Exam 9: Hygiene and Care of the Patient’s Environment

A nurse assesses an area of sustained redness on the coccyx area of a resident in long-term care. What is the most likely cause of this pressure area?

The nursing assessment of a pressure ulcer includes size, depth, pain, odor, and color of tissue. What does this evaluate?

A patient is recovering from a hemorrhoidectomy and experiences dizziness within 5 minutes when taking a sitz bath. What action should the nurse implement?

The nurse discovers a reddened area over a patient's hip. What should be the nurse's first intervention?

The nurse is bathing a patient with a deep vein thrombosis in the left leg. What modification will the nurse make when attending to the left leg?

The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area. What is the least amount of time the nurse will instruct for a sitz bath?

Because of its effect on epithelization, the LPN/LVN should confirm the order to use ____________ or _____________ on a stage III pressure ulcer.

Where should a nurse performing a backrub begin?

The nurse is preparing to bathe a patient. What should the room temperature be set at?

How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?

What does the nurse recognize is important to consider when using the nursing process to plan hygiene care of the patient?

The nurse is preparing to make an occupied bed. What procedure will the nurse follow to correctly complete this task? (Select all that apply.)

The nurse is providing personal hygiene for a Hindu patient from India. What intervention should the nurse implement?

The nurse attempts to avoid a pressure ulcer for a bedridden patient by turning the patient frequently. What is the most favorable position for the nurse to move this patient into?

How frequently should the nurse clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula?

The nurse is caring for an unconscious patient with a risk for skin impairment. How often will the nurse plan to change the position of this patient?

The nurse is assisting a patient to perform personal hygiene. What is the most important focus of the nurse when assisting this patient?

The nurse avoids dragging the patient across the bed linen to decrease the potential risk of skin injury by _________.

Proper hair care is important for the patient's self-image. What is the proper water temperature when shampooing a patient's hair?

As a safety precaution against breakage of dentures, the nurse should place __________ in the emesis basin before cleaning the dentures.