FUNDAMENTALS OF NURSING 10TH EDITION LIPPINCOTT - TEST BANK CHAPTER 32 & 33 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION

FUNDAMENTALS OF NURSING 10TH EDITION LIPPINCOTT - TEST BANK CHAPTER 32 & 33 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION WHICH CLIENT IS MOST LIKELY TO REQUIRE HOSPITALIZATION RELATED TO PROBLEMS ASSOCIATED WITH THE FEET? A) A CLIENT WITH PERIPHERAL VASCULAR DISEASE B) A CLIENT WITH OSTEOPOROSIS C) A CLIENT WITH ASTHMA D) A CLIENT WITH DIABETES INSIPIDUS A) A client with peripheral vascular disease FOOT PROBLEMS, PARTICULARLY COMMON IN PEOPLE WITH DIABETES AND PERIPHERAL VASCULAR DISEASE, OFTEN REQUIRE HOSPITALIZATION. THE NURSE ASSISTS THE CLIENT TO THE BATHROOM SINK TO PERFORM MORNING CARE. THE NURSE OBSERVES THE CLIENT WASH HIS FACE, ARMS, ABDOMEN, AND LEGS. THE NURSE WASHES THE CLIENT'S BACK AND RECTAL AREA AND APPLIES SOAP TO THE BACK. THE CLIENT BRUSHES HIS TEETH AND AMBULATES TO A CHAIR IN HIS ROOM WITH ASSISTANCE. HOW WILL THE NURSE DESCRIBE THE MORNING CARE ON THE CLIENT'S CHART? A) PARTIAL CARE B) AS-NEEDED CARE C) SELF-CARE D) COMPLETE CARE A) Partial care MORNING CARE IS CATEGORIZED AS SELF-CARE, PARTIAL CARE, OR COMPLETE CARE. CLIENTS IDENTIFIED AS PARTIAL CARE MOST OFTEN RECEIVE MORNING CARE AT THE BEDSIDE, OR SEATED NEAR THE SINK IN THE BATHROOM. THEY USUALLY REQUIRE ASSISTANCE WITH BODY AREAS THAT ARE DIFFICULT TO REACH. CLIENTS IDENTIFIED AS SELF-CARE ARE CAPABLE OF MANAGING THEIR PERSONAL HYGIENE INDEPENDENTLY ONCE ORIENTED TO THE BATHROOM. CLIENTS IDENTIFIED AS COMPLETE CARE REQUIRE NURSING ASSISTANCE WITH ALL ASPECTS OF 2 | Page PERSONAL HYGIENE. IN ADDITIONAL TO SCHEDULED CARE, THE NURSE WILL OFFER CARE AS NEEDED. UPON REVIEW OF THE CLIENT'S ORDERS, THE NURSE NOTES THAT THE CLIENT WAS RECENTLY STARTED ON AN ANTICOAGULANT. WHAT IS AN APPROPRIATE CONSIDERATION WHEN ASSISTING THE CLIENT WITH MORNING HYGIENE? A) PROVIDE THE CLIENT WITH AN ELECTRIC SHAVER. B) PROVIDE THE CLIENT WITH A FIRM BRISTLED TOOTHBRUSH. C) DO NOT ALLOW THE CLIENT TO SHOWER. D) AVOID MASSAGING THE CLIENT'S BACK WITH LOTION. A) Provide the client with an electric shaver. ELECTRIC SHAVERS ARE RECOMMENDED WHEN A CLIENT IS RECEIVING ANTICOAGULANT THERAPY. IN ADDITION, THE NURSE SHOULD NOT PROVIDE A FIRM-BRISTLED TOOTHBRUSH BECAUSE THE CLIENT IS MORE PRONE TO BLEEDING, AND THE FIRM BRISTLES MAY LEAD TO BLEEDING. THE CLIENT SHOULD BE ALLOWED TO SHOWER, UNLESS THERE ARE OTHER CONTRAINDICATIONS. A BACK MASSAGE WILL PROVIDE AN IDEAL TIME TO PERFORM A SKIN ASSESSMENT FOR BRUISING OR BREAKDOWN. THE NURSE AND NURSING AID ARE PROVIDING PERINEAL CARE FOR AN INCONTINENT CLIENT. WHAT INFORMATION IS IMPORTANT FOR THE NURSE TO CONSIDER WHEN PROVIDING PERINEAL CARE? A) APPLY MOISTURE BARRIERS TO THE SKIN OF THE PERINEAL