Place in correct order the following abbreviated steps for making an occupied bed.1. Raise bed to working height and lower side rail from side where you are standing.2. Perform hand hygiene and apply gloves.3. Remove soiled top sheet and bedspread and place in linen bag.4. Place bath blanket on patient and assist to a side-lying position facing away from you.5. Apply fanfolded bottom sheet, mattress pad, and drawsheet.6. Lower side rail on remaining side, unfold linens from under patient, and complete bed making.7. Raise side rail on completed side and ask patient to turn toward you, rolling over layered linens to the other side.8. Place top sheet on patient along with bedspread or blanket if desired; make foot pleat, tuck, and miter corners at foot of bed.9. Position patient, raise side rail, lower bed to lowest position with brakes locked, and place call light within reach.10. Assess environment for safety, identify patient, provide privacy, and explain procedure. Show a. 1, 2, 3, 4, 10, 5, 7, 9, 8, 6 Recommended textbook solutions
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Terms in this set (37)Which modification to bathing should be implemented for a client who is incontinent? Use special perineal skin cleaners and moisture barriers. A nurse is educating a client on how to care for dentures. What is a recommended teaching guideline? Store dentures in cold water when not in use. A nurse caring for the skin of clients of different age groups should consider which accurately described condition? 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? 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 piece of equipment would be important to use in order to individualize care for this client? Suction toothbrush Which health problem is most clearly suggestive of a history of inadequate dental care? periodontitis When the nurse cleanses the client's leg during a bed bath, it will allow for: increased circulation. The nurse is providing perineal care for clients in a hospital setting. What is an appropriate nursing action when providing this type of care? Dry the cleaned areas and apply an emollient as indicated. The nurse is helping a client perform oral hygiene. When asked whether the client flosses, the client states, "I don't like to floss because it makes my gums bleed." What is the appropriate nursing response? Select all that apply. "Flossing removes plaque and food debris that a toothbrush may miss." A nurse is shampooing a client's hair while the client is in bed. Which intervention should the nurse make to reduce back strain while performing the procedure? Raise the bed to elbow height. When providing oral care, what does the nurse recognize as the most important component of the oral care process? a thorough, mechanical cleaning A client has been recently admitted to the hospital unit following a suspected stroke, and a family member states that the client's soft contact lenses are still in place. Which solution should the nurse use for the storage of the client's lenses after removal? Normal saline A school nurse is conducting a teaching session for the parents of elementary school students. She is discussing the topic of head lice. Why is this age group more susceptible to transmission of head lice than other groups? Lice are transmitted by head-to-head contact during play and by sharing of personal items. The unlicensed assistive personnel (UAP) is remaking the bed in a hospital room where the client was just discharged. The nurse observes the UAP performing the action pictured above. What initial instruction should the nurse provide to the UAP? Inform the UAP that she should be wearing gloves. A nurse is delegating shaving of a client who is prescribed anticoagulant therapy to the unlicensed assistive personnel (UAP). What information is most important for the nurse to include for this client? 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? Glossitis A woman is being treated for breast cancer with 5-FU and cisplatin in large doses. She should expect: alopecia -alopecia is hairloss A nurse is assessing the client's ability to perform ear care. Which statement by the client requires further education by the nurse? "I use cotton-tipped applicators daily to remove cerumen." A pediatric nurse is providing a health promotional education program to a group of preschool parents. One parent asks the nurse the following question: "I have started buying bottled water. How will this affect my children?" It is important for the nurse to educate the mothers that: there is a need to determine if the bottled water has fluoride. A nurse is caring for a client who is unconscious and notes in the client's history that the client wears contact lenses. What is the most appropriate action by the nurse at this time? Assess both eyes for contact lenses. A nurse is shaving a male client's face. Which should the nurse do? Pull the skin taut and shave in the direction of hair growth using short strokes. A nurse providing hygiene and bathing for older adult clients knows that additional safety measures may be necessary in their care. The nurse delegates some aspects of care to an unlicensed assistive personnel (UAP). Which of the following are true regarding safety of the older adult while bathing? Select all that apply. Use a long-handled shower brush or attachment to help with limited mobility. A nurse is evaluating the effectiveness of health promotion teaching related to hygiene at a community workshop. Which statements by one of the participants requires further teaching to ensure understanding? Select all that apply. "It is important to brush your teeth regularly but flossing is not necessary since it can damage the gums." The nurse is teaching a nursing student about caring for