Problem 152
A newborn requires only sponge baths, not tub baths to: 1\. prevent chilling and heat loss. 2\. prevent overdrying of skin. 3\. prevent vasodilation. 4\. prevent loss of chemicals.
Problem 154
Hygiene practices may vary among: 1\. cultures. 2\. religions. 3\. race. 4\. ethnicity.
Problem 155
Major skin problems that should alert the nurse to assess and give appropriate care are: 1\. pruritus, abrasions, excoriations, dermatitis. 2\. pruritus, excoriations, wetness. 3\. ulcers, erythema, excoriations, hairiness. 4\. vein appearance, pruritus, bony prominences.
Problem 156
. In a specific hygiene measure as a partial bed bath, the nurse should: 1\. wash the patient in private thoroughly every day. 2\. explain the procedure to the patient and provide privacy and safety. 3\. provide safety, assemble all equipment, and have the family do the bath. 4\. explain the procedure to the patient, explain that the patient must take a bath daily, and provide safety.
Problem 157
Pressure ulcers (decubitus ulcers) usually occur: 1\. when patients are left in one position in bed for extended periods of time. 2\. when the patient is 鈥渢hin鈥 (weight). 3\. when the patient is 鈥渉eavy鈥 (weight). 4\. always in both 鈥渢hin鈥 and 鈥渉eavy鈥 patients.
Problem 158
Correct and accurate documentation of assessment findings regarding pressure ulcers is very important because: 1\. the law requires the nurse to document lesions. 2\. the hospital requires the nurse to document lesions. 3\. the doctor requires the nurse to document lesions. 4\. the nursing assessment of lesions falls into a standard of nursing practice.
Problem 159
Perineal care to a female patient by the nurse can be done: 1\. without gloves, pouring water from a sterile bottle. 2\. without gloves, having the patient do all care. 3\. with gloves, washing the perineal area from front to back. 4\. with gloves, washing the perineal area from back to front.
Problem 160
Documentation of the perineal care should include: 1\. the time and place of the procedure only. 2\. the procedure and assessment of stools/urine. 3\. the willingness of the client to participate. 4\. the procedure, time, and assessment of the client (particularly perineal region).
Problem 161
Nail and foot care are essential in meeting basic hygiene needs of the client. Important assessments by the nurse in this area include: 1\. all body assessment, including the feet and nails. 2\. the essential lab work of the client. 3\. the nail beds and the tissue surrounding the nails. 4\. foot corns and calluses only.
Problem 163
The client鈥檚 room environment includes: 1\. preparation and making of client鈥檚 bed, fresh water, thermostat regulation, cleaning floors and all occupied client鈥檚 areas. 2\. preparation and making of client鈥檚 bed, ensure comfort and safety, keep area clutter-free, put client鈥檚 hygiene articles near. 3\. prevent accidents, provide comfort, wash all areas of room (including furniture) with chloroseptic wash, make client鈥檚 bed every other day. 4\. pontrol all odors by spraying room with deodorizers; keep all objects of client鈥檚 in closet, wear gloves to clean room.