Exam 11: Bathing and Personal Hygiene

The nurse is getting ready to shampoo a patient's hair and notices bites behind the ears and on the hairline.After notifying the health care provider, what is the next step?

The nurse is planning to delegate foot care to the NAP for three patients.Which patient should the nurse do the foot care for?

The nurse is preparing to shave a patient's beard.Which approach is best for the nurse to use?

The patient has an endotracheal tube (ET) and is unresponsive to painful stimuli.Which action should the nurse implement while providing oral care?

An unconscious male patient's beard has become soiled with blood and adhesive tape residue.What should the nurse do initially to maintain the patient's hygiene?

The nurse bathes an unconscious patient.Which action should the nurse implement to maintain infection control during a bed bath?

The patient's skin is thin and tight.Which approach should the nurse implement to maintain skin integrity?

The nurse assesses the incontinent patient's perineal skin and notes redness.What does the nurse include in the patient's plan of care to individualize nursing care?

The nurse offers personal hygiene to a very modest patient.Which does the nurse implement to maintain patient dignity and respect?

The nurse is providing a bath for a patient at risk of deep vein thrombosis.Which technique should the nurse use?

The nurse is caring for four patients with different diagnoses.Which patient should the nurse shave with an electric razor?

The nurse is caring for an unconscious patient.The student nurse asks why oral care is necessary since the patient does not eat.What response by the nurse is best?

The nurse instructs the spouse of an elderly patient who is on bed rest on how to provide a complete bed bath.What does the nurse include in the patient/family teaching?

The nurse determines that the patient is physically incapable of maintaining his personal hygiene.What is the most appropriate nursing approach for this patient?

A female patient is on bed rest.In which position should the nurse place her to provide perineal care?

The nurse identifies several abrasions on the patient's skin.Which intervention does the nurse use for the patient?

A patient reports itching skin on the back.What should the nurse do initially to relieve the patient's discomfort?

The patient is able to sit in the chair while the bed is being made.What nursing process step should the nurse implement for bed making?

An older adult is admitted for a respiratory infection and is found to have very dry skin with several areas exhibiting some cracking.What question is most important for the nurse to ask the patient?

The nurse is preparing to bathe the patient.Which patient statement would best communicate a desired outcome as a result of the nurse's bathing and skin care?