a client with dentures. Which education will the nurse provide? "Hold dentures over a plastic basin or towel when cleaning them." A nurse is caring for a client with limited physical mobility. The nurse has completed bathing the client and a student nurse asks, "Why are you making a trochanter roll?" After reviewing the image, which response by the nurse to the student would be most accurate? "I am placing the new linens under the rolled, soiled lines to avoid contamination." A client is being discharged today from the hospital. The nurse delegates morning care to the unlicensed assistive personnel (UAP). The assessment finds that the client is able to stand and ambulate independently without weakness or dizziness. The nurse will delegate what type of care to be provided based on the assessment findings? Independent showering Which nursing action is appropriate when providing foot care for a client? Rinse the feet, dry thoroughly, and apply moisturizer on the tops and bottoms. The nurse is caring for an older adult client who has refused a bath for several days and has now developed a rash on the buttocks. What is the priority nursing intervention? Explain that cleanliness helps to remove bacteria from skin, which can prevent infection. The nurse is preparing to delegate a bath for a 90-year-old client who is nonresponsive and has mild skin breakdown. Which type of bath will the nurse delegate to the unlicensed assistive personnel (UAP)? traditional bed bath with linen change A school nurse is dealing with an outbreak of pediculosis in an elementary school. Which education points should the nurse prioritize when educating the parents of students who have lice and nits? the importance of completely finishing the prescribed treatment When a black adolescent client asks the nurse how to care for long hair, which is braided into small braids, the nurse should instruct the client that: hair should be washed as often as necessary. The nurse is caring for a client with diabetes who has thick toenails. What is the appropriate nursing intervention? Contact a podiatrist to care for toenails. A nurse is assisting an older, continent client with dry skin who is hospitalized. Which approach to hygiene should the nurse take with this client? Alternate between a full bed bath on one day and use of skin lotion or bath oil on the next. The nurse is providing oral care to a hospitalized client. Which outcome of this intervention is the priority? Decreasing the incidence of hospital-acquired pneumonia A new mother has brought her infant into the pediatric clinic. The infant has an excoriation on the buttocks. What should the nurse instruct the mother? Keep the diaper and buttocks clean and dry and apply zinc oxide. A 71-year-old client is concerned about brown patches of skin on their face and forearm. What is the appropriate nursing statement? "Those are senile lentigines and are common in older adults." Purpose of bathing cleanse the skin Sets with similar termsPrep U: Chapter 3049 terms kerixnguyen Ch. 30: Hygiene (PrepU)50 terms Sydle09 Sets found in the same folderChapter 30: Hygiene12 terms DavyJones88 Chapter 31: Hygiene50 terms Christopher_Burch73 Ch.30 Hygiene51 terms cynthiaraya Ch. 30 (Hygiene)60 terms SlickWilly04PLUS Other sets by this creatorNUR230 chapter 25- neurologic system18 terms montana_hosmer Nur 230 ch.24 Musculoskeletal53 terms montana_hosmer NUR 230 prepu/test prep ch.2248 terms montana_hosmer Nur 230 Ch. 14 prepu59 terms montana_hosmer Recommended textbook solutionsPharmacology and the Nursing Process7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 382 solutions
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Exercise Physiology: Theory and Application to Fitness and Performance11th EditionJohn Quindry 593 solutions Other Quizlet setsFundamentals Exam 384 terms sheanicole1 Fundamentals of Nursing - Final Study Guide173 terms ricardo_velasquez14 Textbook of basic nursing Chapter 92 PT19 terms byron_j__zelaya Intro to Nursing: Book/Study Guide questions: Chpt…18 terms Anahi11purple Related questionsQUESTION What is micturation and what kind of reflex is it?? 7 answers QUESTION The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the risk of a heart attack or stroke. Which health promotion brochure is most important for the nurse to provide to this client? 15 answers QUESTION What is chest recoil and why is it important? 14 answers QUESTION What are examples of non-therapeutic techniques? 13 answers What intervention should the nurse take when providing oral care for the unconscious client?CORRECT. An unconscious patient is placed in the side-lying position when mouth care is provided because this position prevents pooling of secretions at the back of the oral cavity, thereby reducing the risk of aspiration. 3.
What is the procedure for providing oral care to an unconscious patient?Never put your fingers in an unconscious patient's mouth. Turn the head of the patient towards you in a very gentle manner. A clean mouth, gums, teeth, and tongue with toothbrush and toothpaste. Clean immediately after brushing and Suction the saliva and toothpaste from the mouth of the patient.
What actions should the nurse take when performing oral care for a dependent client quizlet?What action should the nurse taken when performing oral care for a dependent client? First, introduce yourself, perform hand hygiene, confirm privacy of the client, and confirm identity of the client. After doing this, place the client in a high Fowlers position, you could also place on the side if needed.
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What intervention should the nurse take when providing oral care for the unconscious client quizlet?
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