Nurse Aide Hand and Nail Care Procedures, Exams of Nursing

Download Nurse Aide Hand and Nail Care Procedures and more Exams Nursing in PDF only on Docsity! Hand and Nail Care, Foot Care, Mouth Care, and Denture Care complete questions and answers The nurse aide has set the water-filled basin on the overbed table. The next step before placing the resident's hand in the basin to soak, is to observe if the: A) overbed table height needs to be adjusted B) call light remains within the resident's reach C) resident's nails need to be shaped and cleaned D) orange wood stick is close by to begin cleaning nails - >>>A Before placing the resident's fingers and hand into a basin for water, the nurse aide MUST: A) have a towel, orange wood stick, lotion and emery board on the overbed table B) remove dirt from under the resident's fingernails C) ensure that the water temperature is safe D) add soap to the water - >>>C Before placing the resident's fingers and hand into a basin for water, the nurse aide SHOULD: A) add soap to the water to clean the hands and fingernails B) offer the resident a chance to check if water temperature is comfortable C) remove dirt from under the resident's fingernails D) file and shape the resident's fingernails using the emery board - >>>B Before cleaning under the NEXT fingernail, the nurse aide should: (Select all that apply) A) observe the fingernail B) remove any dirt or residue on the orangewood stick C) ask about the resident's past nail care routine D) return the finger just cleaned into the water to soak - >>>A, B When cleaning under the resident's fingernails, the nurse aide should use: A) a dry corner of a washcloth B) the rounded edge of the emery board C) the flat, slanted end of the orangewood stick D) the pointy end of the orangewood stick - >>>C Why should the end of the orangewood stick be wiped before using it to clean under the NEXT fingernail? A) to ensure Standard Precautions are followed B) to prevent the spread of infection C) to remove any dirt or residue D) to keep the top smooth E) to disinfect the tip - >>>C Which often following is REQUIRED before the nurse aide begins to remove dirt or residue from under the resident's fingernail? (Select all that apply) A) the resident is asked about preferences for shaping fingernails B) the nurse aide has an orangewood stick available C) the resident's hands are clean and were massaged with lotion D) the fingernails have been filed and are free of jagged edges E) the fingernails have been soaked in warm water - >>>B, E Why is it important to use a washcloth to clean the hand after it has been soaked? A) it allows for scrubbing of the skin to ensure it is clean B) provide for the resident's individual comfort C) use light pressure since older residents have osteoporosis D) provide extra lotion since the elderly have dry skin - >>>B When applying lotion to the resident's hand, the nurse aide should: A) continue massaging until all lotion is absorbed into the skin B) use circular motions to rub the lotion into the skin C) provide deep muscle massage to exercise the hand muscles D) understand the positive affect of caring, gentle touch - >>>D Which is the most important reason forte nurse aide to pat the resident's hand with the towel to remove excess lotion? A) the lotion can stain the resident's clothing B) the lotion will cause a fungal infection on the hands C) the lotion can affect the resident's ability to hold things D) the lotion can cause irritation if the resident has sensitive skin - >>>C Before leaving the room after any bathing-type procedures is completed, for the resident's safety the nurse aide should check that: A) any water splashes or spills on the floor are wiped up B) the privacy curtain is open so the resident can be observed C) the resident is fully dressed in case an emergency evacuation occurs D) any supplies used are stored out of the resident's reach - >>>A Which of the following should be met for the hand and nail care skill to be considered completed? (Select all that apply) A) hands are clean B) fingernails are clean C) fingernails are short D) the overbed table is dry E) fingernail edges are smooth F) the resident has been asked about comfort G) the call light is in the resident's hand H) the resident, if female, has been offered nail polish I) equipment is clean and stored and trash properly discarded J) soiled linens are place in a hamper and used linens are returned to the linen cart - >>>A, B, D, E, F, G, I Why is it important for the nurse aide to carefully check the water temperature before placing the residents foot or feet in the basin for foot care? (Select all that apply) A) because the feet are more sensitive to temperature B) because the resident may have poor circulation C) because the feet will be submerged in the water D) because comfort of the temperature is most important - >>>B, C What is the MOST important reason that the resident's foot is soaked before washing? A) to clean the toenails B) to soften dead skin to help with removal C) to allow the soap in the water to begin cleaning the foot D) to decrease the time required for the foot care procedure - >>>B When washing the resident's foot, why is it important to wash between each toe? A) to check if the resident has feeling between the toes B) to remove