A nurse is assigned to care for the following patients. Which of the patients is most at risk for developing skin problems and thus requiring thorough
... [Show More] bathing and skin care?
A. A 44-year-old female who has had removal of a breast lesion and is having her menstrual period.
B. A 56-year-old male patient who is homeless and admitted to the emergency department with malnutrition and dehydration and who has an intravenous line.
C. A 60-year-old female who experienced a stroke with right-sided paralysis and has an orthopedic brace applied to the left leg.
D. A 70-year-old patient who has diabetes and dementia and has been incontinent of stool. CORRECT ANS: D
While planning morning care, which of the following patients would have the highest priority to receive his or her bath first?
A. A patient who just returned to the nursing unit from a diagnostic test
B. A patient who prefers a bath in the evening when his wife visits and can help him
C. A patient who is experiencing frequent incontinent diarrheal stools and urine
D. A patient who has been awake all night because of pain 8/10 CORRECT C
The nurse delegates needed hygiene care for an elderly stroke patient. Which intervention would be appropriate for the nurse assistant to accomplish during the bath?
A. Checking distal pulses
B. Providing range-of-motion (ROM) exercises to extremities
C. Determining type of treatment for stage 1 pressure ulcer
D. Changing the dressing over an intravenous site CORRECT B
What is the proper position to use for an unresponsive patient during oral care to prevent aspiration? (Select all that apply.)
A. Prone position
B. Sims position
C. Semi-fowler's position with head to side
D. Trendelenburg position
E. Supine position CORRECT B & C
The student nurse is teaching a family member the importance of foot care for his or her mother, who has diabetes. Which safety precautions are important for the family member to know to prevent infection? (Select all that apply.)
A. Cut nails frequently.
B. Assess skin for redness, abrasions, and open areas daily.
C. Soak feet in water at least 10 minutes before nail care.
D. Apply lotion to feet daily.
E. Clean between toes after bathing. CORRECT B, D & E
Which change in hygiene practices may be necessary as the patient ages?
A) Brushing teeth twice a day [Show Less]