1HESI RN FUNDAMENTALS1. A 20-year-old female client with a noticeable body odor has refused to shower for thelast 3 days. She states, "I have been told that it is harmful to bathe during my period."Which action should the nurse take first?A.Accept and document the client's wish to refrain from bathing.B.Offer to give the client a bed bath, avoiding the perineal area.C.Obtain written brochures about menstruation to give to the client.D.Teach the importance of personal hygiene during menstruation with the client.:DRationale: Because a shower is most beneficial for the client in terms of hygiene, the clientshould receive teaching first, respecting any personal beliefs such as cultural or spiritual values.After client teaching, the client may still choose option A or B. Brochures reinforce the teaching.2. A 65-year-old client who attends an adult daycare program and is wheelchair-mobilehas redness in the sacral area. Which instruction is most important for the nurse toprovide?A.Take a vitamin supplement tablet once a day.B.Change positions in the chair at least every hour.C.Increase daily intake of water or other oral fluids.D.Purchase a newer model wheelchair.:BRationale: The most important teaching is to change positions frequently because pressure is themost significant factor related to the development of pressure ulcers. Increased vitamin and fluidintake may also be beneficial and promote healing and reduce further risk. Option D is anintervention of last resort because this will be very expensive for the client.3. After a needle stick occurs while removing the cap from a sterile needle, whichaction should the nurse implement?lOMoARcPSD|13778330Preview Mode
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