Hygiene

The nurse provides nail cuticle care for a patient and uses which technique?

Uses a nailbrush for cleaning

The nurse observes a caregiver who is performing foot care on an older patient. Which action by the caregiver may lead to decreased peripheral circulation?

Using oval corn pads

The nurse reviews the plan for oral care for a patient who is at a risk of oral mucositis because of chemotherapy. The nurse questions which item listed on the plan?

Apply oil-based moisturizer to the lips

The nurse is caring for a patient with acne and provides which instruction for skin care?

Avoid squeezing the acne Use cosmetics sparingly Use prescribed topical applications. Eliminate foods that aggravate the condition from diet

The nurse provides instructions to a patient with pediculosis capitis and includes which information?

Avoid using products containing lindane

The nurse determines that a patient has glossitis based on which assessment finding?

Change in color of tongue Change in thickness of tongue

The nurse identifies that which physiological effect may be associated with using oval corn pads under the feet?

Decreased circulation to surrounding tissues

A patient experiences several draining wounds. The nurse individualizes the patient's plan of care and recognizes that which specific action should be taken when making the bed?

Frequently inspecting the bed for soiled or wet linens

A patient with dementia often screams and hits while receiving hygiene care. Which technique does the nurse use to reduce stress during the bathing experiencing?

Give the patient options for making decisions Consider an alternative to traditional bathing, such as the bag bath

On assessment, the nurse finds that the patient has bad breath. Which condition does the nurse document?

Halitosis

The nurse reviews the plan for foot care of a patient with corns and questions which intervention?

Oval corn pads

Which statement is true regarding the skin?

The dermis is formed by bundles of collagen and elastic fibers

A sitz bath is an example of which type of bath?

Therapeutic bath

The nurse instructs a patient to use safety bars when getting in and out of the tub. Which rationale explains this intervention?

To prevent slipping and falling

The nurse advises a patient to avoid the use of dry razors. Which condition is the nurse trying to prevent?

Weakening of the epidermis

To place a patient in the semi-Fowler's position, the nurse should elevate the head of the bed to which angle?

30 to 45 degrees

The nurse presents education about foot problems to a group of nursing students and includes which definition of a callus?

A callus is flat, painless, and found on the undersurface of the foot or palm of the hand

The nurse plans hygiene care for four patients and determines that which patient should be bathed first?

A patient who is experiencing frequent, incontinent diarrheal stools

Which instruction is beneficial to a patient with dry skin?

Add moisture to the air by using a humidifier

The nurse provides education to a group of nursing students about the use of chlorhexidine gluconate (CHG) and includes which information?

CHG helps reduce the occurrence of health care-associated infection

The nurse observes a caregiver providing bathing and perineal care to a patient with pruritus. Which action by the caregiver indicates the need for further learning?

Cleansing the patient with soap

Which condition impairs the healing function of skin?

Diabetes mellitus

While assessing a patient, the nurse notes inflamed gums and documents which condition in the patient's medical record?

Gingivitis

Which information regarding bed making is accurate?

Organize bed-making activities to conserve time and energy

The nurse assesses a patient and identifies that which foot problem is most likely to change the patient's gait?

Pain

The nurse observes a caregiver making the bed of a postoperative patient. The nurse identifies that which action needs to be corrected?

Places extra linens in the patient's room Tucks or miters the top sheets and spread

Arrange the steps for applying the bottom sheet to an unoccupied bed in correct order

Remove the soiled linen and place it in a laundry bag Reposition the mattress and wipe off any moisture with a washcloth moistened in antiseptic solution Apply all of the bottom linen on one side of the bed before moving to the opposite side Ensure that the fitted sheet is smooth over the mattress While standing at the head of the bed, miter the top corner of the bottom sheet

To reduce mechanical irritation of the skin, the nurse makes which suggestion to a patient?

Use smooth linen cloths

Which statement is correct about a type of baths?

