Exam 19: Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

A stage III pressure ulcer is indicated by: (Select all that apply.)

Because the older adult patient lies curled up in a side lying position most of the time, the nurse, seeking to avoid a pressure ulcer, makes frequent assessments of the:

When the patient returns from the physical therapy department, he is diaphoretic and his skin is flushed but cool. Nursing intervention in this situation should be for the nurse to:

A nurse admitting a 76-year-old patient to the unit carefully documents the appearance of a Stage III pressure ulcer and informs the charge nurse because:

It is most important for the nurse to write specific personal care plan modifications for the patient who:

The culturally sensitive nurse caring for a Muslim woman who has noticeable body odor as well as abundant underarm hair should:

A nurse notes that her patient has an area of intact, red skin that does not blanch with fingertip pressure. The nurse documents this finding as a stage:

Which of the following are main functions of the skin? (Select all that apply.)

A usual routine for providing nail care to a patient includes:

The nurse shampooing the hair of an African American takes into consideration that the hair:

What nursing interventions related to hygiene are appropriate for a patient who has had a recent stroke that caused right-sided (dominant) paralysis and inability to speak?

An important factor to consider when assessing the hygiene needs of a patient is that:

The nurse stages a pressure ulcer as a stage II based on the knowledge that such lesions have:

Providing oral care to a patient who has dentures includes:

A patient with insulin-dependent diabetes has a below the knee amputation on the right leg. What modification of his personal care is noted as most important?

When instructing a nursing assistant about hygiene needs of a frail older adult patient, the nurse correctly educates the nursing assistant to:

A nurse is instructing a nursing student regarding prevention of pressure ulcers. The nurse would recognize further instruction is warranted when the nursing student states, "I will:

During an admission assessment to a skilled care facility, the nurse notes that a 76-year-old man is thin and unsteady on his feet and has dry flaky skin on his arms and legs. An appropriate hygiene goal for this patient is that the:

When the nurse is assisting a male patient to shave his face, it is most important for her to:

When providing perineal care for an uncircumcised male patient, the nurse: