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10 Cards in this Set

  • Front
  • Back
State at least five reasons for giving mouth care to a client.
• Many disease-causing organisms enter the body thru the mouth.
• Food particles lodged between the teeth cause decay, halitosis, and inflammation of the tooth sockets (pyorrhea).
• Some gum infections are transmitted from one person to another.
• A mouth condition may lessen a person’s appetite and lead to nutritional deficiencies.
• Some oral conditions cause infection or pain in other body parts.
In the skills laboratory, demonstrate assisting a client with oral care.
See "Nursing Procedure 50-1"
Demonstrate cleaning and caring for dentures.
See "Nursing Procedure 50-3"
Identify the steps involved with routine eye and ear care.
EYES:
• Wash hands and put on gloves
• Soak cotton balls or gauze squares in sterile water or normal saline solution. If eye care is being given as part of the bath and no infection is present, a clean washcloth may be used. Wash the eye area before washing any other part of the body.
• Wipe the client’s eyelid from the inner to the outer canthus.
• Repeat steps on the other eye, using clean supplies or a separate part of the cloth.

CLIENT WITH CONTACT LENSES:
• Determine the type of contact lenses the client wears and the client’s usual cleaning practices.
• Encourage the client or a family member to remove the lenses and place them in cleansing or soaking solution. (Sterile normal saline may be substituted for lens soaking solution in an emergency)
• Be sure to label separate containers for each eye and include the client’s name and facility i.d. number.
• Notify the team leader if the client is unable to remove the lenses by him- herself.
• If lenses cannot be remove
Demonstrate caring for the client’s fingernails and toenails, addressing the reasons for attention to each area.
See "Nursing Procedure 50-5"


FINGERNAILS:
• Torn cuticles are an invitation for infection. Therefore, report reddened areas or breaks in the cuticles.
• Dirty nails can spread infection.
• Torn or jagged nails should be clipped with a sterile nail clipper and make them smooth. This helps prevent the nails from snagging on clothing or bed linens. (Scissors are not used b/c of the danger of accidentally nicking the skin. A metal nail file is not used b/c of its sharp point, which may also be dangerous.)
• Complete fingernail care after soaking the client’s hands in water. Soap and water loosen dirt and temporarily soften cuticles.
TOENAILS:
• Assist the client to a sitting or lying position with the head of the bed elevated.
• Place the client’s feet in a basin of warm water and soak them.
• Gently dry the client’s feet.
• Scrub the toenails with a soft nail brush.
• Trim toenails straight across with clippers.
• If toenails are thick and hard, you may need to cut
Describe how to assist clients to shave with an electric shaver; with a blade razor.
See "Nursing Procedure 50-7"
List at least three reasons for performing routine hair care and describe hair care for damaged or very curly hair.
• Self-esteem
• Provides form of exercise and diversion
• Keeps the hair in good condition


DAMAGED OR VERY CURLY HAIR:
• Use a wide-toothed comb instead of a brush.
• Wash hair only about once a week or less often. Avoid alcohol-based products. Use little or no heat when drying the hair.
• Use specific hair grooming product, such as shea butter or jojoba oil, olive oil, or sunflower oil. Some sort of oil is usually added to the scalp regularly. A daily moisturizer is often used.
• Avoid using petrolatum or mineral oil to groom the hair.
• If the client is perspiring, rinse the salt out with water, but do not use shampoo.
• Use leave-in conditioner with each shampoo. Use specific shampoo for dry hair.
• Pat the hair dry; do not rub.
• Massage the scalp daily.
• Allow client to wear a satin scarf, sleep cap, or use a satin pillow case.
Describe and demonstrate giving a backrub, hand and foot massage, and foot soak.
See "Nursing Procedure 50-10" (backrub)

See "Nursing Procedure 50-6" (foot soak)

• Massaging the hands and feet is a valuable tool in relaxing and calming clients. Circulation improves as blood vessels dilate from the warmth of the friction; muscle tone improves. Massage helps to promote a feeling of calmness and vitality. A hand massage is soothing and is an example of therapeutic touch, providing a connection between the client and nurse.
A foot is of particular importance to the client who has edema, tenderness, or some form of foot infection.
State three types of cleansing baths and when each one is used.
• Partial bath/sponge bath – given on days when the client cannot tolerate or does not receive a complete bed bath.
• Complete bed bath – given to clients that are comatose, catatonic, or unable to leave the bed due to therapeutic restriction.
• Specialized bath – therapeutic baths for skin disorders use water, often containing medications; many times they are given in a whirlpool tub.
Demonstrate how to safely assist a client with each type of cleansing bath.
See "Nursing Procedures 50-11 and 50-12"