Bathing, assisting with elimination, bedmaking And Perineal Care Flashcards
The nurse is deligating to nursing assistive personnel, NAP, the perineal care of a female pt who is totally dependent and confined to the bed. Which statement by the NAP requires the nurses’ follow-up?
a). I’ll ask for assistance if I need help positioning her.
b). I’ll see if she is up for care right now
c). I’ll let you know if I notice any signs of redness or discharge
d). I’ll be sure to use hot soapy water since she has been incontinent
d). I’ll be sure to use hot soapy water since she has been incontinent
The nurse is preparing to provide perineal care for a female pt who is on bed rest. Which patient position should the nurse use for this care?
a). Supine
b). Prone
c). Side lying
d). Dorsal recumbent
d). Dorsal recumbent
As the nurse is preparing to provide perineal care to a female pt with limited mobility the pt says, “I can do that myself.” Which action should be the priority?
a). Provide all necessary supplies and linen for the task
b). Assess the pts ability to perform proper perineal care
c). Ensure the pt has privacy while performing perineal care
d). Document any complaints of irritation or pain in the perineal area
b). Assess the pts ability to perform proper perineal care
How can the nurse promote infection control while providing perineal care for a female pt who has a catheter?
A). By avoiding the application or tension on the catheter
B). By patting, not rubbing the skin dry after thoroughly rinsing it
C). By cleansing the pts labia from the pubic area toward the rectum
D). By using warm water to cleanse the pts entire perineal area
C). By cleansing the pts labia from the pubic area toward the rectum
The nurse is delegating a female pts perineal care to a NAP. What instruction would the nurse give to ensure the NAPs safety while preforming this care?
A). Wear sterile gloves
B). Wear clean gloves
C). Wear an isolation gown
D). Use hot water
B). Wear clean gloves
Which instruction would the nurse give when asking nursing assistive personnel (NAP) to give a complete bed bath to a patient?
a). Do not massage any reddened areas on the patient’s skin.
b). Be sure to wash the patient’s face with soap.
c). Disconnect the intravenous tubing when changing the gown.
d). Wear gloves if necessary.
a). Do not massage any reddened areas on the patient’s skin.
The nurse has washed a patient’s abdomen. Which area should the nurse wash next?
a). Feet
b). Face
c). Chest
d). Legs
d). Legs
A patient is being given a bed bath. The nurse realizes that another washcloth is needed to complete the bath. What is one way in which the nurse can ensure the patient’s safety?
a). Use the call light to ask someone else to bring a washcloth.
b). Raise all four side rails on the patient’s bed.
c). Make sure the call light is within the patient’s reach.
d). Raise the bed to its highest position.
c). Make sure the call light is within the patient’s reach.
Which patient should not have his or her feet soaked during a complete bed bath?
a). A patient with arthritis
b). A patient who has just complained of shoulder pain
c). A patient with diabetes mellitus
d). A patient who is nauseated
c). A patient with diabetes mellitus
The nurse is bathing a patient who is unconscious. What should the nurse do to ensure safe care of the patient’s eyes?
a). Remove eye crusts with soapy water.
b). Avoid closing the patient’s eyes.
c). Use eye patches or shields taped in place.
d). Tape the patient’s eyelids closed.
c). Use eye patches or shields taped in place.
Which of the following interventions directly related to patient safety must the nurse consider when providing perineal care to an elderly male patient with a catheter?
a). Wear clean gloves during care.
b). Assess the patient’s ability to provide self-care.
c). Encourage the patient to report any pain originating from the catheter.
d). Monitor the amount of urine in the drainage bag to prevent overflow.
a). Wear clean gloves during care.
The nurse observes the nursing assistive personnel (NAP) providing perineal care to a male patient. Which observation of care requires the nurse’s follow-up?
a). Assisting the patient into the supine position in bed
b). Cleansing the tip of the penis with a circular motion, starting at the meatus
c). Reserving the cleansing of the tip of the penis as the final step in perineal care
d). Using a gloved hand to grasp the shaft of the penis in order to retract the foreskin
c). Reserving the cleansing of the tip of the penis as the final step in perineal care
A male patient receiving perineal care tells the nurse “It has started to hurt a little down there.” What is the nurse’s best response?
a). “When did you start experiencing the pain?”
b). “Rate the pain on a scale of 1 to 10.”
c). “I’ll assess your perineal area for the possible cause of the pain.”
d). “Would you like some pain medication before I continue with your care?”
a). “When did you start experiencing the pain?”
The nurse has delegated a male patient’s perineal care to the nursing assistive personnel (NAP). Which statement made by the NAP requires the nurse’s follow-up?
a). “I will check to see if he cleans himself well.”
b). “I will let you know if I see any redness or drainage.”
c). “I will ask him if he is experiencing any pain in that area”
d). “I will be sure to use hot, soapy water to be sure he’s clean.”
d). “I will be sure to use hot, soapy water to be sure he’s clean.”
What is the primary reason for performing perineal care on a male patient with incontinence?
a). To provide comfort and a relaxed, refreshed feeling
b). To promote personal hygiene while minimizing perineal odor
c). To remove all microorganisms from the patient’s perineal area
d). To reduce the risk of skin breakdown in the patient’s genital and perineal area.
d). To reduce the risk of skin breakdown in the patient’s genital and perineal area.
The nurse who is preparing to make an unoccupied bed should do what to ensure his or her personal safety?
a). Put on sterile gloves.
b). Place the call light within the nurse’s reach.
c). Place the bed at a comfortable working height.
d). Place a laundry bag on the bedside chair.
c). Place the bed at a comfortable working height.
The nurse is preparing to change the soiled linen of a patient’s unoccupied bed. Which precaution minimizes the risk of transmitting microorganisms?
a). Perform hand hygiene and apply clean gloves.
b). Place fresh linen on a clean bedside table or chair.
c). Put soiled linen in a pillow case before placing in a hamper.
d). Roll soiled linen together with the dirty sides toward the center.
a). Perform hand hygiene and apply clean gloves.
What would the nurse instruct the nursing assistive personnel (NAP) to do before making an unoccupied bed if the mattress is soiled?
a). Wash the mattress with hot water.
b). Wipe off moisture with antiseptic solution, and dry thoroughly.
c). Flip the mattress.
d). Apply a waterproof pad over the soiled area.
b). Wipe off moisture with antiseptic solution, and dry thoroughly.
The nurse is reviewing placement of an unfitted bottom sheet with nursing assistive personnel (NAP) assigned to make an unoccupied bed. What should the nurse include in this teaching?
a). The lower hem of the sheet should lie seam down and even with the bottom edge of the mattress.
b). Keep enough material to miter the lower mattress corners.
c). Apply the draw sheet on the cleaned mattress first.
d). Make the top of the bed first, moving to the bottom of the bed.
a). The lower hem of the sheet should lie seam down and even with the bottom edge of the mattress.
When making an unoccupied bed, where would the nurse place a waterproof pad?
a). Directly on the mattress.
b). Beneath the draw sheet.
c). Over the bottom sheet.
d). Over the top sheet.
c). Over the bottom sheet.
