A nurse is providing oral care to a client with dentures. What action would the nurse do first?

Wash the client’s face.

Remove dentures.

Apply lubricant.

Don gloves.

Answer and Explanation

The Correct Answer is D

A. Wash the client’s face:

While washing the client's face might be part of general care, when specifically providing oral care for a client with dentures, the first step should be to don gloves to ensure infection control and safety.

B. Remove dentures:

Removing dentures may be a step in the oral care process, but it should come after donning gloves to maintain proper infection control measures.

C. Apply lubricant:

Applying lubricant might be necessary, especially if the client experiences dryness or discomfort, but it should follow the step of donning gloves.

D. Don gloves:

This is the first action because it is crucial to wear gloves before handling a client's dentures or engaging in any oral care procedures. Gloves protect both the nurse and the client from potential infections and ensure proper hygiene during care.

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Correct Answer is A

Explanation

A. Tie it to the bed frame with a quick release knot.This option is correct because securing the restraint to the bed frame ensures that the client cannot easily remove it, while a quick release knot allows for rapid removal in case of an emergency.

B. Strap the restraint with a square knot to the head of the bed.While a square knot may be secure, it is not considered a quick-release method, which is essential for the safety of the client.

C. Use a quick release knot to tie the restraint to the side rail.Tying a restraint to the side rail can pose a risk because if the side rail is lowered, it may create a situation where the restraint is loose or ineffective. It is safer to secure it to the bed frame instead.

D. Assist with range of motion at least every 3 hours.While providing range of motion is important to prevent complications from immobility, it does not address how to secure the restraint itself. Regular assessments and range of motion exercises should be part of the overall care plan but are not directly related to securing the restraint.

A. Protect the muscles of the lower extremities from atrophy. B. Keep the blood from pooling in lower extremities to avoid clots. C. Keep the patient from getting sores on the skin. D. Keep the patient’s joints in working order.

Correct Answer is B

Explanation

A. Protect the muscles of the lower extremities from atrophy:

This statement is not the primary purpose of sequential compression devices (SCDs) and compression stockings. While these devices can help maintain muscle tone by promoting blood circulation, their primary function is to prevent blood pooling and reduce the risk of deep vein thrombosis (DVT).

B. Keep the blood from pooling in lower extremities to avoid clots:

This is the correct purpose of sequential compression devices and compression stockings. They are designed to promote venous return and prevent blood from pooling in the lower extremities, thereby reducing the risk of blood clots, especially in individuals at risk for deep vein thrombosis (DVT).

C. Keep the patient from getting sores on the skin:

Preventing sores on the skin is not the primary purpose of these devices. While improved circulation may contribute to skin health, preventing skin sores is not the primary therapeutic goal of SCDs and compression stockings.

D. Keep the patient’s joints in working order:

Maintaining joint function is not the primary purpose of sequential compression devices and compression stockings. These devices primarily focus on promoting venous circulation and preventing complications related to blood pooling and clot formation.

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A nurse is providing oral care to a client with dentures. What action would the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is applying a wrist restraint on a client who has pulled out his IV multiple times. How should the nurse secure this device?

Correct Answer is A

Explanation

The nurse understands that sequential compression devices and compression stockings are used for which of the following?

Correct Answer is B

Explanation

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