A partial bed bath is indicated in a patient with pain A sponge bath is indicated in a patient sitting in a chair A complete bed bath is given to patients who are very ill

The nurse observes a caregiver making an occupied bed. The soiled bedspread and blanket are removed and discarded in a linen bag. Then the patient is positioned on the far side of the bed with the patient facing away from the caregiver. The caregiver finds that the mattress is wet and covers it with linen. The nurse identifies that which action by the caregiver may lead to the spread of infection?

Applying the linen over the wet mattress

The nurse bathes an older patient using a pack of cotton cloths that are premoistened with a surfactant cleaner and an emollient. Which bath is being given to the patient?

Bag bath

While assessing a patient's oral cavity, the nurse observes cracked lips. Which condition does the nurse document in the patient's medical record?

Cheilitis

Which assessment question does the nurse ask when providing mouth care?

Do you have any mouth pain or toothaches?

While bathing, a patient with dyspnea reports feeling extremely tired. Which action does the nurse take?

Elevate the head of the patient's bed

Which foot problem is common in middle-aged women?

Morton's neuroma

Which type of bath is most appropriate for a patient with an inflamed and swollen rectum, perineum, and genital area?

sitz bath

The nurse is caring for four older patients and identifies that which patient should be bathed twice a week?

A patient with dry skin

A patient asks the nurse about reasons for dry and flaky skin and loss of protective oils from the skin. The nurse includes which possible cause for the condition?

Bathing frequently Bathing with hot water

The nurse is preparing to administer oral care to a patient who is unconscious. The nurse identifies that which bed position is appropriate when performing this activity?

Sims' position Semi-Fowler's position

The nurse obtains a prescription for a sitz bath to address which patient need?

To soothe the patient whose perineum is inflamed

Which patient is at risk for poor hygiene practices?

A patient diagnosed with dementia A patient experiencing acute psychosis A patient who had a cerebrovascular accident A patient who suffered from a traumatic brain injury

The registered nurse provides education to a group of nursing students about critical thinking. Which statement by a student indicates the need for further teaching?

Anticipating information is not part of making clinical judgments

Which assessment will the nurse perform to determine a patient's ability to perform foot care?

Balance Visual acuity Muscle strength and flexibility Orientation and cognitive function

Which factor influences a patient's hygiene practices?

Cultural beliefs Personal values Functional ability Religious practices Available resources

A 25-year-old patient reports an infection caused by a break in skin integrity after using home remedies for foot corns. The nurse suspects that which foot care practice caused this condition?

Cutting corns or calluses with a razor blade

When assessing an older patient, the nurse notes dry feet and identifies which cause of this condition?

Dehydration of epidermal cells Decrease in sebaceous gland secretions

The nurse reviews a patient's medical record and notes that the patient often becomes afraid or fights while being bathed. Which condition may be responsible for this type of reaction?

Dementia

The nurse provides education to a group of nursing students related to hygiene care. Which statement made by a student indicates the need for further teaching?

I should be confident and judgmental while providing care

The nurse provides information for a nursing student about the implications of skin care. Which statement made by the student indicates the need for further teaching?

I should maximize friction by moving the patient frequently

The nurse provides an older patient with education related to skin care. Which patient statement indicates the need for further teaching?

I should use hot water for bathing

The nurse provides instructions for a patient about oral hygiene according to American Dental Association guidelines. Which patient statement indicates the need for further teaching?

I will use lemon-glycerin sponges to clean my oral cavity I will use commercially made foam swabs to brush my teeth I will drink the mouthwash directly from the bottle for a mouth rinse

The nurse teaches a patient who is receiving radiation therapy to the neck about ways to reduce the risk of stomatitis. Which patient statement indicates effective learning?

I will use normal saline for rinsing. I will rinse my mouth every 2 hours.

Which statement is true about the development stage of adolescents?

In girls, the skin becomes soft with increased vascularity

The nurse provides care for an adolescent with acne and recalls which primary reason for the condition?

Increased inflammation of sebaceous glands

When providing care for a patient with diabetes, the nurse pays particular attention to the patient's gait to determine the presence of which condition?

Loss of cutaneous sensation in the feet

The nurse provides care for a 45-year-old woman who reports frequent burning and numbness of the feet and foot pain when standing for a long time. The nurse suspects which condition?

