Basic Human Needs and Related Nursing Care

Basic Human Needs and Related Nursing Care
1. A nurse teaches a new nursing assistant to give a partial bed bath. The nurse identifies that the teaching is
understood when the nursing assistant says, “When
giving a partial bed bath, I should:
1. help the patient to wash the face, hands, underarms,
back, and perineal area.”
2. direct the patient to wash as much as possible and
assist with the rest.”
3. instruct the patient to wash the face, hands, and
perineal area.”
4. assist the patient to wash only one part of the body
at a time.”
2. A nurse educator is teaching a class about patient
hygiene and grooming to nursing assistants. What
problem can be prevented by daily brushing of the
patient’s hair that the nurse needs to include in the
teaching?
1. Pediculosis
2. Dandruff
3. Alopecia
4. Tangles
3. A nurse is assessing a patient’s ability to perform
activities of daily living. Place the following classifications of self-care abilities in order from the most
independent to the most dependent.
1. Requires help from another person for assistance or
supervision
2. Requires help from another person and equipment
or device
3. Totally dependent; does not participate in activity
4. Requires use of equipment or device
5. Completely independent
Answer:
4. A nurse finishes assisting a patient with a complete
bed bath. What is most important for the nurse to do
before leaving the patient’s room, besides moving the
bed to its lowest position?
1. Secure the call bell within easy reach.
2. Place the overbed table next to the bed.
3. Leave the door to the patient’s room open.
4. Pull all the side rails up on both sides of the
patient’s bed.
5. A nurse is caring for a patient whose hair is dry and
has a course texture with tight little curls. Which hair
care implement is most appropriate to use when
grooming this patient’s hair?
1. A
2. B
3. C
4. D
6. A nurse identifies clubbing when assessing a patient’s
hands. Which conclusion can the nurse make concerning this observation?
1. The patient has liver disease.
2. The patient has diabetes mellitus.
3. The patient has a nutritional deficiency.
4. The patient has a long-term oxygen deficit.
7. An adolescent with the diagnosis of severe nodular
acne vulgaris is unresponsive to conventional therapy.
The patient is registered in the government regulated
iPledge program and the primary health-care provider
prescribes isotretinoin (Claravis) 0.5 mg/kg PO daily
divided into two doses. The adolescent weighs 132 lb.
How many milligrams should the nurse administer for
each dose?
Answer: mg
8. What action should the nurse include in the plan of
care that is a common hygiene need of all older
adults?
1. Remove the bottom denture first.
2. Assist with daily bathing.
3. Apply a skin moisturizer.
4. Use deodorant soap.
466 Unit IV Basic Human Needs and Related Nursing Care
A B CD
9. Which actions should be implemented when bathing
a patient? Select all that apply.
1. Bathe head to toe.
2. Bathe clean to dirty.
3. Use contact precautions.
4. Use warm water for bathing.
5. Wash from proximal to distal for
extremities.
6. Change the water after perineal
care, not before.
10. Which is the most important nursing action when
making an occupied bed?
1. Change all of the linens on the bed.
2. Make just one side of the bed at a time.
3. Put the side rail up on the nonworking side of
the bed.
4. Lower the head of the bed until the patient is in
the supine position.
11. How can a nurse best prevent footdrop in a patient
when making an occupied bed?
1. Tuck the top sheet in loosely.
2. Make a toe pleat in the top linens.
3. Place the pillow under the patient’s ankles.
4. Make a square corner when securing the patient’s
bottom sheet.
12. A nurse is providing oral care for a patient who is
wearing full dentures. Which actions should the
nurse implement when providing care for this
patient? Select all that apply.
1. Clean dentures with cool water using
a firm toothbrush and toothpaste.
2. Use thumbs to push up gently on
the bottom denture at the gum line
to release the suction.
3. Soak dentures overnight in a commercial dental cleanser if this is the preference of the patient.
4. Store dentures in a labeled dry
denture cup in the bedside drawer
if the patient does not want to
wear them.
5. With a gauze pad, grasp the
upper denture with the thumb
and forefinger and move the
denture up and down to release
the suction.
13. Which should the nurse do first before initiating
a.m. care with a patient?
1. Ask the patient about preferences.
2. Raise the bed to working height.
3. Change the linens on the bed.
4. Feed the patient breakfast.

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