29 Questions
What should a nurse prioritize when planning care for a client who develops dyspnea and feels tired after completing morning care?
Schedule rest periods during morning care.
What is an important aspect of foot care for a client with diabetes mellitus?
Inspect the feet daily.
What is a key principle of oral hygiene care for a client?
Brush the client's teeth once per day.
What action should a nurse take when performing denture care for a client?
Place the dentures in a clean, dry storage container after cleaning them.
What is a potential risk associated with mouth care in a client?
Aspiration risk.
What should a nurse prioritize when performing foot care for a client with diabetes mellitus?
Wash the feet with warm water and let them air dry.
What is a crucial aspect of infection prevention in oral hygiene care?
Disinfecting the toothbrush after each use.
What should a nurse assess when performing a foot examination on a client with diabetes mellitus?
The sensation in the client's feet.
When applying a pillowcase, what should you do first?
Grasp the center of the closed end and turn the case inside-out
Why is it important to prevent foot infections or pain in clients?
To prevent injury that can interfere with gait
What should a qualified professional do when performing foot care for clients with diabetes mellitus?
Evaluate the feet and prevent injury
What should you do when providing oral hygiene to an unconscious client?
Have suction apparatus ready at the bedside
Why should you avoid using over-the-counter products containing alcohol on the feet?
Because they can cause dryness and irritation
What should clients at risk for injury do to prevent foot problems?
Inspect the feet daily and use lukewarm water
Why should you position an unconscious client on one side with the head turned toward you?
To prevent aspiration
What should you do when providing oral hygiene to clients who are at risk for aspiration?
Check for aspiration risk and impaired swallowing
When providing foot care for a client with diabetes mellitus or peripheral vascular disease, what should you avoid?
Soaking the feet
Why should you avoid applying lotion between the fingers or toes when providing foot care for a client with diabetes mellitus or peripheral vascular disease?
It can cause skin irritation and breakdown
When washing the genital area of a male client, what should you do?
Retract the foreskin and clean from the meatus outward in a circular motion
Why should you avoid using an electric razor for clients who are prone to bleeding or have low platelet counts?
It can increase bleeding
What is the purpose of brushing or combing the hair daily when providing hair care?
To remove tangles and promote hair growth
What should you consider when providing hair care for a client?
The client's cultural and personal preferences
What is the purpose of softening the skin with warm water before shaving?
To make shaving easier and reduce skin irritation
What should you use to clean the genital area of a male client?
Liquid soap or shaving cream
When performing a bed bath, what is the primary reason for allowing rest periods for clients who become tired during the bath?
To allow the client to rest and regain energy before continuing with the bath
When performing oral hygiene care, why is it essential to avoid leaving a client who is at risk for aspiration alone with oral hygiene supplies?
To prevent the client from choking on the oral hygiene supplies
When providing hair care, what is the primary purpose of brushing or combing the hair daily?
To prevent matting and tangling of the hair
When performing perineal care, what is the primary reason for softening the skin with warm water before cleaning the genital area?
To prevent irritation and discomfort during the cleaning process
When performing foot care, why is it essential to avoid using over-the-counter products containing alcohol on the feet of clients with diabetes mellitus or peripheral vascular disease?
To prevent skin irritation and dryness on the feet
Study Notes
Applying a Pillowcase
- Grasp the center of the closed end, turn the case inside-out, fit the pillow into the corner, and pull the case until it is right-side out over the pillow.
Foot Care
- Prevent infection and pain that can interfere with gait.
- Clients with diabetes mellitus, peripheral vascular disease, or immunosuppression require a qualified professional to perform foot care.
- Inspect feet daily, paying attention to the area between the toes.
- Use lukewarm water, dry the feet thoroughly, and apply moisturizer (except between the toes).
- Avoid over-the-counter products containing alcohol or strong chemicals.
- Dry thoroughly to prevent skin irritation and breakdown.
- Do not soak the feet or cut the nails for clients with diabetes mellitus or peripheral vascular disease.
- Instead, file nails using a nail file.
Oral Hygiene
- Check for aspiration risk, impaired swallowing, and decreased gag reflex.
- Use gentle brushing and flossing for clients with fragile oral mucosa.
- Evaluate the feet and prevent injury.
- Have suction apparatus ready at the bedside when providing oral hygiene to unconscious clients.
- Do not place fingers into an unconscious client's mouth.
- Position the client on one side with the head turned toward you in either a semi-Fowler's position or with the head of the bed flat.
Shaving
- Soften the skin with warm water.
- Apply liquid soap or shaving cream.
- Hold the skin taut.
Hair Care
- Brush or comb the hair daily to remove tangles, massage the scalp, and stimulate circulation to the scalp.
- Distribute natural oils along the shaft of the hair.
Additional Tips
- Brush the client's teeth once per day.
- Use an electric razor for clients prone to bleeding, receiving anticoagulants, or having low platelet counts.
- Consider the client's cultural and personal preferences when caring for their hair and scalp.
Hygiene Care for Older Adults
- Older adults' skin is drier, thinner, and more fragile, requiring less frequent bathing.
- They have a higher incidence of infection and periodontal disease due to a weakened periodontal membrane.
Giving a Bed Bath
- Collect supplies, ensure privacy, and explain the procedure to the client.
- Apply gloves, lock the bed wheels, and adjust the bed to a comfortable working position.
- Use warm bath water and wash the client's face first, allowing them to perform the task if able.
- Perform the bath systematically, starting with the trunk and upper extremities, then lower extremities.
- Use light strokes over lower extremities for clients with a history of deep vein thrombosis.
- Keep cleaned areas covered with a blanket or towel.
Assessment and Data Collection
- Inspect the skin for color, hydration, texture, turgor, and any lesions or impaired integrity.
- Check the condition of the gums and teeth for dryness or inflammation.
- Assess the skin surfaces, including the feet and nails, noting any lesions, dryness, or inflammation.
- Document skin assessment, type of bath, and the client's response.
Changing Linens on an Occupied Bed
- Adjust the bed to a comfortable working height and don gloves.
- Consider the client's personal preference regarding hygiene practices.
Hygiene Care Considerations
- Respect each client's dignity and allow them to have control over their hygiene care.
- Reassure clients and provide emotional support during hygiene care.
- Consider socio-economic status and its impact on clients' hygiene status.
- Alter discharge instructions and follow-up care accordingly for clients with limited resources.
Safety Precautions
- Understand how to complete each task to avoid injuring the client.
- Know the equipment and proper techniques for each hygiene procedure.
- Avoid leaving clients in a position where injury could occur during routine hygiene care.
Learn how to properly put on a pillowcase by following these simple steps. This process is an essential part of maintaining good hygiene.
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