Basic Care and Comfort Practice Question

Question

The nurse is caring for a client who is NPO and is focused on skin hygiene scenario 13. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Keep skin clean and dry while protecting fragile areas from breakdown.
3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

B. Keep skin clean and dry while protecting fragile areas from breakdown.

Explanation

The priority action for skin hygiene is to keep skin clean and dry while protecting fragile areas from breakdown. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: medium
• Domain: Basic Care and Comfort
• Objective: skin hygiene

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