A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take?

Complete the bath even if the client is in distress.

Allow the client to select the temperature of the bath water.

Give detailed instructions for the client to follow.

Use distractions when bathing the client.

Answer and Explanation

The Correct Answer is D

A. Complete the bath even if the client is in distress. – Forcing the bath can increase agitation and damage trust. If the client becomes distressed, pause, reassure, and try again later.

B. Allow the client to select the temperature of the bath water. – Clients with dementia may have impaired sensory perception, increasing the risk of burns or discomfort. The nurse should check the water temperature to ensure safety.

C. Give detailed instructions for the client to follow. – Clients with dementia may struggle to process multiple steps, leading to frustration. Instead, use simple, one-step instructions and gentle guidance.

D. Use distractions when bathing the client. Clients with dementia may experience anxiety, agitation, or distress during bathing. Using distractions, such as playing soothing music, talking about familiar topics, or providing a comforting touch, can help make the experience less stressful and more cooperative.

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Correct Answer is A

Explanation

When providing teaching about health promotion guidelines to a group of young adult male clients, the nurse should include the recommendation to have a dental examination every 6 months. Regular dental examinations can help prevent dental problems and maintain good oral health.
b) A testicular examination is recommended annually, not every 2 years.
c) A tetanus booster is recommended every 10 years, not every 5 years.
d) A herpes zoster immunization is recommended for adults age 60 and older, not age 50.

A. Each element has a range from one to five points. B. The higher the score, the higher the pressure injury risk. C. The scale measures six elements. D. The client's age is part of the measurement.

Correct Answer is C

Explanation

The Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Each element has a range of one to four points, with a total possible score of 23 points. The lower the score, the higher the risk for pressure injury.

Option a is incorrect because each element has a range from one to four points.

Option b is incorrect because the lower the score, the higher the pressure injury risk.

Option d is incorrect because the client's age is not part of the measurement.

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A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about health promotion guidelines to a group of young adult male clients. Which of the following guidelines should the nurse include?

Correct Answer is A

Explanation

A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

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