A connection on a client's intravenous solution was dislodged and solution saturated the client's gown and bed linen. The nurse will provide which type of hygienic care to the client?
1. Hour of sleep care
2. As needed care
3. Early morning care
4. Morning care
Correct Answer: 2
Rationale 1: Hour of sleep care includes providing for elimination needs, washing the face and hands, oral care, and a back massage.
Rationale 2: As needed care is provided as required by the client. Since the intravenous solution has saturated the own and bed linen, this is the type of care the client needs at this time.
Rationale 3: Early morning care is provided to clients as they awaken in the morning and consists of aiding to void, washing the face and hands, and providing oral care.
Rationale 4: Morning care is usually after breakfast and includes providing for elimination needs, a bath or shower, perineal care, back massage, oral, nail, and hair care.
You might also like to view...
The nurse has reinforced teaching with a patient after diagnostic testing reveals tinnitus. Which of the following patient statements indicates that teaching has been effective?
a. "There is a toxic substance in my ear." b. "That is why I have so much discharge all of the time." c. "My ear pain should get better if I follow the doctor's orders." d. "The ringing sound I hear in my ear may be a symptom of another problem."
A nurse recommends to a school board that other methods besides the "just say no" approach be considered when providing drug use prevention education to the elementary students. Which of the following best describes the rationale for this recommendation?
a. Children do not like to hear the word "no," and the approach is too negative. b. Project DARE is more effective and has decreased drug use. c. Children are naturally curious and may experiment with drugs. d. "Just say no" to drugs does not include smoking and alcohol abuse.
Which outcome reflects the goals of Virginia Satir's Communication Theory? Family communication is:
a. complementary b. without conflicts c. clear, accurate, and meaningful d. stabilized
Which of the following terms is used to describe the potentially fatal insufficient production of corticosteroids?
A. Graves' disease B. Addison's disease C. Cushing's syndrome D. diabetes insipidus