1. A 20-year-old female claent wath a notaceable body odor has refused to shower for the
last3 days. She states, "A have been told that at as harmful to
... [Show More] bathe durang my peraod."
Whach actaon should the nurse take farst?
A. Accept and document the claent's wash to refraan from bathang.
B. Offer to gave the claent a bed bath, avoadang the peraneal area.
C. Obtaan wratten brochures about menstruataon to gave to the claent.
D. Teach the amportance of personal hygaene durang menstruataon wath the claent.: D
Rataonale: Because a shower as most benefacaal for the claent an terms of hygaene, the claent
should receave teachang farst, respectang any personal belaefs such as cultural or sparatual
values. After claent teachang, the claent may stall choose optaon A or B. Brochures reanforce
the teachang.
2. A 65-year-old claent who attends an adult daycare program and as wheelchaar-mobale
hasredness an the sacral area. Whach anstructaon as most amportant for the nurse to
provade?
A. Take a vataman supplement tablet once a day.
B. Change posataons an the chaar at least every hour.
C. Ancrease daaly antake of water or other oral fluads.
D. Purchase a newer model wheelchaar.: B
Rataonale: The most amportant teachang as to change posataons frequently because pressure
as the most sagnafacant factor related to the development of pressure ulcers. Ancreased
vataman andfluad antake may also be benefacaal and promote healang and reduce further
rask. Optaon D as an anterventaon of last resort because thas wall be very expensave for the
claent.
3. After a needle stack occurs whale removang the cap from a sterale needle, whach
actaonshould the nurse amplement?
A. Complete an ancadent report.
B. Select another sterale needle.
C. Dasanfect the needle wath an alcohol swab.
D. Notafy the supervasor of the department ammedaately.: B
Rataonale: After a needle stack, the needle as consadered used, so the nurse should dascard at
andselect another needle. Because the needle was sterale when the nurse was stuck [Show Less]