ATI- personal hygene
When planning morning hygiene care for a postoperative patient, which of the following actions should the nurse include?
Ask the patient in what order she typically performs her morning routine. The patient's plan for routine morning care should be tailored to the uniqueness of the patient's typical routine.
A nurse is assisting a patient with personal hygiene care. Which of the following actions by the nurse will reduce the risk of infection?
Cleaning the least-soiled areas prior to cleaning the most-soiled areas The least-soiled areas should be cleaned first to prevent moving more contaminants into the cleaner areas.
While performing a complete bed bath for a patient, the nurse should
raise the room temperature
A nurse is caring for an unconscious patient. Which of the following statements by the nurse indicates an understanding of providing good oral hygiene for the patient?
"I'll swab the patient's mouth with diluted hydrogen peroxide." Chlorhexidine is the correct solution to use for daily oral care for the unconscious patient because evidence-based practice indicates it improves patient outcomes by preventing microbial build-up.
A nurse is caring for an adult patient who is NPO. The patient is refusing oral care. Which of the following is an appropriate response by the nurse?
"Oral care is still important even though you are not eating." Bacteria are still present in the oral cavity regardless of NPO status. It is important to perform oral care to help reduce oral bacteria and keep the oral cavity moist.
A nurse is preparing to assist a patient with a tub bath. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.)
-Gather all necessary supplies -place a rubber mat on the tub floor -assist the patient into the bathroom -instruct the patient on using safety bars when getting in and out of the tub -instruct the pt to remain in the tub for no longer than 20 mins
A nurse is caring for a patient who is on long-term bedrest and requires frequent linen changes due to excessive diaphoresis. Which of the following is the priority rationale for frequent linen changes?
Moisture from excessive diaphoresis can cause skin breakdown.
A nurse observes an assistive personnel (AP) make a client's bed while the client is out of the room. Which of the following actions by the AP is appropriate for this task?
The AP reuses the patient's blanket and spread.