Morton's neuroma

The nurse teaches a nursing student about oral hygiene. Which statement made by the nursing student indicates effective learning?

Oral hygiene prevents plaque-associated oral diseases

In which order does the nurse complete the steps of washing a patient's abdomen?

Place the bath towel lengthwise over the chest and abdomen Fold the bath blanket down to just above the pubic region Lift the bath towel with one hand Stroke from side to side, giving special attention to the skin folds of the abdomen Keep the abdomen covered between washing and rinsing

The nurse provides mouth care for an unconscious patient. How does the nurse test the presence of the patient's gag reflex?

Placing a tongue blade on the back half of the patient's tongue

While assessing the patient's foot, the nurse notes lesions on the sole of the foot. The diagnostic test results reveal a papillomavirus infection. The nurse recognizes that the findings are indicative of which condition?

Plantar warts

The nurse creates a step-by-step procedure for making a patient's bed and includes which information?

Raising the bed before changing the linen Straightening the linen if it becomes loose or wrinkled Placing soiled linens in special linen bags before placing them in a hamper

The nurse is preparing to bathe a patient with limited upper extremity range of motion (ROM). Considering the patient's condition, which specific intervention does the nurse perform?

Removing the patient's gown from the unaffected side first

The nurse observes another caregiver bathing a patient and intervenes when the caregiver takes which action?

Rubs the patient's skin

The nurse discusses treatment of acne with a group of teenagers and recalls that the condition is caused by active inflammation of which glands?

Sebaceous

The nurse provides postoperative care to a patient and identifies that which dermatological finding indicates healthy skin?

Smooth skin Supple skin Warm skin

The nurse observes an altered gait while ambulating a patient. Which condition is most likely associated with this assessment finding?

Stroke

The nurse caring for a male patient observes an assistive personnel (AP) performing perineal care. Which action by the AP indicates the need for the nurse to intervene?

The AP does not retract the foreskin before cleansing

The nurse presents education to a group of nursing students about pediculosis capitis and includes which information about lice and infection?

The lice do not cause an infection

The nurse is giving a patient a bath. While washing the extremities, the nurse uses firm strokes from distal to proximal areas. Which rationale explains this action?

To promote circulation

The nurse is preparing a patient plan for routine foot and nail care and includes which intervention?

Trimming the nails straight across Using a mirror to help inspect the feet Putting feet up when sitting and wiggling the toes

Which foot problem does the nurse anticipate if a patient reports using oval corn pads to treat corns?

Ulceration

The nurse is performing oral hygiene for a critically ill patient with an artificial airway and who is on mechanical ventilation. Which action reduces the risk of ventilator-associated pneumonia?

Using chlorhexidine mouthwash

Which statement is true regarding the implications of skin care?

Weakening of the epidermis occurs because of scraping or stripping of the skin's surface

The registered nurse teaches a patient about skin protection. Which statement by the patient indicates the need for further teaching?

Wet bed linen or gowns decrease heat loss

The registered nurse provides education to a nursing student about the characteristics of hair. Which statement made by the student indicates a need for further teaching?

"Physiological factors directly affect the hair shaft."

Which developmental stage describes a patient with increasingly active sebaceous glands, necessitating the need for more frequent bathing?

Adolescent

A nursing student cares for a patient who has dentures. The nurse intervenes when the nursing student takes which action?

After removing the dentures, the nursing student encourages the patient to place the dentures on a napkin

The registered nurse provides information to a nursing student about cultural beliefs and personal values that may influence hygiene. Which statement by the student indicates the need for further teaching?

All socioeconomic groups are sensitive to body odors

A patient who is receiving chemotherapy experiences inflamed gums and oral mucosa and painful sores in the mouth. The nurse performs which intervention when providing oral care?

Applying water-soluble moisturizing gel on the oral mucosa Encouraging intake of soft foods Using normal saline rinses

Which instruction does the nurse give to the assistive personnel (AP) who is providing a complete bed bath to a patient?

Avoid massaging the reddened area under the skinfolds

The nurse provides teaching about foot care to a patient. To prevent ulceration and burning, the nurse provides which instruction?

