Deck 24: Hygiene and Self-Care

Question 1

The ability to bathe and perform normal grooming functions and to dress, feed, and toilet oneself is:

A) hygiene.
B) activity.
C) self-care.
D) health.

Answer 1

self-care.

Question 2

The first line of defense against microorganisms and infection entering the body is the person's:

A) gastrointestinal tract.
B) mucous membranes.
C) hair.
D) skin.

Answer 2

skin.

Question 3

When the nurse cleanses the client's leg during a bed bath, it will allow for:

A) assessment of pain.
B) increased circulation.
C) decreased restless leg syndrome.
D) promotion of social interaction.

Answer 3

increased circulation.

Question 4

A nurse observes slight bruising on the client's left thigh during the bed bath. The nurse takes a closer look and palpates a lump on the anterior surface of the thigh. The nurse has used the bath activity for:

A) assessment of tissues.
B) increasing circulation.
C) promotion of conversation.
D) relaxation of muscles.

Question 5

When a female African American adolescent client asks the nurse how to care for her long hair, which is braided into small braids, the nurse should instruct the client that:

A) braids should be undone every day.
B) combs should be washed as often as necessary.
C) hair should be washed as often as necessary.
D) lubricants or oils should not be used on the braids.

Question 6

A pediatric nurse is providing a health promotional education program to a group of preschool parents. One parent asks the nurse the following question: "I have started buying bottled water. How will this affect my children?" It is important for the nurse to educate the mothers that:

A) there is a need to determine if the bottled water has fluoride.
B) the preschool child should not drink bottled water.
C) the preschool child should only drink milk.
D) the parent should alternate bottle and tap water.

Question 7

A new mother has brought her infant into the pediatric clinic. The infant has an excoriation on the buttocks. What should the nurse instruct the mother?

A) Leave the baby's buttocks open to air for 2 hours each day.
B) Apply gentian violet to the buttocks with every diaper change.
C) Change diaper as soon as it is soiled and apply cornstarch.
D) Keep the diaper and buttocks clean and dry and apply zinc oxide.

Question 8

A grandmother visits the pediatric clinic with her daughter and 18-month-old granddaughter. The grandmother states, "I told my daughter she needs to get that baby potty trained. She is too old to be messing in her pants." What is the best response the nurse can make?

A) "To help with potty training, the child should be placed on the toilet in the morning."
B) "The child should have fluids limited after 7 pm to help decrease the chance of nighttime accidents."
C) "A child of her age should have control of the bladder by now, but her bowels won't be trained until next year."
D) "You should start potty training at age 2 to 3 years. At 18 months, she will not be ready to be potty trained."

Question 9

When an adult client from Indonesia refuses a complete bath on the day after abdominal surgery, the nurse should:

A) understand that the client's culture may influence the client's hygiene and ask the client about preferences.
B) ask another nurse to assist in giving the client a complete bath every other day.
C) give the client a bath pan and tell the client the nurse will return when the client has finished.
D) encourage the client to bathe daily as part of protection from infection.

Question 10

A nurse is assisting a client with a bed bath. The client states, "I can do it myself." The nurse's best response is:

A) I really have limited time. Let me give you your bath right now?
B) I will set up your bath for you. I will come back and help you with your bath?
C) You will need to sit up for your bath, and then I will change your bed?
D) You will be able to take your bath by yourself tomorrow when you can get up?

Question 11

An older adult client is complaining of dry, itching skin. The nurse should assess:

A) how often the client is bathing.
B) when the client's last tub bath was.
C) what linens they are using.
D) when the severe itching occurs.

Question 12

A client has been diagnosed with pediculosis pubis. Which medication would the nurse expect to be used?

A) Keratolytic shampoo
B) Permethrin
C) Antiseborrhea shampoo
D) Penicillin

Question 13

A woman is being treated for breast cancer with chemotherapy in large doses. The client would likely expect which to occur?

A) Anxiety
B) Alopecia
C) Dandruff
D) Seborrhea

Question 14

What should the nurse do to prepare the unconscious client for oral care?

A) Use small amounts of water and oral suction device.
B) Place the client in high Fowler position.
C) Place the client in the supine position with head lowered.
D) Put the client in the Fowler position and turn head to side.

Question 15

The nurse is caring for a woman who informs the nurse that she needs assistance to remove and clean her glass eye. What actions by the nurse are most appropriate to accomplish the task?

