The nurse is caring for a patient with cognitive impairments. Which actions will the nurse take
during AM care? (Select all that apply.)
a. Administer ordered analgesic 1 hour before bath time.
b. Increase the frequency of skin assessment.
c. Reduce triggers in the environment.
d. Keep the room temperature cool.
e. Be as quick as possible. - ✔✔b. Increase the frequency of skin assessment.
c. Reduce triggers in the environment.
After performing foot care, the nurse checks the medical record and discovers that the patient
has a disorder on the sole of the foot caused by a virus. Which condition did the nurse most
likely observe?
a. Corns
b. A callus
c. Plantar warts
d. Athlete's foot - ✔✔c. Plantar warts
A self-sufficient bedridden patient is unable to reach all body parts. Which type of bath will the
nurse assign to the nursing assistive personnel?
a. Bag bath
b. Sponge bath
c. Complete bed bath
, d. Partial bed bath - ✔✔d. Partial bed bath
The nurse is bathing a patient and notices movement in the patient's hair. Which action will the
nurse take?
a. Apply a lindane-based shampoo immediately.
b. Use gloves to inspect the hair.
c. Shave the hair off of the patient's head.
d. Ignore the movement and continue. - ✔✔b. Use gloves to inspect the hair.
The patient reports to the nurse about a perceived decrease in hearing. When the nurse
examines the patient's ear, a large amount of cerumen buildup at the entrance to the ear canal
is observed.
Which action will the nurse take next?
a. Teach the patient how to use cotton-tipped applicators.
b. Tell the patient to use a bobby pin to extract earwax.
c. Instill hot water into the ear canal to melt the wax .
d. Apply gentle, downward retraction of the ear canal. - ✔✔d. Apply gentle, downward
retraction of the ear canal.
A patient uses an in-the-canal hearing aid. Which assessment is a priority?
a. Eyeglass usage
b. Cerumen buildup
c. Type of physical exercise
d. Excessive moisture problems - ✔✔b. Cerumen buildup