A nurse is reinforcing teaching with an adolescent client about hygiene. Which of the following instructions should the nurse include?
Bathe every other day.
Use deodorant daily.
Wash hair once each week.
Clean skin with a comedogenic cleanser
The Correct Answer is B
A. Bathing every day, rather than every other day, is typically recommended for adolescents due to increased sweat and oil production during puberty.
B. Using deodorant daily helps manage body odor, a common concern during adolescence, making it an important hygiene practice.
C. Washing hair once a week is not adequate for most adolescents, who may need more frequent washing to remove excess oil and prevent buildup.
D. Using a comedogenic cleanser can clog pores and worsen acne; non-comedogenic products are more appropriate for skin hygiene.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A client who is postoperative and has a urine output of 50 ml for the past 3 hr: This is concerning, but the low potassium level represents a more immediate threat to the client's health.
B. A client who is scheduled for discharge and has a 38.4° C (101.1° F) temperature this morning: While a fever should be addressed, it is not as urgent as the potassium imbalance.
C. A client who is complaining of nausea and has a heart rate of 100 bpm: This heart rate is within a normal range for many clients, and nausea alone does not warrant immediate intervention.
D. A client who has a serum potassium level of 2.9 mEq/L: Hypokalemia is a critical electrolyte imbalance that requires immediate attention to prevent life-threatening complications, such as cardiac arrhythmias.
Correct Answer is ["B","C","D","E","F"]
Explanation
- Mucous membranes pink, skin warm and dry.
- Coughing and clearing throat when eating.
- Voice hoarse after swallowing.
- Temperature 38 °C (100.4 °F)
- Bilateral breath sounds with wheezing heard in upper lobes.
- Oxygen saturation 88% on room air
Rationale
Coughing and clearing throat when eating: This indicates potential dysphagia (difficulty swallowing), which increases the risk of aspiration pneumonia—a serious complication post-stroke.
Voice hoarse after swallowing: Hoarseness or voice changes can also signal impaired swallowing or aspiration risk, necessitating evaluation by a speech therapist or further swallowing studies.
Temperature 38.5°C (101.3°F): An elevated temperature may suggest infection (e.g., aspiration pneumonia or another complication) and warrants further investigation, particularly in a post-stroke client.
Bilateral breath sounds with wheezing heard in upper lobes: Wheezing could indicate an airway obstruction, aspiration, or developing respiratory compromise, which is critical in this population.
Oxygen saturation 88% on room air: Hypoxemia is a critical finding requiring immediate intervention, such as supplemental oxygen and investigation into the underlying cause (e.g., aspiration, infection, or pulmonary embolism).
Mucous membranes pink, skin warm and dry: These findings are within normal limits and do not indicate a pressing issue.
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