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Hygiene NCLEX questions (1).
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Hygiene NCLEX questions (1).
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Hygiene NCLEX questionsB - ANS-A nurse is scheduling hygiene for patients on her unit. What is the most important
consideration when planning a patient's personal hygiene?
A) When the patient had his or her most recent bath
B) The patient's usual hygiene practices and preferences
C) Where the bathing fits in the nurse's schedule
D) The time that is convenient for the patient care assistant
A, B, C - ANS-A nurse caring for patients in a critical care unit knows that providing good oral
hygiene is an essential part of nursing care. What are some of the benefits of providing this
care? Select all that apply.
A) It promotes the patient's sense of well-being.
B It prevents deterioration of the oral cavity.
C) It contributes to decreased incidence of aspiration pneumonia.
D) It eliminates the need for flossing.
E) It decreases oropharyngeal secretions.
F) It compensates for an inadequate diet.
B - ANS-A nurse assisting with a patient bed bath observes that an older female patient has dry
skin. The patient states that her skin is always "itchy." Which nursing action would be the nurse's
best response?
A) Bathe the patient more frequently.
B) Use an emollient on the dry skin.
C) Massage the skin with alcohol.
D) Discourage fluid intake.
B, C, D,F - ANS-A nurse caring for patients in a skilled nursing facility performs risk
assessments on the patients for foot and nail problems. Which patients would be at a higher
risk? Select all that apply.
A) A patient who is taking antibiotics for chronic bronchitis
B) A patient diagnosed with type II diabetes
C) A patient who is obese
D) A patient who has a nervous habit of biting his nails
E) A patient diagnosed with prostate cancer
F) A patient whose job involves frequent hand washing
, A, C, ,F - ANS-Nurses performing skin assessments on patients must pay careful attention to
cleanliness, color, texture, temperature, turgor, moisture, sensation, vascularity, and lesions.
Which guidelines should nurses follow when performing these assessments? Select all that
apply.
A) Compare bilateral parts for symmetry.
B) Proceed in a toe-to-head systematic manner.
C) Use standard terminology to report and record findings.
D) Do not allow data from the nursing history to direct the assessment.
E) Document only skin abnormalities on the patient record.
F) Perform the appropriate skin assessment when risk factors are identified.
A, E,F - ANS-A nurse is caring for an adolescent with severe acne. Which recommendations
would be most appropriate to include in the teaching plan for this patient? Select all that apply.
A. Wash the skin twice a day with a mild cleanser and warm water
B. Use cosmetics liberally to cover blackheads.
C. Use emollients on the area.
D. Squeeze blackheads as they appear.
E. Keep hair off the face and wash hair daily.
F. Avoid sun-tanning booth exposure and use sunscreen.
D
Periodontitis is a marked inflammation of the gums, whereas caries refers to the presence of
tooth decay. Cheilosis is ulceration of the lips, and glossitis is an inflammation of the tongue. -
ANS-A nurse observes a marked inflammation of the gums, along with recession and bleeding
of the gums, and documents this observation using which term?
A) Glossitis
B) Caries
C) Cheilosis
D) Periodontitis
D
The lens must be situated on the cornea, not the sclera, before removal. To remove hard
contact lenses, the upper and lower eyelids are gently maneuvered to help loosen the lens and
slide it out of the eye. An attempt to grasp a hard lens might result in a scratch on the cornea.
Clean, not sterile, gloves are used - ANS-An unresponsive patient is wearing gas-permeable
contact lenses. How would the nurse remove these lenses?
A) Gently irrigate the eye with an irrigating solution from the inner canthus outward.
B) Grasp the lens with a gentle pinching motion.
C) Don sterile gloves before attempting the removal procedure.
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