hygiene personal care bed making

Question 1

Don PPE in what oder

Answer 1

gown, mask, goggles, gloves

Question 2

Doff PPE in what order

Answer 2

gloves, goggles, gown, mask

Question 3

early morning care includes (before breakfast)

Answer 3

assist to bathroom/ BSC/ bedpan, provide supplies for face washing/ comb, assist with glasses/ denture

Question 4

AM care (after breakfast)

Answer 4

complete or partial bath (privacy, safety, warm water, top to bottom/ front to back, gentle strokes, dry, promote independence if they can)

Question 5

leg, foot and nail care includes

Answer 5

wash feet with warm water, dry throughly in-between toes, apply lotion, removes TEDs/ SCDs before bath, avoid massage of reddened areas, provide diabetic foot care if needed

Question 6

hair care includes

Answer 6

identify pts usual hair care/ styling preferences, wash (shampoo & water/ dry shampoo), shaving, tx any infestations (pediculosis or ticks)

Question 7

mouth and oral care include

Answer 7

assist with brushing and flossing (pt on blood thinner use soft brush), use swabs for pts with stomatitis, pt on oxygen mucous membranes will dry out (keep moist), pt with dentures (clean mouth & dentures/ line the sink with a towel so dentures don’t fall down drain or break)

Question 8

mouth and oral care for unconscious pt

Answer 8

place in sims position, tilt head, use kidney basin and suction to prevent aspiration

Question 9

eye care includes

Answer 9

clean from inner to outer canthus with wet, warm cotton ball, use new cloth for each eye, removal contacts or artificial eye, clean classes

Question 10

ear care includes

Answer 10

wash behind ears, was external ear with washcloth (do not use cotton tipped swabs), hearing aid teaching if needed

Question 11

nose care includes

Answer 11

pay close attention if pt has NG tube…, clean secretions from around the tube, replace tape once a day to prevent nasal mucosal irritation

Question 12

help with feeding includes

Answer 12

assess the pts ability to feed themselves, desire to make food choices/ eat, energy and muscular movements to eat, ability to safely chew and swallow

Question 13

help with toileting includes

Answer 13

asses pts ability to assist, check ambulation orders, frequently associated with falls, if urinal is full (assess amount, color, clarity, empty and record I & O)

Question 14

bed time care includes

Answer 14

assist with elimination, assist pt with washing hands and face, oral care, skin care, straighten/ change bed linens PRN

Question 15

back massage used as

Answer 15

relaxant after bath or at bed time, use warm lotion, long/slow strokes (effleurage)

Question 16

back massage effects

Answer 16

mood, pain, muscle tension, blood pressure, depth of respirations

Question 17

older adult body considerations

Answer 17

skin less elastic/ thinner, hair is thinner, dentures, may be HOH (hard of hearing)

Question 18

factors effecting self care

Answer 18

Environment: lack of access to facilities, poverty (water), wheelchair access; motivation; cognitive abilities; energy (illness, weakness, surgery); pain; neuromuscular function, sensory deficits

Question 19

nursing diagnoses for hygiene, personal care

Answer 19

self care deficit, impaired skin integrity, risk for injury, impaired mobility, ineffective health maintenance

Question 20

bathing rationales

Answer 20

provides opportunity for thorough skin assessment, eliminate perspiration, oils, dead skin(prevents body odor), enhances circulation, stimulates RR and depth, provides sensory input, allows pt teaching

Question 21

perineal care is important because

Answer 21

greatest risk for infection (catheters, genital surgery, childbirth), clean from least contaminated to most, performed with daily bath/ after every incontinence

Question 22

perineal care- male

Answer 22

clean form urinary meatus downward, clean crevices

Question 23

perineal care- female

Answer 23

clean front to back (pubic bone to sacrum)

Question 24

bed safety

Answer 24

lowest position, position safe for patient, side rails raised z(no more than 3 sides), wheels are locked, call light