kind of bath first thing in the morning. Washing the
client in bed is less effective than taking a shower.
Washing a client in bed is less effective than taking a shower and should only be used when
there is no other option available.
A nurse is performing foot care for a client. The nurse ought to take which of the following
actions? A. Soak the feet prior to washing the feet.
B. When you're taking care of your feet, use hot water. C. Use a towel to completely dry
between the toes.
D. File the nail edges straight across with a file. - ANS-C. To completely dry the area between
the toes, use a towel. It is important to completely dry between the toes because infections are
more likely to develop in moist areas.
A client is getting their nails cleaned by a nurse. Which of the following actions should the nurse
take?