A patient is non–English speaking and unable to answer questions. When preparing to bathe this patient the nurse needs to remember which of the following?

a. Use soaps which contain deodorant to help control body odor.
b. Cultural heritage influences hygiene practices.
c. Shave facial hair to make the patient more presentable.
d. Diaphoresis will prevent skin breakdown and infection, so the patient should only be bathed once a day.


B
A patient's cultural beliefs and personal values influence hygiene care. Maintaining cleanliness may not have the same importance for some ethnic groups as it does for others. In some cultures, it is customary to completely bathe only once a week. Never shave facial hair or hair without the patient's permission. Use only mild cleansers; avoid deodorant bars, perfumed soaps, and any products with alcohol. Clean the skin at the time of any soiling and at routine intervals. Problems such as incontinence, wound drainage, or excessive diaphoresis require more frequent cleansing to promote comfort and prevent skin breakdown and infection.

Nursing

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The nurse is caring for a client with a dysrhythmia. While assessing the data in the history of the chart, the nurse anticipates the cause of the dysrhythmia to be which of the following?

A) Peripheral vascular disease B) Ischemic heart disease C) Aortic stenosis D) Atherosclerotic heart disease

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Standard Precautions apply:

a. only to patients with bloodborne infec-tions. b. only to patients with infected, draining wounds. c. only to patients believed to have an infec-tious disease. d. to all patients receiving care in hospitals.

Nursing

A husband brings his children in to visit their mother in the hospital. The nurse asks how the family is getting along at home without their mom around

The husband states, "None of her jobs are getting done, and I don't do those jobs, so the house and the kids are falling apart." The nurse suspects that this family structure is a. Very flexible. b. Quite rigid. c. Extremely open. d. Hardy.

Nursing

What is the purpose of the root word in medical terminology?

A) It makes it easier to pronounce long medical terms. B) It gives information about the location of a body part or the number of parts. C) It is the foundation of a medical term and usually the general meaning of a word. D) It adds a new or different meaning to the word.

Nursing