Ch. 39 Hygiene

A nurse is caring for a client with a decreased level of consciousness. When performing mouth care, the nurse understands the importance of what type of positioning to decrease complications of oral care?

The client should be placed in a side-lying position to prevent aspiration.

When an adult client from Indonesia refuses a complete bath on the day after abdominal surgery, the nurse should ...

Understand that his culture may influence his hygiene and ask him his preference

A nurse is providing perineal care for a female client who has a decreased level of consciousness. Which of the following techniques should the nurse employ when providing this care?

Wipe from the pubic area toward the anal area.

An 80-year-old woman tells the nurse that she just itches all the time and her skin seems very dry. How do these symptoms relate to aging skin?

activity of the glands in the skin lessens

A nurse is teaching a patient how to care for her dentures. Which of the following is a recommended teaching guideline?

Store dentures in cold water when not in use.

The acute care nurse is talking with an older client who had a complete bed bath earlier in the day. The client states, "I like to be scrubbed clean during my bath and the person who bathed me today didn't even use soap and water, and barely rubbed my skin to dry it." Which of the following responses by the nurse is most appropriate?

"Use of special bathing products and avoidance of scrubbing help keeps your skin intact."

A nurse is reviewing proper toothbrushing procedures with a family. At what angle would the nurse advise to hold a manual toothbrush when cleaning the teeth? Fill in the blank with the correct number.

45

Patients on anticoagulants should use

Electrical razor and soft toothbrush

When providing oral care, which of the following does the nurse recognize as the most important component of the oral care process?

A thorough mechanical cleaning

A nurse is assisting a client to shave his beard. Which of the following statements accurately describes a recommended step in this process?

Apply cream to area to be shaved in a layer about ½-inch thick.

A nurse teaches student nurses recommended skin care practices for their patients. Which of the following statements accurately describes one of these guidelines?

Avoid using soap and water.

You are working in a facility and a client is being treated with frequent seizures. What person hygiene for a bath should you give with a client with seizures?

Bag-bath quicker and more comfortable

What are some safety factors to promote safety in the bathroom for older adults?

Bars, Pull cord(emergency), dry floor, non-skid in tubs

Which of the following is a recommended guideline when removing contact lenses from a client's eyes?

Before removing hard or gas-permeable lenses, use gentle pressure to center the lens on the cornea.

An older adult client with Parkinson's disease is unable to take care of himself. The client frequently soils his bed and is unable to clean himself independently. How should the nurse in this case ensure the client's perineal care?

Cleanse to remove secretions from less-soiled to more-soiled areas.

The nurse is caring for a female client who is unconscious. You should pay special attention to cleaning which of the following areas of the body?

Underneath the breasts and in between skin folds

What type of patients have specific toenail needs?

Diabetics

A nurse is brushing the hair of a client admitted to the health care facility following a fracture in the hand. The nurse implements this action based on the understanding that brushing the hair achieves which of the following?

Facilitates oil distribution

Older, continent patients who are hospitalized should receive a full bed bath with soap and water every day.

False

When shaving a male patient's face, pull the skin taut and use short, upward strokes.

False

Which of the following is a correct guideline to follow when providing a bed bath for a client?

Fold the washcloth like a mitt on your hand so that there are no loose ends.

Which of the following factors does not affect personal hygiene practices?

Gender

A nurse is examining an adult client with inflammation of the gums. The nurse observes bleeding gums. How should the nurse record the findings in the client's medical record?

Gingivitis

In order to maintain a healthy and hygienic integumentary system, a nurse is clipping the overgrown nails of an older adult client. Which other part should the nurse check to maintain the hygiene of the client's integumentary system?

Hair

When an African American adolescent client asks the nurse how to care for her long hair, which is braided into small braids, the nurse should instruct the client that

Hair should be washed as often as necessary

When the nurse cleanses the client's leg during a bed bath, it will allow for

Increased circulation

A 55-year-old client has just undergone surgery for a knee replacement. He asks the nurse if he can shave because his face is itching from the stubble. What information is a priority for the nurse to verify prior to shaving the client?

