Hygeine

Question 1

When assessing the skin what are we looking for

Answer 1

a health history to determine the clients skin care practices, self care abilities, and past or current skin probs
physical assessment of the skin

Question 2

Assesment of the client self care abilities shows

Answer 2

how much assistance is needed

type of bath

Question 3

What is important to consider with patients for bathing probs

Answer 3

balance
coordination 
cognition 
motivation 
ability to sit unsupported 
vison 
ROM

Question 4

What are the functional levels of the client

Answer 4

0- completely indepep
+1- requires use of equipment
+2- requires help from another person for assistance, supervision or teaching
+3- requires help from another person and equipment
+4- does not participate in the activity

Question 5

Inspection of the skin invovlves

Answer 5

inspection and palp

Question 6

When is a common time to assess the clients skin color, turgor, temperature, intactness, and lesions

Answer 6

during hygeinic care

Question 7

What are some common nursing diagnostic labels

Answer 7

self care deficit
bathing selfcare deficit 
dressing self care deficit 
toileting self care deficit 
feeding self care deficit

Question 8

What are some common etiologies to self care deficits

Answer 8

decreased/lack motivation
weakness
tiredness
pain 
cognitive /perceptual impariment
medically imposed restrictions 
neuromuscular/musculoskeletal impairment

Question 9

What are some common nursing interventions for skin hygeine

Answer 9

assisting with bathing and skin care
massaging for improving circulation
teaching about hygeine practices
demonstrate how to use equipment

Question 10

What are the guidelines for skin care

Answer 10

Make sure care doesnt damage the skin
Account for the degree of protection the skin has based on the general health of the patient
too much Moisture can cause problems
the best deoderant is cleanliness
skin sensitivity varies between individuals
use the right skin care agent for the job

Question 11

What are some agents commonly used on the skin

Answer 11

soap
chlorhexidine gluconate (CHG) 
Bath oils 
Skin creams/lotions
powders
deoderants
antiperspirants

Question 12

What is bathing good for

Answer 12

cleaning
stimulating blood circulation
ppromoting a sense of well-being
giving an opportunity to assess the skin

Question 13

What are the two categories of baths

Answer 13

cleaning

therapeutic

Question 14

What are the cleaning baths

Answer 14

complete bed bath
self-help bed bath
partial bath
bag bath 
towel bath 
tub bath shower

Question 15

What does the nurse do in the complete bed bath

Answer 15

washes entire body

Question 16

What does the nurse do in the self help bed bath

Answer 16

helps wash hard to reach areas only like back and feet

Question 17

What does the nurse do in the partial bath

Answer 17

washes only the parts of the body that may cause discomfort or odor if neglected

Question 18

What does the nurse do in the bag bath

Answer 18

the nurse heats up a container containing wash clothes that have no-wash cleanser solution in them

Question 19

What does the nurse do in the towel bath

Answer 19

same thing as the bag bath except with a towel

Question 20

What does the nurse do in the tub bath

Answer 20

depends on how much assistance the client needs

Question 21

What does the nurse do in the shower

Answer 21

depends on how much assisstance the client needs

Question 22

What general temp should the water be

Answer 22

43 to 46

Question 23

What is an advantage of CHG

Answer 23

the antimicrobial activity of it continues after application