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NUR231 Chapter 31 PREPU With Complete Solution


Which is an adaptation to bathing that should be made for an incontinent client? -
ANWER Use perineal skin cleansers and moisture barriers.



A nurse is teaching a client about denture care. Which is an appropriate teaching
guideline? - ANWER Soak dentures in cold water when not worn.



A nurse caring for the skin of clients of different age groups should consider which
accurately described condition? - ANSWER An adolescent's skin ordinarily has enlarged
sebaceous glands and increased glandular secretions.



A nurse assists a client to clean his dentures. Which action should the nurse perform? -
ANSWER Insert the upper denture in the client's mouth and press firmly, then insert the
lower denture.



The nurse is providing oral care to an unconscious client. Which of the following pieces
of equipment would be significant to use in order to provide individualized care for this
client? - ANWER Suction toothbrush



Which health problem is most clearly indicative of a history of poor dental care? -
ANSWER periodontitis



The nurse is performing a bed bath and washes the client's leg. This will enhance which
of the following? - ANSWER improved circulation.



The nurse is providing perineal care to a hospitalized client. Which of the following
nursing actions is appropriate while caring for this particular client need? ANSWER Dry
cleaned areas and apply an emollient as indicated.

, The nurse is providing oral care to a client. The nurse asks the client if he flosses after
brushing his teeth. The client states, "I don't like to floss because it makes my gums
bleed." What is the nursing response? Select all that apply. - ANSWER "Flossing
removes plaque and food debris that a toothbrush may miss."

"The chance of tooth and gum disease can be reduced by flossing."



A nurse is shampooing a client's hair while the client is in bed. What is the nurse's
intervention to minimize back strain during the performance of this procedure? - ANS
Raise the bed to elbow height.



The nurse identifies that the most critical aspect of oral care is: - ANS a thorough,
mechanical cleaning



A client has been recently admitted to the hospital unit following a suspected stroke,
and a family member informs the nurse that the client wears soft contact lenses. Which
solution should the nurse use to store the client's lenses after removal? ANSWER
Normal saline



A school nurse is conducting a teaching session for parents of elementary school
children. One topic to be addressed is head lice infestation. Why does this population
have a higher risk for transmission of head lice compared to other populations? -
ANSWER Lice are transmitted by head-to-head contact during play and by sharing of
personal items.



The UAP is making the bed in the hospital room where the client was just discharged.
The nurse witnesses the UAP doing the action depicted above. What is the first thing the
nurse should tell the UAP? - ANSWER The nurse should tell the UAP she should be
wearing gloves.



A nurse is delegating shaving of a client who is prescribed anticoagulant therapy to the
UAP. What information is most important for the nurse to include for this client? - ANS
The client should use an electric razor.



A client with iron deficiency has a common complication that results in an inflammation
of the tongue. What is the term used for this condition? - ANS Glossitis

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