What is the proper position to use for an unresponsive pt during oral care to prevent aspiration? (Select all that apply)
- Prone position
- Sims position
- Semi-Fowlers position with head to side
- Trendelenburg position
- Supine position
- Sims position
3. Semi-Fowlers position with head to side
The student nurse is teaching a family member the importance of foot care for his or her mother, who has diabetes. Which safety precautions are important for the family member to know to prevent infection? (Select all that apply)
- Cut nails frequently
- Assess skin for redness, abrasions, and open ares daily
- Soak feet in water at least 10 mins before nail care
- Apply lotion to feet daily
- Clean between toes after bathing
- Soak feet in water at least 10 mins before nail care
4. Apply lotion to feet daily
A nurse is assigned to care for the following patients. Which of the pt is most at risk for developing skin problems and thus requiring thorough bathing and skin care?
- A 44 yr old female who has had removal of a breast lesion and is having her menstrual period
- A 56 yr old male pt who is homeless and admitted to the emergency department with malnutrition and dehydration and who has a intravenous line
- A 60 yr old female who experienced a stroke with right-sided paralysis and has an orthopedic brace applied to the left leg
- A 70 yr old pt who has diabetes an dementia and has been incontinent of stool
- A 70 yr old pt who has diabetes an dementia and has been incontinent of stool
When you are assigned to a pt who has a reduced level of consciousness and requires mouth care, which physical assessment techniques should you perform before the procedure? (Select all that apply)
- Oxygen saturation
- Heart rate
- respirations
- Gag reflex
- Response to painful stimulus
- Respirations
4. Gag reflex
A nurse is listening to a student provide instruction to a pt who is having difficulty with activities needed to care for a soft contact lenses. Which of the follow statements by the nursing student might require some correction by the nurse.
- Use tap water to clean off lenses
- Follow recommendations of lens manufacturer when inserting the lenses
- Keep lenses moist or wet when not worn
- Use fresh solution daily when storing and disinfecting lenses
- Use tap water to clean off lenses
The American Dental Association suggests that pts who are at risk for poor hygiene use the following interventions for oral care: (Select all that apply)
- Use antimicrobial toothpaste
- Brush teeth 4 times a day
- Use 0.12% chlorhexidine gluconate (CHG) oral rinses
- Use a soft tooth brush for oral care
- Avoid cleaning gums and tongue
- Use antimicrobial toothpaste
- Use 0.12% chlorhexidine gluconate (CHG) oral rinses
- Use a soft tooth brush for oral care
While planning morning care, which of the following pts would have the highest priority to receive his or her bath first?
- A pt who just returned to the nursing unit from a diagnostic test
- A pt who prefers a bath in the evening when his wife visits and can help him
- A pt who is experiencing frequent incontinent diarrheal stools and urine
- A patient who has been awake all night because of pain 8/10
- A pt who is experiencing frequent incontinent diarrheal stools and urine
A nurse uses long firm, stroke distal to proximal while bathing a pts legs because:
- It promotes venous circulation
- It covers a larger area of the leg
- It completes care in a timely fashion
- It prevents blood clots in the legs
- It promotes venous circulation
Integrity of the oral mucosa depends on salivary secretion. Which of the following factors impairs salivary secretion ? (Select all that apply)
- Use of cough drops
- Immunosuppressive
- Radiation therapy
- Dehydration
- Presence of oral airway
- Dehydration
3. Radiation therapy
An 88 yr old patient comes to the medical clinic regularly. During a recent visit the nurse noticed that the pt had lost 10 lbs in 6 weeks without being on a special diet. The pt tells the nurse that he has had trouble chewing his food. Which of the following factors are normal aging changes that can affect an older adults oral health? (Select all that apply)
- Dentures do not always fit properly
- Most older adults have an increase in salvia secretions
- With aging the periodontal membrane becomes tighter and painful 4. Many older adults are endentulous, and remaining teeth are often decayed
- The teeth of elderly pts are more sensitive to hot and cold
- Dentures do not always fit properly
4. Many older adults are endentulous, and remaining teeth are often decayed