Avoid using over-the-counter liquid preparations to remove corns

The nurse is teaching a group of nursing students about different bathing techniques. Which information about bag baths does the nurse include?

Bag baths take less time Bag baths provide patient comfort Bag baths are suitable for patients in long-term care

The nurse observes a patient brushing the teeth. The patient holds the toothbrush bristles at a 45-degree angle when brushing the gum line and brushes the teeth from the crown to the gum line. The mucous membranes of the patient's mouth are dry. Which instruction does the nurse provide to the patient?

Brush the teeth from the gum line to the crown

Which nail change can occur when a patient experiences disease or inflammation?

Change in the shape of the nail Change in the thickness of the nail Change in the curvature of the nail

In which order does the nurse complete the steps of a complete or partial bed bath?

Check the room for spills Close the room doors and windows Verify that bed is in a locked position and raised to a comfortable height Place a bath blanket over the patient, loosen and remove the top covers Remove the patient's gown or pajamas

The nurse reviews the plan for foot care of a patient with peripheral vascular disease and questions which intervention?

Clipping the toenails

The nurse is preparing to bathe an unconscious patient using a chlorhexidine gluconate (CHG) cleansing pack, which contains six premoistened towels for cleaning. The nurse selects which cloth to clean the patient's neck, back, and buttocks?

Cloth six

The nurse reviews a patient's medical record and identifies that the patient is at risk of ulcer formation related to which history finding?

Constant exposure of skin to moisture

While assessing a patient, the nurse finds maceration on the skin and suspects which reason for this condition?

Constant exposure to moisture

The nurse cares for a patient with impaired circulation to the lower extremities. Which action helps reduce the risk of infection?

Cutting the nails straight across

An older patient tells the nurse, "My skin is dry and flaky. I take a bath every day. How can I prevent my skin from being so itchy?" Which recommendation does the nurse make?

Decrease the number of times that a bath with soap is taken

Which mouth condition is caused by tooth decay?

Dental caries

While assessing a patient's oral cavity, the nurse notes tooth decay. The finding indicates which condition?

Dental caries

The nurse observes excessive dryness in a patient's toenails. The nurse asks which question to determine a factor that contributed to the dryness?

Do you change your nail polish regularly? How often do you apply moisturizer to your feet?

The nurse is preparing to provide perineal care to a female patient and places the patient in which position?

Dorsal recumbent position

The nurse helps an unsteady patient out of the bathtub and takes which action to provide for patient safety?

Drains the bathtub before the patient gets out

After receiving a bath, a patient reports dizziness. The nurse suspects that which intervention during the bath may have caused this condition to occur?

Exposing the patient to warm water for 20 minutes

The nurse educator provides teaching to a group of nursing staff members about the oral cavity and includes which information?

Exposure to radiation can impair salivary secretion in the mouth

The registered nurse provides education for a nursing student about factors that influence patient hygiene. Which statement made by the student indicates the need for further teaching?

Family customs have little effect on hygiene practices as an adult

Which information regarding foot care in the patient with diabetes is accurate?

Feet should be dried thoroughly after washing

The nurse educates a nursing student about bed making. Which statement made by the nursing student indicates the need for further teaching?

I should shake soiled linens before replacing them

The nurse educates a nursing student on how to bathe patients with altered cognition. Which statement made by the student indicates the need for further teaching?

I should use only cool water when bathing patients with altered cognition

The nurse provides dietary instructions to a patient to help prevent tooth decay. Which patient statement indicates effective learning?

I will eat apples regularly I will minimize carbohydrate intake

The nurse provides information about oral hygiene to a patient for the purpose of preventing infection. Which statement made by the patient indicates the need for further teaching?

I will use lemon-glycerin sponges to clean my mouth

The nurse assesses the mouth of a patient with partial dentures and notes that the gums have lost vascularity and tissue elasticity. The nurse identifies that the patient's condition will likely result in which occurrence?

Ill-fitting dentures

The home-health nurse provides care for a patient with diabetes. The patient states, "To get ready for a pedicure, I just soaked my feet in hot sudsy water." Which action does the nurse take?

