NURS 215 EXAM 2 (ARIZONA COLLEGE OF NURSING)
ACTUAL VERIFIED EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!
A nurse is performing mouth care for a client who is
unconscious. Which of the following actions should the
nurse take?
A. Turn the clients head to the side
B. place two fingers in the client's mouth to open it
C. Brush the client's teeth once per day
D. Inject a mouth rinse into the center of the clients mouth
- ANSWER-A. Turn the clients head to the side
A nurse is instructing a client who has diabetes mellitus
about footsore. Which of the following guidelines should
the nurse include. Select all that apply
A. Inspect the feet daily
B. Use moisturizing lotion on the feet
C. Wash the feet with warm water and let them air dry
D. Use over-the-counter products to treat abrasions
E. Wear cotton socks - ANSWER-A. Inspect the feet daily
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B. Use moisturizing lotion on the feet (not in-between toes)
E. Wear cotton socks
A nurse is planning care for a client who develops
dyspnea and feels tired after completing morning care.
Which of the following guidelines should the nurse include.
Select all that apply
A. Schedule rest periods during morning care
B. Discontinue morning care for 2 days
C. Perform all care as quickly as possible
D. Ask a family member to come in to bathe the client -
ANSWER-A. Schedule rest periods during morning care
A nurse is beginning a complete bed bath for a client. After
removing the client's gown and placing a bath blanket over
the body, which of the following areas should the nurse
wash first?
A. face
B. feet
C. chest
D. arms - ANSWER-A. face
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A nurse is preparing to perform denture care for a client.
Which of the following actions should the nurse plan to
take?
A. Pull down and out at the back of the upper denture to
remove
B. Brush the dentures with a toothbrush and denture
cleaner
C. Rinse the dentures with hot water after cleaning them
D. Place the dentures in a clean, dry storage container
after cleaning them - ANSWER-B. Brush the dentures with
a toothbrush and denture cleaner
What are 5 benefits of good hygiene? - ANSWER-1.
promotes comfort
2. improves self body image
3. decreases infection and disease
4. promotes autonomy
5. social interaction or relaxation
What roles does a nurse play in hygiene? - ANSWER-
Assess self care abilities
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Provide assistance with ADLS
Promote self care in ADLS
Delegate appropriate parts for hygiene care
What factors can affect a clients view on hygiene? -
ANSWER-Cultural preferences
Socioeconomic status
Knowledge level
Physical factors include pain, limited mobility, sensory,
cognitive or emotional impairments
When is hygiene routinely done? - ANSWER-Hourly
rounds-Offer help with self-care needs
Early morning care-On awakening, wash face, hands and
mouth care
AM care-After breakfast, bathing, toileting, hair, skin and
bed making
PM care-Toileting, handwashing, oral care, readying for
visitors