A) Apply pressure over the eye with your index finger and thumb under the eye.
B) Pull up the upper lid and place your index finger under the glass edge.
C) Pull the inner canthus toward the bridge of the nose and lift under the glass.
D) Pull down on the lower lid and exert slight pressure below the lid.

Question 16

The client questions the nurse about the best manner to clean the ears. What should be included in the information provided to the client?

A) Use a toothpick wrapped in several folds of tissue.
B) Use a long-tip syringe to irrigate with peroxide.
C) Use a cotton swab and pull the pinna upward, then cleanse the ear.
D) Use the twisted end of a clean washcloth and pull auricle down.

Question 17

The nurse is caring for a client who voices concerns about the development of her 8-month-old daughter. Which finding would be a source of concern?

A) The child is unable to feed herself finger foods.
B) The child has begun to eat some solid foods.
C) The child is unable to hold a spoon to attempt self-feeding.
D) The child has not been introduced to finger foods for self-feeding.

Question 18

A parent reports that their water is not fluoridated and questions the nurse whether her 9-year-old child needs fluoride supplements. Which response by the nurse is most appropriate?

A) "Fluoride supplements are not needed until your child is 13 years of age."
B) "Using a fluoride-containing toothpaste and mouthwash makes supplementation unnecessary or even dangerous."
C) "In the absence of fluoridated water supplies, supplementation is often recommended."
D) "Recommendations about using fluoride supplements have been shown to be outdated."

Question 19

The mother of a school-age child voices concern to the nurse about her 4-year-old son continuing to wet the bed at night. What information should be provided by the nurse?

A) "It is very uncommon for a child of this age to have bedwetting issues."
B) "Did any of your other children have this problem?"
C) "While this is distressing, it is not completely uncommon, but interventions are not normally introduced until age 6."
D) "You will need to strictly restrict intake in the afternoon and evenings to prevent this from happening."

Question 20

The nurse is reviewing the medication history for a newly admitted client. The nurse correctly recognizes that xerostomia may be noted with:

A) NSAID therapy.
B) narcotic use.
C) antihistamine use.
D) antifungal medication use.

Question 21

The nurse has provided instruction to the client concerning the use of the sitz bath. After the instruction, the nurse is evaluating the client's understanding of the education. Which findings indicate the need for further instruction? Select all that apply.

A) The client uses cool water for the treatment.
B) The client heats the water to a temperature between 115 and 120 degrees.
C) The client reports that the treatment will take approximately 20 minutes.
D) The client explains to the nurse that the treatment will result in a reduction of discomfort for her hemorrhoids as a result of vessel constriction.
E) The client reports the treatment will promote circulation to the problem area.

Question 22

The student nurse is discussing the use of massage with the instructor. Which statement by the student indicates the need for further instruction? Select all that apply.

A) "The benefits of massage may last up to 5 days."
B) "Massage should be avoided on clients who are not able to move independently."
C) "The use of rubbing alcohol during a massage may be cooling."
D) "Massage has been demonstrated to promote increased restful sleep patterns."
E) "Massage may result in increased blood pressure and heart rate in a client recovering from a stroke."

Question 23

The nurse is discussing hygiene with a group of adolescent males. A participant states that he does not see the importance of daily bathing or the use of antiperspirants. What information should be provided by the nurse? Select all that apply.

A) Perspiration may result in viral growth if not managed frequently.
B) Excessive perspiration will result in potentially offensive odor.
C) Bacteria can flourish in the presence of excessive perspiration.
D) There is no medical rationale to avoid excessive perspiration.
E) Perspiration promotes skin breakdown.

Question 24

The parents of three young children have discussed the dental health needs of their children with the nurse. Which statement indicates the need for further instruction?

A) "Brushing is important to remove bacteria from the mouth and teeth."
B) "Tartar cannot be brushed or flossed way."
C) "Fluoride treatments are needed until my children reach the age of 14."
D) "If my children do not have cavities by the age of 10, fluoride treatments can be discontinued."

Question 25

A client reports having a history of gingivitis. The nurse correctly recognizes that this condition may be caused by which of the following? Select all that apply.

A) Thermal extremes
B) Poor oral hygiene
C) Heredity
D) Adverse reaction to medications
E) Bacteria