A nurse is teaching a client about maintaining skin integrity to decrease the risk of infection. Which of the following should the nurse include in the teaching?

Use a moisturizer on your skin after cleaning.

Rub your skin firmly when cleaning.

Allow your skin to air dry after bathing.

Wash your skin daily with hot water.

Answer and Explanation

The Correct Answer is A

To maintain skin integrity and decrease the risk of infection, it is important to keep the skin clean and well lubricated1. Using a moisturizer on your skin after cleaning can help to maximize lipid barriers and prevent dryness2. It is also important to avoid hot water during bathing as it can increase dryness and cause cracked skin2.

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Correct Answer is A

Explanation

Answer: A

Rationale:

A) A client who has hemorrhoids: An oral temperature is appropriate for this client as there are no contraindications for using the oral route. Hemorrhoids do not affect the accuracy or safety of oral temperature measurement.

B) A client who had recent oral surgery: Oral temperature measurement should be avoided for this client as it may cause discomfort or disrupt the healing process. Alternative routes, such as tympanic or axillary, are more appropriate.

C) A client who has a coagulation disorder: Oral temperature measurement might be risky in clients with coagulation disorders due to the potential for trauma or bleeding from the oral mucosa. A non-invasive method is preferable for safety.

D) A client who is drinking ice water: Drinking ice water can temporarily lower the temperature in the oral cavity, leading to inaccurate readings. The nurse should wait 15–30 minutes before measuring an oral temperature.

A. Allow the client’s feet to air dry. B. Soak the client’s feet prior to washing. C. Apply moisturizer between the client’s toes. D. Use warm water to wash the client’s feet.

Correct Answer is D

Explanation

The nurse should plan to use warm water to wash the client’s feet as part of proper foot care. Warm water can help soften the skin and nails, making it easier to clean and trim the nails. It is also important to avoid soaking the feet, as this can dry out the skin and increase the risk of infection.

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A nurse is teaching a client about maintaining skin integrity to decrease the risk of infection. Which of the following should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about measuring body temperature in clients. Which of the following clients should the nurse instruct to obtain an oral temperature?

Correct Answer is A

Explanation

A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The client’s mouth is an example of which of the following links in the chain of infection?

A nurse is observing a newly licensed nurse set up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

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A nurse is assessing a client who has opioid toxicity. Which of the following findings should the nurse expect?

A nurse is caring for a client who reports sneezing, productive cough, muscle aches, headache, and fever that has progressed over the last 4 days. Which of the following stages of infection is the client likely experiencing?

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A nurse is reviewing laboratory values for a client. Which of the following findings indicates the presence of an infection?

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