Medications listed on the clients MAR

Why do older adults not need a bath every day?

skin is too dry

The nurse assists the client to the bathroom sink to perform morning care. The nurse observes the client wash his face, arms, abdomen, and legs. The nurse washes the client's back and rectal area and applies soap to the back. The client brushes his teeth and ambulates to a chair in his room with assistance. How will the nurse describe the morning care on the client's chart?

Partial care

A kindergarten student is sent to the school nurse because she has been vigorously scratching her scalp for a few hours. The nurse's first action will be to assess the child for the presence of which of the following?

Pediculosis

What is a specialist for feet?

Podiatrist

A student has been assigned to provide morning care to a client. The plan of care includes the information that the client requires partial care. What will the student do?

Provide supplies and assist with hard-to-reach areas.

Upon review of the client's orders, the nurse notes that the client was recently started on an anticoagulant. What is an appropriate consideration when assisting the client with morning hygiene?

Provide the client with an electric shaver.

The nurse is caring for a woman who informs the nurse that she needs assistance to remove and clean her glass eye. What actions by the nurse are most appropriate to accomplish the task?

Pull down on the lower lid and exert slight pressure below the lid

The nurse is preparing to perform perineal care on an uncircumcised adult male client who was incontinent of stool. The client's entire perineal area is heavily soiled. Which of the following techniques for cleaning the penis is correct?

Retract the foreskin while washing the penis; then, immediately pull the foreskin back into place.

A home care nurse visits a client for follow up. During the visit, the client asks the nurse to explain the process for cleaning the soft contact lenses that he got recently. Which of the following would the nurse include when teaching the client about contact lens care?

Rinse with cleaning solution to remove debris

A nurse is shaving the facial hair of a bed-ridden patient. Which of the following is a recommended guideline for this procedure?

Shave with the direction of hair growth in downward, short strokes.

What type of bath is preferred to decrease the inflammation after rectal surgery?

Sitz bath

A client who has been admitted in the health care facility has had a surgery and is unconscious. The nurse needs to take care of the client's hygiene and oral care daily. The client's teeth and lips show dry crusts when there is a day's gap in the oral hygiene. Which of the following can best describe the client's oral condition?

Sordes

Before a long-term care resident goes to sleep at night, his dentures are placed in a denture cup with clean water. What rationale supports placing dentures in water?

To prevent drying and warping of plastic

A 76-year-old client is admitted to the health agency with a stroke. The nurse, while bathing the client, starts wiping and cleaning the body from feet onward. The client is incapable of assisting the nurse in the bathing process. Which of the following techniques is the nurse using to bathe the client?

Towel bath

An older adult resident of a long-term care facility has recurring problems with dry skin. Which of the following strategies should the nursing staff utilize in order to help meet the resident's hygiene needs while preventing skin dryness?

Use a nonsoap cleaning agent.

What should the nurse do to prepare the unconscious client for oral care? The nurse should

Use small amounts of water and oral suction device

A nurse is teaching an adolescent patient how to care for her acne. Which of the following is a recommended guideline?

Use water-based moisturizers and make-up.

A nurse providing hygiene and bathing for older adult clients knows that additional safety measures may be necessary in their care. When delegating care to an Unlicensed Assistive Personnel (UAP), the nurse explains that the following are true regarding safety of the older adult while bathing. Select all that apply.

Water temperature should be monitored carefully due to decreased temperature sensation. • Use of a tub/shower seat may be necessary if balance problems are present. • Using a long-handled shower brush or attachment helps with limited mobility.

A nursing instructor is explaining the benefits of bathing to a group of nursing students. She states there are numerous benefits beyond hygiene. A student understands the concepts when she lists the following benefits orally to the class. Select all that apply.

• Bathing can stimulate circulation. • Bathing can improve appearance and self-image. • Bathing removes organisms from the skin, reducing infection.

A nurse is assisting a client with a sitz bath. For what reasons is a sitz bath used? Select all that apply.

• Removes blood, serum, stool, or urine • Reduces local swelling • Relieves discomfort