Hygiene

Question 1

What are factor’s that influence hygiene practices?

Answer 1

• Culture
• socioeconomic class
• religion
  -developmental level (physical and cognitive), -psychosocial health
• health & energy
• personal preference

Question 2

What are the components of taking hygiene history?

Answer 2

-Daily and weekly bath habits
-Barriers to patient maintaining hygiene
-Pain and movement disorders
-Special Hygiene practices used or needed (mouth, EENT, hair, feet, perineum)

Question 3

What are the types of care?

Answer 3

Early morning, morning, afternoon, evening

Question 4

What does skin do for the body?

Answer 4

-Protects, provides barrier
-Regulates temp
-Secretes sebum
-Transmits sensation
-Produces Vitamin D

Question 5

What does bathing do for patients?

Answer 5

-Removes accumulated oil, perspiration, dead skin cells, some bacteria
-Increases circulation
-Enhances sense of well being
-Provides opportunity to assess skin

Question 6

What are the basic principles for hygiene?

Answer 6

-Clean to dirty
-Change water as needed
-Keep client covered for warmth and privacy
-Dry gently (patting, not rubbing)

Question 7

When you are providing a bath what level should the bed be at?

Answer 7

Elevate the bed to height that prevents you from stooping over (bed level with your hips at least)

Question 8

When you leave the patient’s bedside what level should you have it?

Answer 8

At the lowest level

Question 9

How many side rails can be up while you are giving a bath?

Answer 9

Leave the side rail up on the opposite side

Question 10

What is a complete bed bath?

Answer 10

Wash entire body in bed with basin of water and wash cloth

Question 11

What is a “bag bath”?

Answer 11

Wash entire body in bed with warmed, disposable wipes

Question 12

What is a partial bed bath?

Answer 12

Face, hands, ancillary, groin and perineal area, under breasts and other “folds” and back

Question 13

What types of showers are there?

Answer 13

Shower with chair & hand held shower head

Question 14

When doing hair care what should you be looking for?

Answer 14

Note any history of hair or scalp problems such as dandruff, hair loss or baldness; if hair is matted, start combing gently at the tip and provide any special needs

Question 15

How should you wipe the eye when cleaning?

Answer 15

Wipe from inner to outer canthus

Question 16

What type of solutions should you use for eye?

Answer 16

Water or normal saline

Question 17

What should you assess for during eye care?

Answer 17

Contacts/glasses/prosthesis and drainage, redness, dryness

Question 18

What should you assess during nose care?

Answer 18

For drainage/latency, if has an NG tube or receiving oxygen look for breakdown

Question 19

How do you do nose care?

Answer 19

Cleanse nose by having patient blow nose if both nares are patent, cleanse with wash cloth, remove crusted sections around nose with warm, moist compress

Question 20

What do you assess for during Ear Care?

Answer 20

For drainage/cerumen, hearing aids, if receiving O2 assess behind ears

Question 21

What do you assess for during mouth care?

Answer 21

Open sores, plaque, gingivitis

Question 22

How do you remove dentures?

Answer 22

Remove with gloves, use paper towel and put it in cup stored with water

Question 23

Why do you fill sink with water and put towel when cleaning dentures?

Answer 23

If they happen to fall out of hands they wont break when falling into sink

Question 24

Are we allowed to cut nails?

Answer 24

Not without doctor’s order; only file carefully

Question 25

What is the most important thing to do with foot care?

Answer 25

Pay special attention to between the toes, and make sure they are clean and dry

Question 26

What are the bed making principles ?

Answer 26

-Done daily, and as needed
-Wear gloves if soiled
-Hold linen away from uniform
-Never place linen on another bed or floor
-Place in hamper or in pillow case
-Never shake linen
-Gather all supplies prior to beginning

Question 27

What is the foot are for diabetic patients?

Answer 27

-Inspect food daily
-Wash feet with lukewarm water and dry
-Appropriate shoe size and dry socks
-Do not smoke
-Do not cross legs for long periods of time
-When sitting wiggle your toes and move ankles up and down for 5 minutes 2 or 3 times day

Question 28

How does the bed look if left open?

Answer 28

Linens folded back to allow client to get in

Question 29

How does bed look closed?

Answer 29

Linen up

Question 30

The nurse performs the bath for the patient rather than delegating it to the nursing assistant. What benefits does that have for the patient?

Answer 30

Allows for nurse-patient relationship