ch 31

Question 1

Dental caries result from failure to remove ____________, a destructive, bacterial film that builds up on teeth and eventually leads to the destruction of tooth enamel.

Answer 1

plaque

Question 2

Infestation of the hair and scalp with lice, known as ______________, can be spread directly by contact with the hair of infested persons.

Answer 2

pediculosis

Question 3

A marked inflammation of the gums, known as ____________, involves degeneration of the dental periosteum and bone.

Answer 3

periodontitis

Question 4

T or F: Glossitis refers to an inflammation of the tongue, which can be caused by deficiencies of vitamin B12, folic acid, and iron.

Answer 4

Ture

Question 5

T or F: A whistling sound that is audible when a hearing aid is held in the hand with the power on and the volume high indicates that the battery is functioning properly.

Answer 5

True

Question 6

An offensive breath odor, called ___________, is often indicative of a systemic disorder.

Answer 6

halitosis

Question 7

T or F: If a patient wears contact lenses but cannot remove them, the family caregiver is responsible for removing them.

Answer 7

False. the nurse would be responsible

Question 8

An inflammation of the oral mucosa, called ______________, can cause symptoms such as heat, pain, increased flow of saliva, and halitosis.

Answer 8

stomatitis

Question 9

T or F: The major cause of tooth loss in adults older than 35 years of age is gum disease.

Answer 9

True

Question 10

A 55-year-old client has just undergone surgery for a knee replacement. He asks the nurse if he can shave because his face is itching from the stubble. What information is a priority for the nurse to verify prior to shaving the client?

Answer 10

medications listed on the client’s medication administration record (MAR)

Question 11

A client with a stroke has left-sided paralysis. Which action(s) does the nurse take to ensure proper positioning and support for this client? Select all that apply.

Answer 11

Place a small pillow under client’s waist

Straighten the left elbow and support it on a pillow

Place the left leg far enough in front of the body to prevent the client rolling onto the back

Bend the left knee and support the left leg on a pillow

Question 12

The nurse is teaching a client about hearing aid care. Which teaching is appropriate? Select all that apply.

Answer 12

Keep extra batteries on hand.

Do not get hair spray or other chemicals on the hearing aid.

Carefully wipe the outer surface of the hearing aid to maintain cleanliness.

Question 13

A nurse is providing nail care for feet to clients admitted to a health care facility. What should the nurse look for while performing nail care for a client with a long history of diabetes?

Answer 13

Breaks in skin integrity and fungal nail infection

Question 14

A client is undergoing chemotherapy for ovarian cancer which has metastasized. She has been experiencing increased nausea and vomiting associated with treatment. Which is an internal resource that the client has to help her attain her self-care goals?

Answer 14

She has motivation to participate in self-care.

Question 15

A nurse caring for the skin of clients of different age groups should consider which accurately described condition?

Answer 15

An adolescent’s skin ordinarily has enlarged sebaceous glands and increased glandular secretions.

Question 16

A nurse is making an unoccupied bed for a hospitalized client. Which actions are appropriate steps for the nurse to perform? Select all that apply.

Answer 16

First, adjust the bed to the high position and lower the side rails.

Fold reusable linens on the bed in fourths and hang them over a clean chair.

Place the bottom sheet with its center fold in the center of the bed and place the drawsheet with its center fold in the center of the bed.

Tuck the bottom sheets securely under the head of the mattress to form a corner, according to agency policy.

Question 17

The nurse is preparing to delegate a bath for a 90-year-old client who is nonresponsive and has mild skin breakdown. Which type of bath will the nurse delegate to the unlicensed assistive personnel (UAP)?

Answer 17

traditional bed bath with linen change

Question 18

A nurse is caring for a client who has had difficulty sleeping. What nursing intervention may facilitate the client’s rest?

Answer 18

Providing a back rub before bed

Question 19

A nurse is shaving a male client’s face. Which should the nurse do?

Answer 19

Pull the skin taut and shave in the direction of hair growth using short strokes.

Question 20

A nurse is educating a client on how to care for dentures. What is a recommended teaching guideline?

Answer 20

Store dentures in cold water when not in use.

Question 21

A nurse is providing oral care to children on a pediatric unit. Which guideline should the nurse follow for providing care in special situations?

Answer 21

Water should be used to clean an infant’s teeth.

Question 22

A nurse is taking care of a client who needs a bed bath. Which action can the nurse delegate to an unlicensed assistive personnel (UAP)?

Answer 22

back massage

Question 23

The nurse is educating an adolescent on how to treat acne. What would the nurse include as an education point?

Answer 23

Keep hair off the face and wash hair daily.

Question 24

A nurse is caring for a client with limited physical mobility. The nurse has completed bathing the client and a student nurse asks, “Why are you making a trochanter roll?” After reviewing the image, which response by the nurse to the student would be most accurate?

Answer 24

“I am placing the new linens under the rolled, soiled linens to avoid contamination.”

Question 25

When an adolescent client asks the nurse how to care for long hair, the nurse should instruct the client that:

Answer 25

hair should be washed as often as necessary.

Question 26

A kindergarten student is sent to the school nurse because they have been vigorously scratching their scalp for a few hours. What is the nurse’s priority action?

Answer 26

Assess for possible pediculosis.

Question 27

The nurse is caring for a client who is on warfarin therapy. Which teaching will the nurse provide?

Answer 27

Use an electric razor for shaving purposes.

Question 28

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

Answer 28

Keep the diaper and buttocks clean and dry and apply zinc oxide.

Question 29

A 55-year-old client has just undergone surgery for a knee replacement. He asks the nurse if he can shave because his face is itching from the stubble. What information is a priority for the nurse to verify prior to shaving the client?

Answer 29

medications listed on the client’s medication administration record (MAR)

Question 30

A home health nurse is visiting a client who is receiving chemotherapy for cancer treatment. What question would the nurse ask to assess for complications or side effects of chemotherapy?

Answer 30

“Have your mouth and lips become sore and inflamed with ulcers?”

Question 31

A nurse is evaluating the effectiveness of health promotion teaching related to hygiene at a community workshop. Which statements by one of the participants requires further teaching to ensure understanding? Select all that apply.

Answer 31

“It is important to brush your teeth regularly but flossing is not necessary since it can damage the gums.”

“Hygiene does not contribute to my well-being so I can choose to not perform hygiene.”

“Hygiene measures have no affect on skin.”

Question 32

A client is being discharged today from the hospital. The nurse delegates morning care to the unlicensed assistive personnel (UAP). The assessment finds that the client is able to stand and ambulate independently without weakness or dizziness. The nurse will delegate what type of care to be provided based on the assessment findings?

Answer 32

Independent showering

Question 33

A client is receiving radiation treatments for thyroid cancer and has stomatitis. When planning care, the nurse identifies which priority nursing diagnosis?

Answer 33

Imbalanced Nutrition: Less than Body Requirements