Deck 31: Hygiene

Question 1

Which of the following steps should be taken when cleaning a hearing aid?

A)Use a soft,dry cloth to wipe the aid
B)Leave the battery in the hearing aid even when it is not in use
C)Store the hearing aid in the bathroom cabinet
D)Use alcohol to remove earwax from the hearing aid

Answer 1

Use a soft,dry cloth to wipe the aid

Question 2

Mr.Morton is a 72-year-old who had a cerebral vascular accident four weeks ago and remains unconscious.What care would the nurse provide for his eyes?

A)Use artificial tears to cleanse eyes every 2 hours
B)Cleanse with saline soaked cotton ball from outer canthus to inner
C)Place moist compresses over eyes every 2-4 hours
D)Wash eyes as usual when providing daily hygiene

Answer 2

Place moist compresses over eyes every 2-4 hours

Question 3

An elderly client has just finished having a tub bath.What is the rationale for draining the water before assisting the client from the tub?

A)Reduces the chance of a fall for the client
B)Provides opportunity to dry the client in the tub
C)Prevents full visualization of skin for assessment
D)Prevents the client from becoming chilled

Answer 3

Reduces the chance of a fall for the client

Question 4

Which of the following nursing actions would be appropriate to protect the skin integrity of an immobile client?

A)Encourage client to eat at least 40% of meals
B)Keep the client's linens dry and wrinkle-free
C)Restrict their fluid intake
D)Use of warm flannel blankets is recommended

Question 5

Which one of the following measures will reduce the spread of microorganisms during a complete bed change?

A)Hold soiled linen close to body
B)Place all soiled linen in double bags
C)Place the soiled sheets directly into a laundry bag
D)Clean mattress between bed changes

Question 6

Which of the following should the health care provider report to the RN when caring for an elderly client's ears?

A)Excessive earwax
B)Loud talking
C)Presence of a hearing aid
D)Presence of any drainage

Question 7

Which of the following nursing actions should take priority when giving a bath to a complex surgical client on his first post-operative day?

A)Applying lotion to the extremities
B)Changing the water when it becomes cold
C)Raising side rails when gathering supplies
D)Removing the soiled dressing during the bath

Question 8

Which of the following steps will promote comfort for the client returning to bed following an unoccupied bed change of linens?

A)Allow for a toe pleat at the end of the mattress
B)Place a bath blanket over the client
C)Slide the mattress to the head of the bed
D)Raise the side rails

Question 9

Which of the following changes associated with the elderly places them at additional risk for skin tears?

A)Decreased vascularity of skin
B)Decreased melanin production
C)Decreased activity of sweat glands
D)Thinning of dermal tissue

Question 10

Which of the following steps is correct in removing a client's soft contact lens?

A)Gently pinch the lens and lift it out
B)Have the client look up
C)Pull the lower eyelid upward
D)Use the pad of the ring finger

Question 11

What teaching would the nurse provide Mr.Prescott regarding his new hearing aid?

A)It may take up to a few months to get used to.
B)It usually has a lengthy warranty.
C)It can be worn permanently.
D)The batteries are long acting.

Question 12

Which of the following safety measures would be completed for all clients after positioning them in their bed?

A)Raise all side rails up
B)Raise only the top bed rails up
C)Make sure call bell is within reach
D)Rails up with bed in highest position

Question 13

Mrs.Smithers has recently been fitted for a hearing aid.What instructions would the nurse provide to her regarding the care of the device?

A)It is not necessary to store additional batteries.
B)Always store batteries in the hearing aid when not in use.
C)Do not use hair spray while wearing a hearing aid.
D)Using a hair dryer while wearing a hearing aid is permitted.

Question 14

Which of the following situations could impact the ability of a client to maintain his personal hygiene?

A)A client recently had his left leg surgically amputated above the knee.
B)A client performs meticulous foot care daily.
C)A client refuses to bathe every day,stating it is abnormal to do this in his culture.
D)The room temperature is set at 21°C.

