A nurse is brushing the hair of a client admitted to the health ...

[yoooooman]

A nurse is brushing the hair of a client admitted to the health care facility following a fracture in the hand. The nurse implements this action based on the understanding that brushing the hair achieves which of the following?
 
  A) Facilitates oil distribution
  B) Cleans hair and scalp
  C) Removes excess oil
  D) Cleans the hair of dirt

Question 2

An older adult client with Parkinson's disease is unable to take care of himself. The client frequently soils his bed and is unable to clean himself independently. How should the nurse in this case ensure the client's perineal care?
 
  A) Cleanse to remove secretions from less-soiled to more-soiled areas.
  B) Cleanse using a cotton cloth and warm water.
  C) Use tissue rolls to clean the client's perineal area.
  D) Provide the client with a bed pan or a jar to collect the urine.

[T4T]

Answer to Question 1

Ans: A
Brushing the hair facilitates oil distribution along the hair shaft more effectively than combing, as well as massages the scalp and stimulates circulation. Shampooing cleans the hair and scalp, helps get rid of excess oil, and cleans the hair of dirt. It provides a relaxing, soothing experience for the client.

Answer to Question 2

Ans: A
To ensure proper perineal care, the nurse should cleanse to remove secretions and excretions from less-soiled to more-soiled areas. The nurse must also prevent direct contact with and any secretions or excretions by wearing clean gloves. The nurse should not use cotton cloth or tissues to clean the perineal area because that might lead to skin impairment. Older adult clients have sensitive skin, which may be easily impaired when cleaning. Because the client cannot do anything independently, providing him with a bed pan or a jar will not help.