AREA. B) PROVIDE EXCESSIVE HYDRATION TO THE SKIN OF THE PERINEAL AREA. C) WASH THE PERINEAL AREA FREQUENTLY WITH SOAP AND WATER. D) AGGRESSIVELY CLEANSE THE PERINEAL AREA WITH A WASHCLOTH OR TOWEL. A) Apply moisture barriers to the skin of the perineal area. CARE TO THE PERINEAL AREA FOR AN INCONTINENT CLIENT INCLUDES THE USE OF MOISTURE BARRIERS, SKIN CLEANSERS, AND MOISTURIZERS AND THE AVOIDANCE OF SOAP OR FRICTION. MEASURES SHOULD BE FOLLOWED TO REDUCE OVERHYDRATION BECAUSE THIS WILL INCREASE THE RISK FOR PERINEAL DAMAGE AND SKIN BREAKDOWN. THE NURSE HAS COMPLETED AN ASSESSMENT OF A CLIENT'S TYPICAL HYGIENE PRACTICES. HOW SHOULD THE NURSE BEST DOCUMENT THE FINDINGS OF THIS ASSESSMENT IN THE CLIENT'S CHART? 3 | Page A) "CLIENT NORMALLY BATHES AND WASHES HER HAIR EVERY OTHER DAY; APPLIES MOISTURIZER TO DRY AREAS ON HER ELBOWS AND FOREARMS." B) "CLIENT PRIORITIZES PERSONAL HYGIENE IN HER DAILY ROUTINES AND IS PROACTIVE WITH SKIN CARE." C) "CLIENT BATHES MORE OFTEN THAN NECESSARY AND CONSEQUENTLY EXPERIENCES DRY SKIN." D) "CLIENT'S LEVEL OF PERSONAL HYGIENE IS ACCEPTABLE AND AGE-APPROPRIATE." A) "Client normally bathes and washes her hair every other day; applies moisturizer to dry areas on her elbows and forearms." WHEN DOCUMENTING THE NURSING HISTORY, IT IS BEST TO BE SPECIFIC, CLEARLY DESCRIBING THE CLIENT'S TYPICAL HYGIENE PRACTICES AND ANY COMPLAINTS. JUDGMENTS REGARDING CAUSE AND EFFECT ARE LIKELY PREMATURE IN THIS CONTEXT AND MAY BE INACCURATE. AN OLDER ADULT RESIDENT OF A LONG-TERM CARE FACILITY HAS RECURRING PROBLEMS WITH DRY SKIN. WHICH OF THE FOLLOWING STRATEGIES SHOULD THE NURSING STAFF UTILIZE IN ORDER TO HELP MEET THE RESIDENT'S HYGIENE NEEDS WHILE PREVENTING SKIN DRYNESS? A) USE A NON-SOAP CLEANING AGENT. B) USE ORGANIC SOAP AND SHAMPOO. C) BATHE THE CLIENT MORE OFTEN, BUT WITHOUT USING SOAP OR SHAMPOO. D) PROVIDE THE CLIENT WITH BED BATHS RATHER THAN TUB BATHS. A) Use a non-soap cleaning agent SOAP CLEANS THE SKIN, BUT WHILE IT REMOVES DIRT FROM THE SURFACE, IT AFFECTS THE LIPIDS THAT ARE PRESENT ON THE SKIN, AND THE SKIN PH. THIS CONTRIBUTES TO DRIER SKIN, DAMAGING THE BARRIER FUNCTION OF THE SKIN. THE SUBSTITUTION OF A NONSOAP, EMOLLIENT CLEANING AGENT IS AN EASY WAY TO PREVENT DRYING AND DAMAGE TO THE SKIN. AN ORGANIC SOAP IS NOT NECESSARILY LESS DRYING TO THE SKIN. IT WOULD BE INAPPROPRIATE TO FOREGO THE USE OF ANY CLEANING PRODUCTS WHATSOEVER. PROVIDING A BED BATH RATHER THAN A TUB BATH WILL NOT NECESSARILY MINIMIZE DRY SKIN. A NURSE IS PREPARING TO PROVIDE FOOT CARE TO A CLIENT WHO HAS DECREASED MOBILITY. WHICH OF THE FOLLOWING TECHNIQUES SHOULD THE NURSE EMPLOY WHEN PROVIDING THIS CARE? A) USE AN ANTIFUNGAL POWDER ON THE CLIENT'S FEET IF NECESSARY. B) CAREFULLY REMOVE ANY CORNS OR CALLUSES THAT ARE PRESENT.