Question 15

Which of the following steps should the nurse consider when shaving a client?

A)Use an electric razor
B)Pull skin taut with the dominant hand and slide the blade across the skin
C)Position client supine during the shave
D)Use long strokes in one direction for the best shave

Question 16

What advice should the nurse offer Mrs.Chan on the care of her 2-year-old's teeth?

A)Provide daily fluoride supplement unless water is fluoridated
B)Brush teeth at least twice a day with a small amount of fluoride toothpaste
C)Begin regular dental appointments by the age of 3
D)Brush teeth daily with a small amount of non-fluoride toothpaste

Question 17

What information would the nurse provide to a client regarding foot care?

A)Cut nails rather than filing straight across
B)Wash feet daily and dry them thoroughly
C)Water should be a temperature of 35°C to 36.6°C
D)Inspect feet,toes,and nails thoroughly once a week

Question 18

Which of the following interventions promotes safe handling of a client's dentures?

A)Clean biting surfaces
B)Clean teeth over a basin half full of tepid water
C)Replace the upper dentures first
D)Rinse dentures thoroughly with hot water

Question 19

Mrs.Stevens brings her 7-year-old daughter in to the clinic for treatment of head lice.What advice would the nurse offer other parents in the community to prevent the spread of lice?

A)Have affected child stay home until she is free of lice
B)Instruct parents to wash pillowcases and hats in hot water
C)Discourage head-to-head contact (hair-to-hair)
D)Conduct regular monthly screening of children's hair

Question 20

Which of the following is the most important reason for a daily bath?

A)To assess skin integrity
B)To develop a nurse-client relationship
C)To moisturize the skin
D)To stimulate circulation

Question 21

While performing an infant bath demonstration for new parents,what rationale would the nurse provide for drying and wrapping of the newborn immediately following the bath?

A)Newborns have very little subcutaneous fat and so shiver easily.
B)Newborns have an immature ability to regulate body temperature and lose body heat rapidly.
C)Newborns' surface area is small compared to their body mass and they lose heat quickly.
D)Newborns are very prone to skin irritation so water left on their skin can be irritating.

Question 22

Mr.Parks is a 45-year-old who is unconscious after sustaining a head injury while skiing.Which of the following would be considerations when providing oral care to Mr.Parks?

A)Use hydrogen peroxide to clean oral mucosa.
B)Sodium bicarbonate toothpaste will help decrease bacteria.
C)Provide mouth care once daily.
D)Brushing teeth is not required when client is not taking food by mouth.

Question 23

Mrs.Markham is 73 years old,has dementia,and is living in a complex care facility.What considerations would the nurse take when bathing her?

A)Bathing her should be performed by at least two caregivers
B)Early morning tub baths are preferable
C)Allow Mrs.Markham opportunities to provide some of her own care
D)Shower client with an overhead mounted showerhead

Question 24

Mrs.Kelly,a client with multiple sclerosis,is to receive a tub bath every second day.Beyond basic hygiene,what are additional purposes of a tub bath?

A)Bathing promotes warmth and provides aromatherapy.
B)Bathing promotes relaxation,comfort,and a sense of well-being.
C)Bathing provides an opportunity for skin assessment.
D)Bathing provides treatment for specific areas including pressure ulcers.

Question 25

What is the recommended range of temperature for a client's bath water?

A)35°C to 36.6°C
B)37°C to 39°C
C)40°C to 42°C
D)43°C to 46°C

Question 26

Which of the following treatments would be appropriate for a client with onychocryptosis?

A)Possible surgical removal of the nail
B)Application of antifungal ointment
C)Laser excision
D)Antiseptic application

Question 27

Which of the following skin conditions would be treated by keeping the area dry and clean by use of zinc oxide over affected areas?

A)Erythema
B)Hirsutism
C)Ammonia dermatitis
D)Pediculosis

Question 28

Which of the following activities would be included in taking care of a client's artificial eye?

A)Apply lubricant to it
B)Clean it regularly
C)Drape the client
D)Pat it firmly dry