any old skin or dirt from between the toes C) to allow air to get between the toes D) to remove any old fungal infection - >>>B Before or during foot care, it is MOST important for the nurse aide to closely observe the resident's: A) ability to lift his/her leg in and out of the basin B) comfort level with having lotion applied C) need for the procedure to be finished faster D) skin for any signs of breakdown - >>>D After soaking the resident's feet when the foot care procedure begins, the nurse aid should: A) trim the resident's toenails B) ask if the resident would like lotion applied to his/her feet C) wash the resident's feet using a wet washcloth with soap applied D) dry the feet quickly and thoroughly using a gentle patting motion - >>>C Which of the following would be an appropriate way to remove soap from the resident's foot after washing? (Select all that apply) A) place the resident's foot into the basin B) squeeze water from the washcloth over the foot D) pour water over the foot scooped with a cup or hands E) wipe the foot with the washcloth used for washing F) dry the foot with a towel - >>>A, B, C When drying the foot after soaking, the nurse aide should ensure which are is dried especially well? A) heel B) around the nails D) shoe closures are secured - >>>A, D At the completion of foot care, which of the following should be observed and/or completed? (Select all that apply) A) Resident sitting in alignment in a chair B) call light in the resident's hand C) resident asked about comfort and needs D) sock and shoe replaced on the foot E) privacy curtain opened F) basin emptied and dried and returned tot he cabinet G) used linen placed in hamper - >>>A, B, C, D, G Which of the following nurse aides shows the BEST infection control practice in how gloves are used for mouth care? A) Nurse Aide A: Puts gloves on immediately after washing hands and wears them while collecting supplies and removes just before emptying and cleaning the emesis basin. B) Nurse Aide B: Puts on gloves after collecting supplies and puts them on before positioning the resident to prepare for mouth care and wears them while emptying and cleaning the emesis basin. C) Nurse Aide C: Puts on gloves when beginning to prepare the resident's toothbrush, while providing mouth care, and wears gloves while emptying and cleaning the emesis basin. D) Nurse Aide D: Puts on gloves just before picking up the toothbrush to brush the resident's teeth and removes the glove just before emptying and cleaning the emesis basin. - >>>C Before starting mouth care on the resident, the nurse aide should: (Select all that apply) A) check the mouth to see of the resident wears dentures B) make sure the resident is positioned sitting upright C) ask the resident to spit out any food particles D) protect the resident's clothing with a towel E) be wearing clean gloves - >>>B, D, E Before the toothbrush is used for mouth care, the nurse aide should put toothpaste on the toothbrush and: A) ask when the resident last had mouth care B) have the resident rinse mouth with water and spit into the basin C) moisten the toothbrush with water D) have the resident hold the emesis basin - >>>C When brushing the sides of the resident's teeth over the gum and tooth surfaces, the motion of the toothbrush should be: A) firm agains the gums using a lot of pressure B) circular motions over the tooth and gums C) side to side motion over the teeth and gums D) to just remove any visible food particles - >>>B Before brushing the resident's tongue and roof of the mouth, the nurse aide should: (Select all that apply) A) ask for resident's permission B) expect that this might cause the resident to gag C) warn the resident that it might hurt D) checkoff the tongue or room of the mouth is infected - >>>A, B When a resident's gums bleed while his/her teeth are being brushed, the nurse aide should: A) end the mouth care procedure immediately B) stop brushing and rinse the mouth which mouthwash instead C) check if the care plan requires the use of mouth swab or toothette D) ask how often the resident' teeth are being brushed E) finished brushing other areas and report the observation to the nurse - >>>E After brushing the resident's teeth the nurse aide should ensure that: (Select all that apply) A) the resident is given mouthwash B) the resident's mouth is left clean and dry C) clean linen is returned to the linen cart D) dirty linen is placed in the hamper - >>>B, D Which of the following is the BEST reason that the resident is given the chance to rinse mouth during mouth care? A) it freshens the mouth B) it helps remove harmful bacteria C) it helps avoid swallowing toothpaste D) it is the final step in the mouth care procedure - >>>C When a resident DOES NOT receive routine mouth care, it can: (Select all that apply) A) cause cavities in the resident't teeth B) cause gum infections C) affect the resident's appetite D) affects the residents social interactions - >>>A, B, C, D A nurse aide is providing mouth care to a resident who has dentures and he/she puts on gloves to clean the dentures first. After finishing the dentures, before beginning care to the resident's mouth, the nurse aide should: A) wash the gloves before continuing B) check if the resident is infected with blood-borne pathogen such as HIV