Chapter 40 Flashcards
What factors influence in hygiene??
personal preference Social practice Body image Socioeconomic status Cultural factors Health beliefs and motivation Development stages Physical conditions
When providing hygiene integrate nursing skills such as
Patience assessment
Intervention
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
C
A male nurse Is caring for a 32-year-old female Muslim patent who has an
Indwelling Foley catheter. After Introducing himself to the patent, the nurse
learns that the patent 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 pat gyt if she prefers a family member assist with the care
A
D
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.
A
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. Ridge dentures after meals.
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
B
C
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:
A. Trendelenburg’s.
B. Reverse Trendelenburg’s.
C. Fowler’s.
D. SemiFowler’s
C
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 ofyashcloth for each cleansing wipe.
D. Used a circular motion to cleanse from urinary meats outward.
B
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.
D
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
A
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.
B
D
examples of diagnoses
commonly associated with hygiene-related problems:
Activity Intolerance Impaired Dressing and Grooming Impaired Mobility Impaired Health Maintenance Impaired Skin Integrity
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 Senty of fluids.
C
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 Everly warm.
B. Room door is open to the hallway.
C. Television volume is too loud.
D. Strong odor of urine is detected.
B
