Hygeine

Question 1

What are the 6 factors of one’s life that affect personal hygiene?

Answer 1

• culture
• socioeconomic class
• spiritual practices
• developmental level
• health state
• personal preferences

Question 2

What are some interview questions for skin alterations?

Answer 2

• How long have you had this problem?
• Does it bother you?
• How does it bother you (itching)?
• Have you found anything helpful in relieving these symptoms?

Question 3

What are some physical factors to look for and consider when examining skin?

Answer 3

• Cleanliness
• Color
• Temperature
• Turgor
• Moisture
• Sensation
• Vascularity
• Evidence of lesions

Question 4

What are some guidelines to incorporate when assessing the skin?

Answer 4

Incorporate assessment of the skin
Use a good source of light
Compare bilateral parts for symmetry.
Use standard terminology
Allow data obtained to direct the skin assessment.
Identify any variables known to cause skin problems

Question 5

What is included in the assessment of the oral cavity?

Answer 5

Lips 
Buccal mucosa 
Color and surface of gums 
Teeth 
Tongue 
Hard and soft palates 
Oropharynx

Question 6

What things about a person puts them at risk for skin alteration?

Answer 6

Lifestyle factors 
Changes in health state 
Illness 
Diagnostic measures 
Therapeutic measures

Question 7

What is included in Morning Care (a.m. Care)?

Answer 7

After breakfast, the nurse completes:
Toileting 
Oral care 
Bathing 
Back massage 
Special skin measures 
Hair care, cosmetics 
Dressing 
Positioning for comfort 
Refreshing or changing bed linens 
Tidying up bedside

Question 8

What is included in Afternoon Care (PM Care)?

Answer 8

Ensure patient’s comfort after lunch:
Offer assistance with toileting, handwashing, oral care.
Straighten bed linens.
Help the patient with mobility to reposition self

Question 9

What is included in Hour of Sleep Care (HS Care)?

Answer 9

Before patient goes to bed:
Offer assistance with toileting, washing, and oral care.
Offer a back massage.
Change any soiled bed linens or clothing.
Position patient comfortably.
Ensure that call light and other objects patient requires are within reach.

Question 10

What is involved in As Needed Care (PRN Care)?

Answer 10

Offer individual hygiene measures as needed.
Change clothing and bed linens of diaphoretic patients.
Provide oral care every 2 hours if indicated.

Question 11

How do you provide a Bed Bath?

Answer 11

Provide articles for bathing on overbed table or bedside stand.
Provide privacy for patient.
Remove top linens and replace with bath blanket.
Place cosmetics in convenient place.
Assist patients who cannot bathe themselves completely.

Question 12

What is involved in the PHYSICAL assessment of the oral cavity?

Answer 12

Observe for oral problems. 
Dental caries 
Periodontal disease 
Other oral problems 
Identify actual or potential oral problems that nurses can treat. 
Identify appropriate nursing measures. 
Carry out the care plan.

Question 13

Cheilosis definition:

Answer 13

An ulceration of the lips.

Question 14

Stomatitis definition:

Answer 14

An inflammation of the oral mucosa.

Question 15

Glossitis definition:

Answer 15

An inflammation of the tongue.

Question 16

How to ensure bedside safety: (9)

Answer 16

• The bed is in its lowest position.
• The bed position is safe for the patient.
• The bed controls are functioning.
• Call light is functioning and within reach
• Side rails are raised
• The wheels are locked.
• Linens are clean, free of crumbs and wrinkles.
• The patient feels comfortably warm
• Pressure areas are protected from rough sheets and water-repellent materials.

Question 17

What is the patient outcome achievement ?

Answer 17

• Level of patient participation in hygiene program
• Elimination of, reduction in, or compensation for factors interfering with independent execution of hygiene measures
• Changes related to specific skin problems and independent patient management of prescribed treatment program