D)“Why do you only take a bath once a week?”Ans: CFeedback:When skin problems are present, the nurse asks the client about usual personal hygiene practices and documents theclient’s responses. The questions should be open-ended and nonthreatening.12.Which client would be most at risk for alterations in oral health?A)Infant who is breast-fedB)Man with a nasogastric tubeC)Woman who is pregnantD)Healthy young adultAns: BFeedback:A variety of illnesses and habits may increase the risk for oral health problems, including poor nutrition, treatment withchemotherapy, those who are NPO, and those who have nasogastric tubes or oral airways in place.13.A student has been assigned to provide hygiene care to four clients. Which one would require special consideration forperineal care?A)Middle-aged man with a nasogastric tubeB)Young adult man who has had a hernia repairC)Young woman who has had cosmetic surgeryD)Middle-age woman with a Foley catheterAns:DFeedback:The dark, warm, moist perineal and vaginal areas favor bacterial growth. Variables known to create a need for specialcare include an indwelling Foley catheter. The client who cannot clean the perineal area needs the nurse’s assistance forpersonal hygiene.14.While conducting an oral assessment, a nurse notices the client’s gums are red and swollen, some teeth are loose, andblood and pus can be expressed when the gums are palpated. What condition do these symptoms indicate?A)PeriodontitisB)PlaqueC)HalitosisD)CariesAns:AFeedback:Periodontitis is a marked inflammation of the gums that also involves degeneration of the dental periosteum (tissues)and bone. Symptoms include bleeding gums; swollen, red, painful gum tissues; receding gum lines with the formation ofpockets between the teeth and gums; pus that appears when gums are pressed; and loose teeth.
