Peggy is a senior nursing student who is working on a community health project for the local homeless shelter. There are several indigent men who come to the shelter in cold weather to sleep for the night
Peggy knows that these men do not bathe on a regular basis. One of the men has been sick several times recently with skin infections. Which of the following is the best way for Peggy to explain the importance of personal hygiene to this individual? A. "You need to take a shower to help you stay healthy."
B. "If you don't take a shower, you will continue to get sick."
C. "Taking a shower will help your body remove germs that can cause skin infections."
D. "You are compromising your body's defense mechanism by your poor personal hygiene."
C
The body's normal defense against skin infections is shedding of outer layer of skin cells, which removes organisms that adhere to the skin's outer layers. Failure to bathe regularly can alter the body's normal defense against skin infections.
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A 65-year-old patient with a history of heart failure comes to the clinic with complaints of "being awakened from sleep with shortness of breath." Which action by the nurse is most appropriate?
a. Obtaining a detailed health history of the patient's allergies and a history of asthma b. Telling the patient to sleep on his or her right side to facilitate ease of respirations c. Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea d. Assuring the patient that paroxysmal nocturnal dyspnea is normal and will probably resolve within the next week
When describing the characteristics of a typical rural population to a group of community health nurses, which of the following would the nurse include?
A) Older, white, with a lower income and less formal education B) Young minorities with a lower income and less formal education C) Wealthier, more highly educated, older white Americans D) A reflection of the population as a whole
A nurse plans the interventions to prepare a patient for a bone marrow aspiration. (Place the options in the correct sequence. Separate letters by a comma and space as follows: A, B, C, D.)
a. Assist the patient to lie on his or her abdomen and drape the hip and lower limbs. b. Confirm the presence of laboratory personnel to stain the specimen. c. Apply a pressure dressing and help the patient lie on his or her back. d. Ensure that a signed permission form is obtained. e. Explain that the procedure will take about 30 minutes.
The nurse is listening for bowel sounds in a postoperative patient. The bowel sounds are slow, as they are heard only every 3 to 4 minutes. The patient asks the nurse why this is happening. What is the nurse's best response?
a. "Anesthesia during surgery and pain medication after surgery may slow peristalsis in the bowel." b. "Some people have a slower bowel than others, and this is nothing to be concerned about." c. "The foods you eat contribute to peristalsis, so you should eat more fiber in your diet." d. "Bowel peristalsis is slow because you are not walking. Get more exercise during the day."