Author Question: The client is unable to perform self-care for the hair. The nurse is aware that which of the ... (Read 51 times)

09madisonrousseau09 · **on:** Jul 23, 2018

The client is unable to perform self-care for the hair. The nurse is aware that which of the follow-ing is accurate when performing hair care?

1. Brushing the hair distributes the natural oils evenly.
2. Using a hot comb may be very helpful for straight and oily hair.
3. Very tight braids keep the hair in good condition.
4. Shampooing should be done daily.

Question 2

The nurse is instructing the client with peripheral vascular disease about daily foot care. The nurse's instruction for the client includes:

1. Soaking the feet 5 to 10 minutes each day
2. Filing the nails into a curve shape
3. Using commercial corn removers if needed
4. Applying lamb's wool between the toes

Question 3

A 61-year-old client with diabetes mellitus has physician's orders for meticulous foot care. Which of the following is the best rationale for the order?

1. The aging process causes increased skin breakdown.
2. There is increased neuropathy with this pathology that places the client at risk.
3. The client probably has a history of poor hygienic care.
4. The lower extremities are difficult to see and therefore hard to maintain with good hygiene.

sailorcrescent · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Frequent brushing helps to keep hair clean and distributes oil evenly along hair shafts. A hot comb would not be helpful for straight or oily hair. Braids made too tightly can lead to bald patches. The frequency of shampooing depends on a person's daily routines and the condition of the hair.

Answer to Question 2

ANS: 4
Wrapping small pieces of lamb's wool around toes reduces irritation of soft corns between toes. Clients with peripheral vascular disease should not soak their feet. Soaking increases risk of in-fection caused by maceration of the skin. Nails should be filed straight across and square. The client with peripheral vascular disease should not cut corns or calluses or use commercial remov-ers. The client should consult a podiatrist.

Answer to Question 3

ANS: 2
Vascular changes associated with diabetes mellitus reduce the blood supply to the feet. Sensation in the feet can also be reduced as a result of damage to the nerves (i.e., as with diabetic neuropa-thy). Sensory loss in the feet may result in undetected injuries. These clients are especially at risk for the development of chronic foot ulcers. The best rationale for meticulous foot care for this client is because of the risks associated with the client's diagnosis of diabetes mellitus. There is no indication the client has a history of poor hygienic care. Poor vision may contribute to diffi-culty in providing foot care, but this client's greatest risk for developing a foot ulcer is diabetic neuropathy.