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Fundamentals of Nursing - Hygiene (QUESTIONS)
Terms in this set (17)
The nurse is assisting a patient with rheumatoid arthritis to bathe at the sink. During the bath the patient states that she is tired. The nurse notices the patient is breathing rapidly and the pulse is rapid. What is the nurse's best response?
A. Finish the bath quickly
B. Help the patient return to bed
C. Leave the patient alone to rest in the chair at the sink for a few minutes
D. Instruct the patient to take deep breaths and try to relax
A patient who is cognitively impaired and has dementia requires hygiene care. The patient often displays aggressive behavior such as screaming and hitting during the bath. Which techniques make the bathing experience less stressful for both the nurse and the patient? (Select all that apply.)
A. Allow the patient to perform as much of the care as possible.
B. Start by washing the face.
C. Try an alternative to traditional bathing such as the "bag bath."
D. Use restraints to prevent the patient from injuring self or the nurse.
A male nurse is caring for a 32-year-old female Muslim patient who has an indwelling Foley catheter. After introducing himself to the patient, the nurse learns that the patient does not want him to help her with personal hygiene care. Which of the following is(are) appropriate actions? (Select all that apply.)
A. Finding a female nurse to help the patient
B. Convincing the patient that he will work quickly and provide as much privacy as possible
C. Skipping hygiene care for the day except for the parts that the patient can complete independently
D. Asking the patient if she prefers a family member assist with the care
What is the priority concern when providing oral hygiene for a patient who is unconscious?
A. Thoroughly brushing all tooth and oral surfaces
B. Preventing aspiration
C. Controlling mouth odor
D. Applying local antiseptic such as chlorhexidine
You are helping a female patient bathe. As you are about to perform perineal care, the patient says, "I can finish my bath." The patient has discomfort and burning in the perineal area. What action do you need to take initially?
A. Explain to the patient that, because of her symptoms, you need to observe the perineal area.
B. Insist that you are supposed to complete the care.
C. Honor the patient's request to complete her own perineal care to avoid any embarrassment.
D. Ask the patient if a family member can complete the care instead.
Your patient wears full dentures. His usual denture care includes taking the teeth out once a day to brush. He wears the dentures overnight. You are concerned that he might be at risk for developing denture-induced stomatitis. Which points do you include in a teaching plan for denture care? (Select all that apply.)
A. Remove dentures overnight once a week while they soak in a cleansing bath.
B. Do not wear damaged or poorly fitting dentures.
C. Observe mouth for reddened areas under the dentures and small red sores on the roof of the mouth.
D. See dentist regularly.
E. Rinse dentures after meals.
F. Clean dentures every night with cleanser, rinsing well before replacing in mouth at bedtime.
B, C, D, E
A patient who is receiving chemotherapy has inflamed gums and oral mucosa and painful sores in the mouth. Which of the following oral care actions are appropriate? (Select all that apply.)
A. Decreasing frequency of oral hygiene
B. Applying water-soluble moisturizing gel on the oral mucosa
C. Encouraging intake of soft foods
D. Using commercial mouthwash
While planning morning care, which of the following patients would receive the highest priority to receive his or her bath first?
A. A patient who just returned to the nursing unit from surgery and is experiencing pain at a level of 7 on a scale of 0 to 10
B. A patient who prefers a bath in the evening when his wife visits and can help him
C. A patient who is experiencing frequent incontinent diarrheal stools
D. A patient who has just returned from diagnostic testing and complains of being very fatigued
During bathing your patient experiences shortness of breath and labored breathing with a respiratory rate of 30. The bed is in a flat position. You change the bed position to:
B. Reverse Trendelenburg's.
A nurse caring for a male patient observes the nursing assistive personnel (NAP) performing perineal care. Which of the following observed actions indicates a need for further teaching for the NAP? The NAP:
A. Used clean gloves.
B. Did not retract the foreskin before cleansing.
C. Used the clean portion of washcloth for each cleansing wipe.
D. Used a circular motion to cleanse from urinary meatus outward.
A nurse teaching a family member caregiver how to bathe the patient explains the importance of using long strokes on the patient's extremities, moving from distal to proximal. Which explanation does the nurse include? Long strokes moving from distal to proximal are used to:
A. Decrease the chance of infection.
B. Help remove dry, flaky skin.
C. Prevent skin trauma.
D. Stimulate venous return.
Which of the following actions would best help prevent skin breakdown in a patient who is incontinent of stools and very weak and drowsy?
A. Checking frequently for soiling
B. Washing the perineal area with strong soap and water
C. Placing the call light within easy reach
D. Keeping a pad under the patient
The nurse is caring for a patient who has reduced sensation in both feet. Which of the following should the nurse do? (Select all that apply.)
A. Avoid cleaning the feet until an order from the health care provider is received.
B. Wash the feet with lukewarm water and then dry well.
C. Apply moisturizing lotion to the feet, especially between the toes.
D. File the toenails straight across.
The nurse recognizes that her older-adult patient needs additional teaching about skin care when the older adult says, "I should:
A. Bathe twice a week.
B. Rinse well after using soap.
C. Use hot water for bathing.
D. Drink plenty of fluids.
You ask the nursing assistive personnel (NAP) to clean a patient who has been incontinent of urine. Several minutes later you pass the open door of the room and see the NAP changing the patient's gown and linen. Which of the following requires your immediate attention?
A. Room temperature is overly warm.
B. Room door is open to the hallway.
C. Television volume is too loud.
D. Strong odor of urine is detected.
Too frequent bathing and the use of hot water frequently lead to what?
B. Dry, flaky skin and loss of protective oils
C. Exceptional hygiene
D. Reduction of illness and disease
Pediculosis Capitis is better known as what highly infectious condition?
B. Herpes Simplex
C. Head Lice
D. Thinning of the hair
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