Skills 3

Question 1

1. Compare factors that influence personal hygiene practices.

Answer 1

-culture, access, socioeconomic status, personal beliefs, mental status, homelessness

Question 2

2. Discuss guidelines to follow when preparing a patient for a bed
   bath/shower.

Answer 2

-check IV lines, preparebath towel, get wipes or soap and water, lotion, wash each body part with a towel underneath. Make the patient feel comfortable and maintain privacy

Question 3

3. Analyze how hygiene for the older adult may differ from that for
   the younger patient.

Answer 3

-no powder it is a medium for bacterial growth

Question 4

4. Explain conditions that may put a patient at risk for impaired
   oral mucous membranes.

Answer 4

-chemotherapy

maybe cyanosis, jaundice?

Question 5

1. Identify principles of body mechanics.

Answer 5

-posture, balance, coordinated body movement, postural reflexes,

Question 6

4. Discuss the purpose and principles of range of motion (ROM).

Answer 6

-ROM exercise should be performed with patients so they can perform ADL’s. Do range of motion exercises especially with patients who can’t perform ADL’s in order to work towards, maintain, or not completely lose the range of motion.

Question 7

5. Identify indications for placing a patient in the following
   positions:
   Fowler’s-

Answer 7

Fowler’s- head of bed elevated to 45 to 60 degrees, promotes cardiac and respiratory function because it provides space in the thoracic cavity. Good position for eating, conversation, and urinary/intestinal elimination.

Question 8

5. Identify indications for placing a patient in the following
   positions:
   Supine-

Answer 8

Supine- flat on back with head and shoulders slightly elevated, for bed rest and sleeping.

Question 9

5. Identify indications for placing a patient in the following
   positions:
   Prone-

Answer 9

Prone- on stomach with head turned. Helps prevent flexion contractures of the hips and knees

Question 10

5. Identify indications for placing a patient in the following
   positions:
   Lateral-

Answer 10

Lateral- side lying, this is a good alternative for supine. Patients may want to sleep in this position.

Question 11

5. Identify indications for placing a patient in the following
   positions:
   Sim’s-

Answer 11

Sim’s- on stomach with arm behind body upper leg flexed with pillow under it.

Question 12

9. Explain how to prevent foot drop.

Answer 12

-putting something behind the foot or elevating (in stomach positions) to make the foot dorsiflex.

Question 13

Important foot care to remember.

Answer 13

• do not cut the nails of patients with diabetes or circulatory problems. Only file them.
• Do not moisturize between the toes of people with peripheral artery disease.