Chapter 37 Hygiene Flashcards
What should a nurse try and accomplish when assisting a client during bathing?
Cleansing the body, relax it, enhance healing
Perform skin assessment and wound care.
Bath clients whose health problems have exhausted them or limited mobility.
For most clients, personal hygiene includes:
Bathing Oral care Nail and foot Perineal Hair Shaving
When should a complete bath be given to clients?
When the client can tolerate it and their hygiene needs it.
When are partial baths useful?
When a client can not tolerate a complete bath but need particular cleansing of odorous or uncomfortable areas or they can perform part independently.
Why is proper oral hygiene important for clients living in long-term care facilities?
It can reduce the risk of infection especially from transmission of pathogens that can cause pneumonia.
When is foot care extremely important and what can it prevent?
When a client has diabetes mellitus. Proper foot care prevents skin breakdown, pain and infection.
What does perineal care help maintain?
Skin integrity, relieve discomfort and prevent transmission of micro-organisms (catheter care)
How does culture play an important role in hygiene preferences and practices?
Some cultures have unique hygiene practices. Always be respectful and observant of specific cultural needs.
When making an assessment and taking data collection what should a nurse be looking for?
Skin color, hydration, texture, turgor any lesions or other impaired integrity.
Check condition of gums and teeth for dryness or inflammation.
Assess skin surface (feet and nails)
What is the proper intervention when giving a bed bath?
Collect equipment, provide privacy, explain producer.
Apply gloves
Lock wheels on bed
Place a bath blanket over client and remove gown
Obtain bath water
What should you wash first when giving a bed bath?
The face, or allow the client to do so if able.
What are the six principals of perineal care?
Provide privacy Maintain professionalism Remove any fecal material Clean area from front to back Dry thoroughly Retract the foreskin of male clients was tip then replace foreskin.
Regarding foot care, what should a nurse instruct clients at risk for injury to do?
Inspect feet daily (special attention to area between toes)
Use lukewarm water and dry feet
Apply moisturizer to feet (not between toes)
Wear clean cotton socks
Cut nails straight across
What are the steps of changing liens on an occupied bed?
- Roll bottom linens up in the bottom sheet under the client who is turned on their side facing opposite direction.
- Apply clean bottom liens to the bed and extend then to middle of bed with remainder of lien fan folded underneath the client.
- Have client roll over the liens and face opposite direction then remove the used liens and apply clean.
- Apply upper sheet and blanket.
- Pillowcase, insert one hand into the opening, grab pillow, and turn pillowcase inside out.
- Apply clean pillowcase by grasping the center of closed end, turning the case inside out, fitting the pillow into the corner of the case. Pull the case until it’s right side out over pillow.
When performing oral hygiene on an unconscious client what are the appropriate steps?
Have suction apparatus ready at beside
Position them side-lying with head turned toward you. (Either semi-fowler a position or head of the bed flat)
