Deck 29: Hygiene

Question 1

An unconscious patient requires mouth care every 2 hours.Before attempting mouth care,the nurse should first do which of the following?

A) Assess the patient for a gag reflex.
B) Position the patient in a prone position.
C) Have an operational suction machine nearby.
D) Retract the upper and lower teeth with a padded tongue blade.

Answer 1

Assess the patient for a gag reflex.

Question 2

A student nurse is caring for four patients in her senior clinical rotation.The patients are scheduled for baths that include washing their hair.Which of the patients will the student nurse need a health care provider's order to shampoo the hair?

A) A 56-year-old man with diabetic ketoacidosis
B) A 45-year-old woman with a neck injury
C) A 34-year-old man with facial laceration
D) A 67-year-old woman with pneumonia

Answer 2

A 45-year-old woman with a neck injury

Question 3

Which of the following interventions will decrease the chance of dry skin?

A) Daily baths in a soaker tub for 30 minutes
B) Inadequate fluid and nutrition
C) Leave moisturizing soap on the body
D) Use of superfatted soap

Answer 3

Use of superfatted soap

Question 4

A 45-year-old woman with diabetes who has been hospitalized with diabetic ketoacidosis.Which of the following is most important for the nurse to assess during bath time?

A) Skin bruising
B) Condition of teeth
C) Sensation to the foot
D) Skin folds for dirt

Question 5

Older adult patients produce less sebum and perspire less than younger patients.Therefore when providing personal hygiene the nurse should do which of the following?

A) Use hot water and regular soap.
B) Use plain water and a soft towel.
C) Provide a total bed bath every day.
D) Use warm water and a mild cleansing agent.

Question 6

The nurse is caring for a patient who is on a heparin drip for a deep vein thrombosis (DVT).During the bath,the nurse will wash the lower extremities using which of the following?

A) Circular motion to massage the legs
B) Long, firm strokes toward the heart
C) Short, firm strokes toward the heart
D) Short, light strokes

Question 7

The nurse is working on a long-term rehabilitation unit,is providing care for a 46-year-old woman who was the victim of a violent crime and suffered a head injury.The patient has an endotracheal tube,which is secured with tape.The tape is crusted with dried secretions.The nurse is providing personal hygiene for the patient and needs to replace the tape.What is the best way for the nurse to remove the tape?

A) Soak it with warm moist washcloths.
B) Pull it gently away from the skin.
C) Saturate it with denatured alcohol.
D) Soak it with adhesive remover.

Question 8

The health care provider orders meticulous foot care on a patient with diabetes.What is the best rationale for the nurse to assess the patient for complications?

A) Poor hygienic practices in patients with diabetes
B) Vascular changes, which reduces circulation
C) The aging process, which causes skin breakdown and ulceration
D) Limited joint range of motion, which makes caring for feet difficult

Question 9

A bedridden patient with long hair may experience problems with matting.What is the most appropriate nursing action?

A) Cut the matted hair away.
B) Braid the hair to reduce the tangles.
C) Use a thick, commercial product to grease the hair.
D) Keep the hair dry by applying powder every morning.

Question 10

A nursing student who is working on a postsurgical unit assisting patients with personal hygiene plans to provide a back rub to each of her patients.The nursing student discusses the importance of this activity because research demonstrates that it enhances patient comfort and relaxation with the nurse assigned to these patients.The nurse instructs her that back rubs would be contraindicated on which of the following patients?

A) A 56-year-old patient with a colon resection
B) A 45-year-old patient with a spinal cord injury
C) A 67-year-old patient with an appendectomy
D) A 24-year-old patient with an abdominal hysterectomy

Question 11

A patient is non-English speaking and unable to answer questions.When preparing to bathe this patient the nurse needs to remember which of the following?

A) Use soaps which contain deodorant to help control body odor.
B) Cultural heritage influences hygiene practices.
C) Shave facial hair to make the patient more presentable.
D) Diaphoresis will prevent skin breakdown and infection, so the patient should only be bathed once a day.

Question 12

The nursing student is caring for a patient with a hearing aid.The nursing student sees that the patient has taken out his or her hearing aid and set it on the windowsill.What should be the nursing student's next intervention?

A) Remove the battery from the hearing aid because it is not in use.
B) Cover the hearing aid with a lint-free cloth to protect it from the heat.
C) Remove the hearing aid from the windowsill because heat can change the shape of the ear mold, causing the appliance not to fit properly.
D) Remind the patient to put the hearing aid back in before meals.

Question 13

A nurse who works for a pediatric clinic is preparing a 13-year-old patient with strep throat for the health care provider.Which of the following is the most important patient teaching information to prevent re-infection?

A) "Replace your toothbrush."
B) "Floss thoroughly after each meal."
C) "Store your toothbrush with a toothbrush cover."
D) "Gargle with antiseptic mouthwash."

Question 14

The nurse is assigned to assist a 59-year-old woman who has suffered a stroke and has limited mobility.The nurse is performing perineal care and understands that the best way to prevent disease transmission to the perineum is that it should be cleaned:

A) from the rectal area to the urinary meatus.
B) from the urinary meatus to the rectal area.
C) in a circular motion.
D) only twice a day.

Question 15

A patient requires toenail care.While the nurse performs nail care and nail care education the patient is instructed to always do which of the following?

A) Use clippers or manicure scissors to trim the nails straight across.
B) Apply a hot water bottle to the feet before foot care to soften the tissues.
C) Apply over-the-counter preparations to any foot fungus or disease.
D) Apply moist wet-to-dry dressing on any cuts and cover with socks.

Question 16

The nursing assistive personnel (NAP)has been delegated the task of changing a postsurgical patient's bed.The NAP miscalculated the amount of linen needed and took more than needed.What is the best thing for the NAP to do with the unused linen?

A) Replace it in the linen closet.
B) Leave it in the room on the bedside table.
C) Use it in another patient's room.
D) Place it in a laundry bag to be laundered.

Question 17

A student nurse is bathing a patient with right lower lobe pneumonia.The student nurse is concerned with maintaining the patient's dignity,warmth,and safety.Which of the actions will prevent the spread of microorganisms?

A) Use superfatted soap.
B) Wash from the cleanest to the contaminated body part.
C) Use gloves when washing the patient's face.
D) Moving the call light out of reach of the patient to prevent it from becoming wet.

Question 18

The nurse is caring for a 64-year-old patient who is hospitalized after surgery for a left total knee replacement.While preparing the patient's personal care items for oral care,the patient states,"I have noticed a lot of plaque formation between professional teeth cleanings." Which of the following foods would the nurse suggest to help reduce plaque formation?

A) Soda
B) Whole grain breads
C) Citrus fruits
D) Processed sugar snacks

Question 19

The student nurse caring for a 56-year-old patient with acquired immunodeficiency syndrome (AIDS).While providing oral care for the patient the student nurse notes that the gums are reddened and bleed easily.The student nurse identifies this as a sign of what condition?

A) Dental caries
B) Gingivitis
C) Oral herpes
D) Thrush

Question 20

A 25-year-old patient was admitted to the surgical floor wearing contact lenses.Assistive personnel ask the nurse if contact lenses need special attention.The nurse informs the assistive personnel that non-extended-wear contacts left in the eyes for an extended period of time can cause which of the following?

A) Blindness
B) Corneal injury
C) Otitis externa
D) Otitis media