Hygiene (ch. 39)

Question 1

Why would the nurse instruct nursing assistive personnel (NAP) to hand the patient a mirror before trimming his moustache and beard?

Answer 1

to allow him to point out which areas he would like to have trimmed.

Question 2

What is the purpose of parting the patient’s hair into sections?

Answer 2

To make brushing and combing more effective

Question 3

Which action should be avoided when providing hair care for a bed-bound patient with a history of dizziness?

Answer 3

Placing the neck in a hyperextended position during the shampoo process

Question 4

In providing foot care, the nurse would soak the feet and hands of which patient?

Answer 4

in any patient with diabetes, vascular insufficiency, or peripheral neuropathy because of the inability to sense temperature and the increased risk of trauma and infection.

Question 5

Which action is most important in minimizing the patient’s risk for injury when preparing to shave a patient with a history of bleeding?

Answer 5

Review current platelet count and anticoagulation studies

Question 6

When preparing to provide mouth care to a patient who is in a coma, the nurse first ensures patient safety by doing what?

Answer 6

assess gag reflex

Question 7

The nurse is planning to insert an oral airway into an unconscious patient before performing mouth care. In which direction is the airway initially inserted into the patient’s mouth?

Answer 7

upside down or with curve facing upward

Question 8

The nurse is reviewing placement of an unfitted bottom sheet with nursing assistive personnel (NAP) assigned to make an unoccupied bed. What should the nurse include in this teaching?

Answer 8

The lower hem of the sheet should lie seam down and even with the bottom edge of the mattress.

Question 9

Which action ensures that a patient will not have unnecessary pain during a linen change?

Answer 9

Administer a prescribed analgesic 30 to 60 minutes before the bed change if needed.

Question 10

What will the nurse do right after placing a clean top sheet on the patient?

Answer 10

Remove the bath blanket

Question 11

When making a surgical bed with no patient present, at which time is it unnecessary to perform hand hygiene?

Answer 11

After disposing of soiled linen that is not visibly soiled

Question 12

Which instruction would the nurse give when asking nursing assistive personnel (NAP) to give a complete bed bath to a patient?

Answer 12

Do not massage any reddened areas on the patient’s skin.

Question 13

The nurse has washed a patient’s abdomen. Which area should the nurse wash next?

Answer 13

Legs

Question 14

As the nurse is preparing to provide perineal care to a female patient with limited mobility, the patient says, “I can do that myself.” Which action would be the priority?

Answer 14

Assess the patient’s ability to perform proper perineal care.

Question 15

The nurse observes the nursing assistive personnel (NAP) providing perineal care to a male patient. Which observation of care requires the nurse’s follow-up?

Answer 15

Reserving the cleansing of the tip of the penis as the final step in perineal care

Question 16

What is the primary reason for performing perineal care on a male patient with incontinence?

Answer 16

To reduce the risk of skin breakdown in the patient’s genital and perineal area.

Question 17

What is the initial step in preparing a fecal occult blood test?

Answer 17

Determine the patient’s ability to help obtain a sample.

Question 18

Which statement indicates proper interpretation of the results of a positive fecal occult blood test?

Answer 18

“Because it was positive, the patient must be asked when he or she last ate red meat.”