Which sequence accurately describes the standard procedure for performing a resident's hand and nail care?

• A. Greet resident, address by name, and introduce self; provide explanations about care; use water at a safe temperature; soak the hand; clean hand surfaces; remove residue under nails with an orangewood stick; rest the hand on a barrier; dry the hand; leave nails smooth; apply lotion; support the arm; remove excess lotion; complete by rinsing, drying, and storing basin; ask about preferences; use Standard Precautions; check comfort; promote rights and safety.
• B. Greet resident, address by name, and introduce self; wash hands briefly; begin nail care without explanations; soak the hand after starting.
• C. Greet resident, address by name, and introduce self; explain care only after you start; soak the hand for a long time before cleaning nails.
• D. Greet resident, address by name, and introduce self; dry the hand; apply lotion; begin cleaning nails without explanations.

Answer: (A)

Starting with a respectful, safety-focused flow is essential for hand and nail care. Begin by greeting the resident, using their name, and introducing yourself, then explain what you’ll do and obtain their consent. Use water at a safe temperature and place a barrier on the work surface. Soak the hand to soften the skin and nails, then cleanse the hand surfaces. Remove residue under the nails with an orangewood stick as part of nail care after soaking and cleaning. Rest the hand on the barrier to protect linens and keep the hand stable. Dry the hand thoroughly, leave the nails smooth, and apply lotion to moisturize the skin. Support the arm to maintain proper positioning, and remove any excess lotion to prevent slipping or staining. Finish by rinsing, drying, and storing the basin, then check comfort and preferences, and ensure Standard Precautions were followed.