Deck 5: Client Hygiene

Question 1

The nurse must assess which items prior to providing personal hygienic care?

A)Allergies
B)Culture
C)Ability to provide self-care
D)Social history
E)Diagnosis

Answer 1

Allergies
Culture
Ability to provide self-care
Diagnosis

Question 2

The nurse is bathing a client with dementia who has been cooperating throughout the process.As the nurse prepares to bathe the client's genitalia,the female client starts screaming,"No! Don't touch me there! Rape!" Which action by the nurse is the most appropriate?

A)Stop and assess the cause of the distress.
B)Explain that the client needs to be cleaned,but it will be done in a second.
C)Proceed with the bath but finish quickly.
D)Finish the bath without touching the genitalia.

Answer 2

Stop and assess the cause of the distress.

Question 3

Place the steps of assisting the client with combing and brushing of the hair in the appropriate order.

A)Brush or comb from the scalp toward the hair ends.Response
B)Move fingers through hair to loosen any larger tangles Response
C)Use a wide-tooth comb,start on either side of the head,and insert the comb with the teeth upward to the hair near the scalp.Comb through the hair in a circular motion by turning the wrist while lifting up and out.Continue until all hair is combed through,and then comb into place to shape and style.Response
D)Moisten hair lightly with water,conditioner,or an alcohol-free detangle product before combing.Response
E)Part the hair into two sections,then separate hair into two more sections.

Answer 3

Brush or comb from the scalp toward the hair ends.Response
Move fingers through hair to loosen any larger tangles Response
Use a wide-tooth comb,start on either side of the head,and insert the comb with the teeth upward to the hair near the scalp.Comb through the hair in a circular motion by turning the wrist while lifting up and out.Continue until all hair is combed through,and then comb into place to shape and style.Response
Moisten hair lightly with water,conditioner,or an alcohol-free detangle product before combing.Response
Part the hair into two sections,then separate hair into two more sections.

Question 4

While providing foot care to a client diagnosed with diabetes mellitus,the nurse notes very dry skin.Which action by the nurse is the most appropriate?

A)Apply a pleasantly scented lotion to the foot,using care to rub the lotion in between the toes.
B)Assist the client to soak the feet in warm water twice a day.
C)Instruct the client to avoid the use of lotions and creams.
D)Instruct the client to use a nonscented lotion,avoiding the area between the toes.

Question 5

The nurse is preparing to bathe the clients assigned for the shift.Which client would the nurse need to wear gloves to bathe?

A)The client diagnosed with HIV/AIDS
B)The newborn just admitted from the delivery room
C)The client with psoriasis
D)The postoperative client

Question 6

The nurse is caring for a client who had abnormal hair growth as a side effect of medical treatment.Which term will the nurse use when documenting this side effect?

A)Alopecia
B)Hirsutism
C)Pediculosis
D)Scabies

Question 7

Which is the best device to stimulate blood circulation in the scalp when the nurse provides hair care to a client?

A)A stiff-bristle brush
B)A soft-bristle brush
C)A sharp-bristle brush
D)A comb with dull,even teeth

Question 8

Which would the nurse document after providing hair care to the client?

A)Number of times the hair was combed or brushed throughout the shift
B)Type of brush used to provide hair care
C)Abnormal assessment findings
D)Routine nursing interventions

Question 9

Which is the recommended technique for the nurse to use when brushing a client's teeth?

A)Sulcular technique
B)Xerostomia technique
C)Gingivitis technique
D)Pyorrhea technique

Question 10

The nurse who is planning the day will perform morning care at which point?

A)When the client first awakens
B)After breakfast
C)Before retiring for the night
D)Whenever the client requests it

Question 11

The nurse is caring for a healthy young adult client who was involved in a motor vehicle crash resulting in a fractured femur.The femur was pinned,and the client was placed in traction.Which type of bath would the nurse provide for this client?

A)Complete bed bath
B)Self-help bed bath
C)Partial bath
D)Bag bath

Question 12

Routine hygienic care has been provided to the client,with no abnormal findings assessed.Which item will the nurse document in the medical record?

A)Foot care
B)Hair care
C)Removal or insertion of a hearing aid
D)Type of bath provided and client's ability to provide self-care

Question 13

The nurse recognizes that personal hygiene is impacted by which items?

A)Culture
B)Environment
C)Allergies
D)Developmental level
E)Health and energy

Question 14

The nurse is bathing a client with dementia.Which actions by the nurse would require corrective teaching?

A)The nurse who sings to the client while bathing
B)The nurse who moves slowly from one area to another,explaining what will be done next
C)The nurse who offers praise for the client's cooperation
D)The nurse who rubs areas dry after washing them

Question 15

Place the steps of providing perineal-genital care for a female in the appropriate order

A)Apply gloves.Response
B)Wipe from the pubis to the rectum.Response
C)Place a towel under the client's hips.Response
D)Clean the labia minora.Response
E)Position and drape the client.

Question 16

Which explanation is the most accurate when describing PM care to a client?

A)Providing for elimination needs,washing face and hands,giving oral care,and possibly a back massage.
B)Providing care when the client awakens to include providing urinal or bedpan,washing of face and hands,and giving oral care
C)Providing care after breakfast that includes elimination needs,a bath or shower,perineal care,and oral,nail,and hair care.
D)Providing care required by the client such as changing of linen and clothes when they become soiled.

Question 17

The nurse prepares to delegate bathing a client to the unlicensed assistive personnel (UAP).Which actions are appropriate prior to delegating this task to the UAP?

A)Informing the UAP what type of bath is appropriate
B)Describing precautions specific to the needs of the client
C)Telling the UAP who to notify if there are any concerns
D)Informing the UAP to encourage the client to perform as much self-care as appropriate
E)Having the UAP document the bathing experience for the nurse to read later

Question 18

When preparing the bag bath for the client,which action is the priority for the nurse?

A)Wetting 10-12 disposable washcloths
B)Drying the client after using a washcloth
C)Using one washcloth for the lower extremities
D)Warming the washcloth in the microwave