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Exam 2- NUR 215 (Hygiene)- Practice Questions with Complete Answers
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Exam 2- NUR 215 (Hygiene)- Practice Questions with Complete Answers
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Exam 2- NUR 215 (Hygiene)- PracticeQuestions with Complete Answers
A new client on the medical-surgical unit has not bathed in several days although she is
fully capable of engaging in personal hygiene practices and ADLs. Upon investigation,
the nurse learns she is homeless and typically utilizes the services of the homeless
shelter once a week for her bathing and other hygiene needs. What is an appropriate
nursing diagnosis for this client? - Answer-Self-Care Deficit
A new client on the medical-surgical unit has not bathed in several days although she is
fully capable of engaging in personal hygiene practices and ADLs. Upon investigation,
the nurse learns she is homeless and typically utilizes the services of the homeless
shelter once a week for her bathing and other hygiene needs. What is an appropriate
nursing outcome for this client? - Answer-Client demonstrates lifestyle changes to meet
self-care needs.
A 70-year-old client has a nursing diagnosis of Self-Care Deficit: Dressing r/t decreased
strength and endurance and loss of muscle control and coordination. What is an
appropriate nursing intervention for the client? - Answer-Use Velcro fasteners instead of
buttons and zippers.
When assessing a client for self-care abilities, what observations should be addressed?
Select All That Apply.
1. Complete independence
2. Requires a device or special equipment
3. Requires help, supervision, or teaching from another person
4. Is totally dependent
5. If the walking space is uncluttered - Answer-Complete independence;
Requires a device or special equipment; Requires help, supervision, or teaching from
another person
The nurse is assigned a 39-year-old client with the nursing diagnoses Self-Care Deficit:
Bathing and Self-Care Deficit: Toileting. When would be the most appropriate scheduled
care time to address the bathing needs of this client? - Answer-Morning care
A nurse is assigned a client who is temporarily non-ambulatory and with a nursing
diagnoses including Self-Care Deficit: Bathing and Self-Care Deficit: Toileting. What
information should be provided when delegating assistance? Select All That Apply.
1. Limitations and restrictions
2. Specific safety precautions
3. Presence of obstacles
4. Observations to make during the procedure and why they are important.
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