Deck 18: Hygiene and Care of the Patient’s Environment

Question 1

When the nurse is preparing a tepid bath for a patient,the water temperature should be:

A) 98.6° F.
B) 100.2° F.
C) 104.8° F.
D) 110.4° F.

Answer 1

98.6° F.

Question 2

To meet the needs of an unconscious patient with a risk for skin impairment,the nurse will plan to have the patient's position changed every:

A) 30 minutes.
B) 60 minutes.
C) 120 minutes.
D) 180 minutes.

Answer 2

120 minutes.

Question 3

Perineal care for the female patient requires draping the patient.The best method for using a bath blanket to drape the patient is to place it in a:

A) square position.
B) long position.
C) diamond position.
D) rectangular position.

Answer 3

diamond position.

Question 4

If a patient recovering from a hemorrhoidectomy experiences dizziness within 5 minutes when taking a sitz bath,the nurse should:

A) cover the patient to prevent chilling.
B) stay with the patient until the full time for the bath has elapsed.
C) remove the patient from the sitz bath and return to bed.
D) assess vital signs every 5 minutes during the remainder of the sitz bath.

Question 5

The nurse should cleanse the meatal-catheter junction of a patient with an indwelling catheter at least:

A) once a day.
B) twice a day.
C) at bedtime.
D) each shift.

Question 6

When shaving a patient,the nurse must remember to use an electric razor when:

A) a bleeding tendency is present.
B) there is a risk for suicide.
C) the facial hair is fine.
D) speed is essential.

Question 7

When bathing a patient with a deep vein thrombosis in the left leg,the nurse will modify the attention to the left leg by:

A) washing the leg with long,firm strokes and drying with a towel.
B) omitting washing the leg at all.
C) gently washing the leg and patting dry with a towel.
D) applying lotion in long,smooth strokes.

Question 8

The nurse assessing a red blister over the right superior iliac area documents this decubitus ulcer as stage:

A) one.
B) two.
C) three.
D) four.

Question 9

The nurse attempts to avoid a pressure ulcer for a bedridden patient by turning the patient frequently and moving to which favorable position?

A) Back-lying
B) Full lateral
C) 30-degree lateral
D) Full prone position

Question 10

The nurse should clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula at least every:

A) 2 hours.
B) 6 hours.
C) 8 hours.
D) 10 hours.

Question 11

Before giving the patient a bath,the nurse must ensure that the temperature of the room should be no cooler than:

A) 67° F.
B) 68° F.
C) 70° F.
D) 75° F.

Question 12

After cleaning a patient's dentures,the nurse will replace them by:

A) inserting the lower denture first.
B) asking the patient to insert them.
C) inserting both dentures together.
D) inserting the upper denture first.

Question 13

The nursing assessment of a pressure ulcer includes size,depth,pain,odor,and color of tissue to evaluate:

A) treatment needed.
B) effectiveness of implementation.
C) whether improvement is occurring.
D) need for additional interventions.

Question 14

Proper hair care is important for the patient's self-image.When shampooing a patient's hair,the proper water temperature is:

A) 101° F.
B) 105° F.
C) 110° F.
D) 120° F.

Question 15

When providing hand and foot care,the person best prepared to provide nail care for patients with extremely hard nails is the:

A) physician.
B) RN.
C) CNA.
D) podiatrist.

Question 16

The nurse assessing a patient's skin for signs of impaired skin integrity knowing that a major manifestation is a(n):

A) burn.
B) laceration.
C) pressure ulcer.
D) infection.

Question 17

The nurse focuses on oral hygiene to maintain a healthy state of the oral cavity,as well as to:

A) improve self-esteem.
B) stimulate appetite.
C) restore tooth destruction.
D) assist with periodontitis.

Question 18

The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area and should last at least:

A) 10 to 15 minutes.
B) 20 to 30 minutes.
C) 30 to 40 minutes.
D) 1 hour.

Question 19

Clear water is used to cleanse the eyes.It is important to use proper technique when cleansing the eyes to prevent infection,and the direction in which the water should flow is:

A) upward toward the forehead.
B) downward toward the chin.
C) from the outer toward the inner canthus.
D) from the inner toward the outer canthus.

Question 20

When there is sustained skin pressure,especially over bony prominences,pressure ulcers may form as a result of:

A) heat from pressure.
B) collapse of blood vessels.
C) friction from pressure.
D) collapse of skin tissue.

Question 21

When the nurse discovers a reddened area over a patient's hip,the first intervention should be to:

A) cover the area with an occlusive dressing.
B) apply mild ointment with a cotton-tipped applicator.
C) press the area gently to assess for blanching.
D) rub gently to increase circulation.

Question 22

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

Question 23

The nurse lowers the bed to place the patient on the bedpan,then raises the head of the bed to which angle?

A) 20 degrees
B) 45 degrees
C) 90 degrees
D) 30 degrees

Question 24

In providing personal hygiene for a Hindu patient from India,the nurse should:

A) not serve meat.
B) shampoo the patient's hair weekly.
C) give a daily bath.
D) cut nails monthly.

Question 25

The patient who is allowed to take a tub bath should be told the maximum length of time to remain in the water is:

A) 5 to 10 minutes.
B) 10 to 20 minutes.
C) 20 to 30 minutes.
D) 30 to 40 minutes.

Question 26

If a physician orders a patient to be placed in Trendelenburg's position,the nurse should position the bed:

A) on the floor.
B) parallel with the floor.
C) tilted with the head of the bed down.
D) tilted with the foot of the bed down.

Question 27

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

Question 28

To prevent skin breakdown in a wheelchair-bound patient,the nurse teaches the patient to shift the patient's weight every _______ minutes.

Question 29

When performing male perineal care,the nurse should cleanse the meatal opening:

A) from the meatus outward.
B) with an alcohol swab.
C) in a circular motion.
D) with a cotton-tipped applicator.

Question 30

When teaching personal hygiene,the nurse teaches the patient that no matter how minimal,an important component is:

A) nursing care.
B) independence.
C) repetition.
D) performance.

Question 31

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

Question 32

Using the nursing process to plan hygiene care of the patient,the nurse recognizes that it is important to consider the:

A) nurse's orders.
B) doctor's orders.
C) patient's preferences.
D) outcome goals.

Question 33

The nurse must follow the principles of medical asepsis while making a patient's bed,including procedures for handling linens.Soiled linens should be:

A) placed on the floor.
B) fanned in the air.
C) held away from the uniform.
D) placed at the end of the bed.

Question 34

If a physician orders a patient to be placed in reverse Trendelenburg's position,the nurse should place the bed:

A) on the floor.
B) parallel with the floor.
C) tilted with the head of the bed down.
D) tilted with the foot of the bed down.

Question 35

Which guideline should be followed when giving a backrub?

A) Observing the skin for abnormalities
B) Massaging for at least 10 minutes
C) Following massage with a brisk alcohol rub
D) Conversing with patient continually throughout the backrub
E) Using alcohol-based lotion for disinfection

Question 36

The nurse performing a backrub should begin at the:

A) shoulder.
B) base of the neck.
C) sacral area.
D) lumbar area.

Question 37

The nurse caring for a patient experiencing presbycusis should instruct nursing personnel to:

A) speak quickly to the patient.
B) speak in loud tones to the patient.
C) speak slowly and clearly to the patient.
D) tell the patient they must purchase a hearing aid.