Which instruction is beneficial to a patient with dry skin?
1
Use topical antibiotics.
2
Bathe more frequently.
3
Apply antiseptic lotion or spray.
4
Add moisture to the air by using a humidifier.
4
The nurse is caring for four older patients and identifies that which patient should be bathed twice a
week?
1
A patient with dry skin
2
A patient with bowel incontinence
3
A patient with urinary incontinence
4
A bariatric patient
1
Which condition is observed in a patient who has gingivitis?
1
Dry mouth
2
Tooth decay
3
Inflammation of the gums
4
Inflammation of sebaceous glands
3
Which information regarding foot care in the patient with diabetes is accurate?
1
Use only cold water to wash the feet.
2
Feet should be soaked to soften the cuticles.
3
Apply emollient lotion between the toes.
4
Feet should be dried thoroughly after washing.
4
Which nursing intervention is represented in the figure?
1
Cleaning the cuticles
2
Clipping the fingernails
3
,Cleaning under the fingernails
4
Filing the corners of the fingernails
3
n which order does the nurse complete the steps of a complete or partial bed bath?
1.
Check the room for spills.
2.
Close the room doors and windows.
3.
Remove the patient's gown or pajamas.
4.
Place a bath blanket over the patient, loosen and remove the top covers.
5.
Verify that bed is in a locked position and raised to a comfortable height.
1,2,5,4,3
The registered nurse provides education to a nursing student about the characteristics of hair. Which
statement made by the student indicates a need for further teaching?
1
"The hair shaft is lifeless."
2
"Hormonal changes affect the hair's characteristics."
3
"Physiological factors directly affect the hair shaft."
4
"Nutrient deficiencies of the hair follicle cause changes in hair color."
3
The nurse provides care for an adolescent with acne and recalls which primary reason for the
condition?
1
Increased skin vascularity
2
Increased thickness of the skin
3
Increased maturation of integument
4
Increased inflammation of sebaceous glands
4
The nurse provides an older patient with education related to skin care. Which patient statement
indicates the need for further teaching?
1
"I should bathe twice a week."
2
"I should rinse well after using soap."
3
"I should use hot water for bathing."
4
"I should drink plenty of fluids."
3
,While assessing a patient, the nurse notes inflamed gums and documents which condition in the
patient's medical record?
1
Gingivitis
2
Xerostomia
3
Dental caries
4
Periodontitis
1
Which factor influences a patient's hygiene practices? Select all that apply. One, some, or all
responses may be correct.
1
Cultural beliefs
2
Personal values
3
Functional ability
4
Religious practices
5
Available resources
1,2,3,4,5
The nurse provides information for a nursing student about the implications of skin care. Which
statement made by the student indicates the need for further teaching?
1
"I should smooth the bed linens out regularly."
2
"I should remove rings from the patient's fingers."
3
"I should check that the patient's bath water is not excessively hot or cold."
4
"I should maximize friction by moving the patient frequently."
4
The nurse educates a nursing student about bed making. Which statement made by the nursing
student indicates the need for further teaching?
1
"I should raise the bed before changing the linen."
2
"I should shake soiled linens before replacing them."
3
"I should straighten any linen that is loose or wrinkled throughout the day."
4
"I should place soiled linens in special linen bags before placing them in a hamper."
2
, The nurse provides education for a patient's family member about bathing techniques. The family
member asks, "Why do I need to use long strokes on the extremities, moving from distal to proximal
areas?" Which explanation does the nurse give?
1
It decreases the chance of infection.
2
It helps remove dry, flaky skin.
3
It prevents skin trauma.
4
It promotes venous return.
4
The nurse educator provides teaching to a group of nursing staff members about the oral cavity and
includes which information?
1
The periodontal membrane lies above the gum margins.
2
Saliva is only secreted by glands present inside the oral cavity.
3
The undersurface of the tongue and the floor of the mouth are supplied with a few blood vessels.
4
Exposure to radiation can impair salivary secretion in the mouth.
4
Which assessment will the nurse perform to determine a patient's ability to perform foot care? Select
all that apply. One, some, or all responses may be correct.
1
Balance
2
Visual acuity
3
Cultural background
4
Muscle strength and flexibility
5
Orientation and cognitive function
1,2,4,5
Which type of bath is most appropriate for a patient with an inflamed and swollen rectum, perineum,
and genital area?
1
Sitz bath
2
Tub bath
3
Therapeutic bath
4
Complete bed bath
1
A teenager tells the nurse, "For the past few weeks, I have been perspiring a lot, especially in the
underarm area." How does the nurse respond?