Ch. 39 Hygiene Flashcards
A nurse is delivering a lecture on “health and hygiene” to a group of teenagers. One teenager asks, “I have so many pimples on my face, it makes my face look horrible. Can I ever get rid of this problem?” The nurse says, “Pimples are a common problem in adolescents. They are often due to the inflammatory condition of some glance.” Which gland is the nurse talking about?
A) sweat gland
B) sebaceous gland
C) pituitary gland
D) thyroid gland
B) sebaceous gland
On assessment, the nurse finds that the client has bad breath. What should the nurse document the condition as?
A) halitosis
B) gingivitis
C) glossitis
D) Mucositis
A) halitosis
P. 755
What is the priority concern when providing oral hygiene for a client who is unconscious?
A) thoroughly brushing all tooth and oral surfaces
B) preventing aspiration
C) controlling mouth odor
D) applying local anti-septic such as chlorhexidine
B) Preventing aspiration
P.786
A nurse teaching a family member caregiver how to bathe the client explains the importance of using long strokes on the client’s extremities, moving from distal to proximal. Which explanation does the nurse include? Long strokes moving from distal to proximal are used to:
A) decrease the chance of infection
B) help remove dry, flaky skin
C) prevent skin trauma
D) stimulate venous return
P. 799
D) stimulate venous return
A client is diagnosed with meningitis. The nurse performs an assessment of the gag reflex and the corneal reflex, and conducts Rinne’s and Weber’s tests. Which of these tests helps determine if the client is at risk for aspiration?
A) gag reflex
B) corneal reflex
C) Rinne’s test
D) Weber’s test
A) gag reflex
P.809
A client is diagnosed with pediculosis corporis (body lice) and is given pediculicide lotion for it. The nurse instruct the client to apply the lotion after bathing when skin is wet. Second bath should be taken 12-24 hours after the first one, and the infested clothing should be washed in hot water. The client is also instructed to vacuum the rooms thoroughly and throw away the vacuum bags. Which instruction of the nurse may lead to worsening of pediculosis?
A) wash the infested clothing in hot water
B) taking a second bath 12-24 hours after the first one
C) vacuuming rooms thoroughly and throwing away the bags
D) applying pediculicide lotion after bathing when the skin is wet
D) applying pediculicide lotion after bathing when the skin is wet
While planning morning care, which of the following clients would receive the highest priority to receive his/her bath first?
A) a ct who just returned to the nursing unit from surgery and has level 7 pain
B) a ct who prefers a bath in the evening when his wife visit and can help him
C) A client who is experiencing frequent incontinent diarrheal stools
D) A client who has returned from diagnostic testing and complains of being fatigued
C) A client who is experiencing frequent incontinent diarrheal stools
The nurse is performing a routine health check up of a client who is addicted to drugs and has had multiple sexual partners. The nurse finds lice in the clien’s scalp hair and pubic hair. What’s the next best option for lice treatment if chemicals fail?
A) remove the lice manually
B) shave the scalp hair
C) shave the pubic hair
D) apply normal shampoo
A) remove the lice manually
– shaving is not necessary for permanent removal of lice.
P. 777
You ask the nursing assistive personnel (NAP) to clean a client who has been incontinent of urine. Several minutes later you pass the open door of the room and see the NAP changing the client’s gown and linen. Which of the following requires your immediate attention?
A) room temp is overly warm
B) room door is open to hallway
C) TV volume is too loud
D) strong odor of urine is detected
B) Room door is open to hallway
