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A client's hearing aid needs to be cleaned.What action should the nurse take to complete this task?


A) Clean with a dry,soft cloth.
B) Leave the battery in place when not in use.
C) Store the aid in the bathroom cabinet.
D) Use alcohol to remove any earwax.

E) B) and C)
F) A) and D)

Correct Answer

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A client has hard contact lenses.What should the nurse do to assist the client in the care of the lenses?


A) Pinch the lenses out of the client's eyes to remove.
B) Remove both of the client's lenses before storing in the appropriate storage cup.
C) Document when the lenses need to be removed and cleaned every 2 weeks.
D) Ask the client how many hours the lenses are worn each day.

E) B) and D)
F) B) and C)

Correct Answer

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During the morning bath of a client,the nurse identifies areas of erythema below the client's breasts.What should the nurse do to enhance comfort and healing for the client?


A) Wash the skin carefully.
B) Apply alcohol-free lotion.
C) Wash the area without soap.
D) Remove hair in the area.

E) All of the above
F) B) and D)

Correct Answer

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A

An older client tells the nurse that showers are not taken because of a previous fall.What can the nurse do to support the client's bathing needs?


A) Obtain a shower chair and assist the client in the shower.
B) Document that the client "refused" a morning bath in the medical record.
C) Tell the client that shower shoes can be worn to prevent falls.
D) Hold the client during the shower.

E) A) and B)
F) All of the above

Correct Answer

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A

The nurse is preparing to provide morning care to a client.What should the nurse explain to the client as the reason for a daily bath?


A) Assess skin integrity
B) Develop a nurse-client relationship
C) Moisturize the skin
D) Stimulate circulation

E) C) and D)
F) B) and D)

Correct Answer

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The client has a hearing aid with an earpiece that is connected by a cord to a receiver that the client keeps in a shirt pocket.The nurse would document this as which type of hearing aid?


A) Body hearing aid
B) In-the-canal aid
C) Completely-in-the-canal aid
D) Eyeglasses aid

E) A) and B)
F) A) and C)

Correct Answer

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The nurse has completed foot care for a client as part of routine morning care.What should the nurse document about the procedure?


A) The condition of the skin and nails
B) Nothing unless a problem is noted
C) The amount of time taken on foot care
D) The client's comments about the foot care

E) A) and B)
F) B) and C)

Correct Answer

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B

The nurse has delegated the making of unoccupied beds to unlicensed assistive personnel.What should the nurse assess regarding client safety once the beds are completed?


A) Folding of the top sheet
B) Direction of the pillow
C) Call light being readily available
D) Presence of mitered corners

E) A) and C)
F) B) and D)

Correct Answer

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A client tells the nurse that she does not want to get into the tub for a morning bath.The client has not been bathed for several days.What should the nurse do?


A) Assign UAP the task of giving the client a bath.
B) Skip the client's bath and document "refused" in the medical record.
C) Ask the client the usual way bathing occurs at home.
D) Tell the client that a bath is needed and ignore the client's comment.

E) None of the above
F) B) and D)

Correct Answer

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The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?


A) Dry,dark,thin
B) Smooth,taut,shiny
C) Smooth texture and not oily or dry
D) Tender,warm scalp

E) C) and D)
F) None of the above

Correct Answer

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A client's hearing aid needs to be removed.What action should the nurse perform?


A) Assist the client with removal when necessary.
B) Instruct the client to remove the aid in the sunroom.
C) Leave the aid in place when bathing.
D) Send the aid home with the family.

E) C) and D)
F) A) and D)

Correct Answer

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The nurse is making an occupied bed.Which step will provide comfort for the client during this linen change?


A) Allow for a toe pleat.
B) Place a bath blanket over the client.
C) Slide the mattress to the head of the bed.
D) Raise the side rail.

E) None of the above
F) A) and B)

Correct Answer

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The nurse wants to assess a client during the morning bath.What will the nurse be able to assess during this time? (Select all that apply)


A) Skin status
B) Financial status
C) Psychosocial needs
D) Learning needs
E) Physical conditions

F) D) and E)
G) A) and E)

Correct Answer

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A client needs to have soft contact lenses removed.What should the nurse do when removing the lenses?


A) Gently pinch the lens and lift it out.
B) Have the client look up.
C) Pull the lower eyelid upward.
D) Use the pad of the ring finger.

E) C) and D)
F) None of the above

Correct Answer

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The nurse is preparing to provide a client with mouth care.What should the nurse do to ensure safe handling of the client's dentures?


A) Clean biting surfaces.
B) Place a washcloth in the bowl of the sink.
C) Replace the upper dentures first.
D) Rinse dentures thoroughly with hot water.

E) B) and C)
F) A) and B)

Correct Answer

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A client who is ambulatory is able to get out of bed for morning care.What should the nurse assess before assisting the client out of the bed to change the linen? (Select all that apply)


A) Pulse
B) Respirations
C) Urine output
D) Blood pressure
E) Mobility status

F) A) and B)
G) D) and E)

Correct Answer

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The nurse is preparing to remove ticks from a client's scalp.Which actions should the nurse perform to safely remove these pathogens from the client? (Select all that apply)


A) Grasp the tick with blunt tweezers.
B) Apply heat to the tick with a match.
C) Wash the area with antibacterial soap.
D) Pull the tick away in a perpendicular movement.
E) Apply petroleum jelly to the surface of the tick.

F) A) and B)
G) A) and C)

Correct Answer

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A client tells the nurse that bathing is done at the sink in the bathroom at home because it is difficult to physically lift the legs to get into the shower.The nurse identifies which factor as influencing this client's hygienic practice?


A) Religion
B) Personal preference
C) Culture
D) Health and energy

E) None of the above
F) B) and D)

Correct Answer

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The nurse is preparing to bath a client on the first postoperative day.Which nursing intervention should take priority?


A) Apply lotion to the extremities.
B) Change the water when it becomes cold.
C) Raise side rails when gathering supplies.
D) Remove the soiled dressing during the bath.

E) B) and C)
F) A) and D)

Correct Answer

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The nurse is preparing to shave a client.Which action step should the nurse consider when providing this care?


A) Assist the client to a prone position.
B) Pull the skin taut with the dominant hand.
C) Rinse the razor after each stroke.
D) Use long strokes.

E) All of the above
F) B) and C)

Correct Answer

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