A nurse is providing oral care to a client with dentures. What action would the nurse do first?
A) Assess the mouth and gums.
B) Don gloves.
C) Wash the client's face.
D) Apply lubricant.
Ans: B
When providing oral care and denture care, the nurse would be exposed to body fluids. The nurse should always don gloves if exposure to body fluids will occur.
You might also like to view...
A patient with heart failure has BP 120/60, HR 64, R 18, T 97.6°F, coarse crackles bilaterally, and 3+ edema to the lower extremities. An appropriate nursing diagnosis for this patient is:
a. Impaired gas exchange b. Excess Fluid Volume c. Ineffective Tissue Perfusion d. Deficient Knowledge
A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client should the nurse see first?
a. Client with a blood pressure of 180/98 mm Hg b. Client who reports shortness of breath c. Client who reports calf tenderness and swelling d. Client with a swollen and painful left great toe
When a patient's adverse reaction to a blood transfusion is differentiated, which of the following signs/symptoms indicates the presence of an anaphylactic response?
a. Wheezing and chest pain b. Headache and muscle pain c. Hypotension and tingling of the extremities d. Crackles in the lungs and increased central venous pressure
A nurse is assessing a newborn baby boy. Which finding indicates a strong possibility of
congenital defects in the newborn? A) Presence of cyanotic discoloration of the newborn's arms and legs B) Absence of indentation over the xiphoid process during breathing C) Presence of two blood vessels on the umbilical cord D) Enlargement and darker pigmentation of the scrotum