Test Bank For Skills in Clinical Nursing 8th Edition

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1) The recommended technique for the nurse to use when brushing the client’s teeth is the: 1)

A) Sulcular technique. B) Xerostomia technique. C) Gingivitis technique. D) Pyorrhea technique.

Answer: A Explanation:

A) The sulcular technique aims the toothbrush at an angle toward the gums, and is recommended as the best means of brushing the client’s teeth. Xerostomia is the term for dry mouth, and there is no technique associated with it. Gingivitis is a form of periodontal disease causing red swollen gingiva. Pyorrhea is loose teeth and pus that is evident when the gums are pressed.

Cognitive Level: Knowledge
Client Need: Physiological Integrity Nursing Process: Implementation

B) The sulcular technique aims the toothbrush at an angle toward the gums, and is recommended as the best means of brushing the client’s teeth. Xerostomia is the term for dry mouth, and there is no technique associated with it. Gingivitis is a form of periodontal disease causing red swollen gingiva. Pyorrhea is loose teeth and pus that is evident when the gums are pressed.

Cognitive Level: Knowledge
Client Need: Physiological Integrity Nursing Process: Implementation

C) The sulcular technique aims the toothbrush at an angle toward the gums, and is recommended as the best means of brushing the client’s teeth. Xerostomia is the term for dry mouth, and there is no technique associated with it. Gingivitis is a form of periodontal disease causing red swollen gingiva. Pyorrhea is loose teeth and pus that is evident when the gums are pressed.

Cognitive Level: Knowledge
Client Need: Physiological Integrity Nursing Process: Implementation

D) The sulcular technique aims the toothbrush at an angle toward the gums, and is recommended as the best means of brushing the client’s teeth. Xerostomia is the term for dry mouth, and there is no technique associated with it. Gingivitis is a form of periodontal disease causing red swollen gingiva. Pyorrhea is loose teeth and pus that is evident when the gums are pressed.

Cognitive Level: Knowledge
Client Need: Physiological Integrity Nursing Process: Implementation

Objective: Learning Outcome 5-1: Define the key terms used in the skills of hygienic care.

1

2) The nurse is caring for a client who had abnormal hair growth as a side effect of medical treatment. 2) The nurse documents this as:

A) Alopecia.

Answer: B Explanation:

B) Hirsutism. C) Pediculosis. D) Scabies.

A) Hirsutism is abnormal hair growth. Alopecia is hair loss. Pediculosis is commonly known as lice. Scabies is a contagious skin infection caused by mites.
Cognitive Level: Knowledge
Client Need: Physiological Integrity

Nursing Process: Assessment
B) Hirsutism is abnormal hair growth. Alopecia is hair loss. Pediculosis is commonly

known as lice. Scabies is a contagious skin infection caused by mites. Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Assessment

C) Hirsutism is abnormal hair growth. Alopecia is hair loss. Pediculosis is commonly known as lice. Scabies is a contagious skin infection caused by mites.
Cognitive Level: Knowledge
Client Need: Physiological Integrity

Nursing Process: Assessment
D) Hirsutism is abnormal hair growth. Alopecia is hair loss. Pediculosis is commonly

known as lice. Scabies is a contagious skin infection caused by mites. Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Assessment

Objective: Learning Outcome 5-1: Define the key terms used in the skills of hygienic care.

2

3) The nurse is planning the day, and will perform morning care: 3)

A) When the client first awakens. B) After breakfast.
C) Before retiring for the night. D) Whenever the client requests it.

Answer: B Explanation:

A) The nurse generally provides morning care after breakfast. Early-morning care is provided when the client first awakens. Hour of sleep (HS) care is provided before going to bed. PRN care is provided as required by the client.
Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning
B) The nurse generally provides morning care after breakfast. Early-morning care is

provided when the client first awakens. Hour of sleep (HS) care is provided before going to bed. PRN care is provided as required by the client.
Cognitive Level: Knowledge
Client Need: Physiological Integrity

Nursing Process: Planning
C) The nurse generally provides morning care after breakfast. Early-morning care is

provided when the client first awakens. Hour of sleep (HS) care is provided before going to bed. PRN care is provided as required by the client.
Cognitive Level: Knowledge
Client Need: Physiological Integrity

Nursing Process: Planning
D) The nurse generally provides morning care after breakfast. Early-morning care is

provided when the client first awakens. Hour of sleep (HS) care is provided before going to bed. PRN care is provided as required by the client.
Cognitive Level: Knowledge
Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 5-2: Describe the kinds of hygienic care nurses provide to clients.

4) The nurse must assess which of the following prior to providing personal hygienic care? Select all 4) that apply.

A) Allergies
B) Culture
C) Ability to provide self-care

D) Social history E) Diagnosis

Answer: A, B, C, E

Explanation:

A)

The nurse needs to assess for allergies to avoid a reaction to the products used during hygienic care. The client’s culture will impact how he meets his daily hygiene needs. The client should be encouraged to perform as much of his hygiene care as possible, so the nurse must assess his ability to provide self-care. The client’s diagnosis will impact how much care he can tolerate at one time and his ability to move about in bed.

Cognitive Level: Analysis
Client Need: Physiological Integrity Nursing Process: Assessment

3

2. B)  The nurse needs to assess for allergies to avoid a reaction to the products used during hygienic care. The client’s culture will impact how he meets his daily hygiene needs. The client should be encouraged to perform as much of his hygiene care as possible, so the nurse must assess his ability to provide self-care. The client’s diagnosis will impact how much care he can tolerate at one time and his ability to move about in bed.

   Cognitive Level: Analysis
   Client Need: Physiological Integrity Nursing Process: Assessment

3. C)  The nurse needs to assess for allergies to avoid a reaction to the products used during hygienic care. The client’s culture will impact how he meets his daily hygiene needs. The client should be encouraged to perform as much of his hygiene care as possible, so the nurse must assess his ability to provide self-care. The client’s diagnosis will impact how much care he can tolerate at one time and his ability to move about in bed.

   Cognitive Level: Analysis
   Client Need: Physiological Integrity Nursing Process: Assessment

4. D)  The nurse needs to assess for allergies to avoid a reaction to the products used during hygienic care. The client’s culture will impact how he meets his daily hygiene needs. The client should be encouraged to perform as much of his hygiene care as possible, so the nurse must assess his ability to provide self-care. The client’s diagnosis will impact how much care he can tolerate at one time and his ability to move about in bed.

   Cognitive Level: Analysis
   Client Need: Physiological Integrity Nursing Process: Assessment

5. E)  The nurse needs to assess for allergies to avoid a reaction to the products used during hygienic care. The client’s culture will impact how he meets his daily hygiene needs. The client should be encouraged to perform as much of his hygiene care as possible, so the nurse must assess his ability to provide self-care. The client’s diagnosis will impact how much care he can tolerate at one time and his ability to move about in bed.

   Cognitive Level: Analysis
   Client Need: Physiological Integrity Nursing Process: Assessment

Objective: Learning Outcome 5-2: Describe the kinds of hygienic care nurses provide to clients.