Routine hygiene care can provide an opportunity for the nurse to ...

[theo]

Routine hygiene care can provide an opportunity for the nurse to assess the client's level of activ-ity intolerance. Which of the following assessment questions is most likely to provide information that supports this nursing diagnosis?
 
  1. Will you need my help to take a bath?
  2. Does taking a bath or shower cause you any pain?
  3. Can you bathe and dress yourself without needing help?
  4. Do you find yourself getting tired before you're finished bathing?

Question 2

The nurse is preparing to bathe an older adult client who is expecting a visit from out of town relatives. The client expresses reluctance to bathe because he does not want to make my sister wait to see me.
 
  Which of the following statements made by the nurse is most likely to provide the motivation to agree to the bath for this particular client?
  1. I promise to hurry; you will be done before she gets here.
  2. You don't want your sister to see you unshaved and in your pajamas.
  3. I know you've missed your sister and want to look your best for her visit.
  4. Let's get cleaned up so your sister doesn't think you aren't being well cared for.

[amanda_14]

Answer to Question 1

ANS: 4
The remaining options are not as directed towards activity intolerance since a positive response to any of them may be a result of causes other than weakness.

Answer to Question 2

ANS: 3
Motivation is a key factor in the importance of hygiene. Wanting to be acceptably bathed and dressed for the visit is the most likely motivation.

[theo]

Excellent

[deja]

TYSM