The nurse delegates morning care to a new certified nursing assistant. Which of the following actions by the assistant would be evaluated as appropriate?
1. Placing dentures in a tissue while not worn
2. Cutting the client’s nails with scissors
3. Using soap to cleanse the eye orbits
4. Washing the client’s legs with long strokes from the ankle to the knee
ANSWER
ANS: 4
To promote venous return, the nursing assistant should use long strokes, washing the client’s legs from the ankle to the knee and from the knee to the thigh. To prevent warping, dentures should be kept covered in water when they are not worn, and they should always be stored in an en-closed, labeled cup with the cup placed in the client’s bedside stand. Nails should be clipped with nail clippers, straight across and even with tops of fingers, then filed. Scissors should not be used. The client’s eyes should be washed with plain water as soap irritates eyes.
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