Instruct the patient to avoid soaking the feet, to decrease the risk of tissue ulceration Apply moisturizer to both feet Check sensations in both feet

The nurse provides education for a patient's family member about bathing techniques. The family member asks, "Why do I need to use long strokes on the extremities, moving from distal to proximal areas?" Which explanation does the nurse give?

It promotes venous return

Which type of equipment does the nurse obtain before attempting to take an unstable and weak patient out of a bathtub?

Lift equipment

A patient experiences impaired oral mucous membranes. Which nursing instruction indicates that the cause of the condition is malnutrition?

Limit your diet to soft foods

While bathing a patient, the nurse recalls that excessive massaging of the patient's calf could create which patient response?

Loosening of a deep vein thrombosis

The nurse observes a caregiver providing a patient with a bath. The nurse intervenes when the caregiver performs which action?

Massages the reddened skin areas

The nurse identifies that which patient condition may increase the risk of tissue ulceration because of excessive soaking of the feet?

Peripheral vascular disease

The nurse provides postoperative care for an older patient and assists the patient with bathing. Which intervention does the nurse include in this procedure?

Provide privacy Raise the bed side rails

The nurse is evaluating the actions of a nursing student who is performing foot and nail care. Which action by the student indicates the need for further learning?

Rewarming the water after 3 minutes

When planning a patient's bathing and perineal care, which action does the nurse take to prevent fatigue?

Schedule the use of a shower or tub

The nurse reviews the oral and foot care being provided to a patient who is receiving anticoagulant therapy and questions which intervention?

Shaping the corners of the toenails

A patient reports pain between the toes of one foot. The nurse assesses the patient's foot and notes a cone-shaped, round, and raised lesion between the toes. Which treatment recommendation does the nurse make?

Soak the foot in warm water

The nurse is giving a patient a bath. Which nursing intervention is beneficial while washing the hands and nails?

Soaking the patient's hands in water for 2 to 3 minutes before washing

The nurse uses a bath basin to bathe a patient who is sitting in a chair. The nurse documents that which type of bath was given?

Sponge bath

While teaching a patient about denture care, the nurse instructs the patient to avoid wearing dentures while sleeping to prevent which problem?

Stomatitis

A patient develops facial erythema and pruritus after washing with hot water and using a scented soap. On examination, the nurse finds scaling lesions that are oozing. Which instruction does the nurse provide to the patient?

Stop using the scented soap.

When providing perineal care to a male patient, the nurse places the patient in which position?

Supine position

Which patient activity places the patient at risk of loss of the protective acid condition of the skin?

The patient uses alkaline soaps

The nurse walks by a patient's room and observes a caregiver changing the patient's gown after the patient was incontinent of urine. The nurse recognizes the need to address which immediate problem?

The room door is open to the hallway

The nurse observes a patient's range of motion (ROM) while providing a complete bed bath to the patient. Which is the reason behind this nursing action?

To evaluate joint mobility

The nurse folds the top sheet and bedspread to one side while making a postoperative bed. Which rationale explains this action?

To facilitate the easy transfer of the patient into the bed

The nurse places a disposable bath mat on the floor of the bathtub while assisting a patient with a shower. Which reason explains this intervention?

To prevent the patient from falling

While providing perineal care to a female patient, the nurse wipes the perineal region from the perineum to the rectum. Which rationale explains this technique?

To prevent the urinary tract from being contaminated

While assessing a patient, the nurse notes cracks in the skin and makes which recommendation to the patient?

Use emollients

The nurse reviews the at-home foot care history of a patient and recognizes that which activity may result in excessive skin dryness?

Use of nail polish remover frequently

A patient reports flat, painless, and thickened skin on the soles of the feet. The nurse anticipates which treatment plan?

Use of soft-soled shoes with insoles

A nursing student cares for a patient who is dehydrated and experiencing xerostomia. The nurse intervenes when the nursing student performs which action?

Uses lemon-glycerin sponges

The nurse gives a bed bath to a patient and takes which measure to provide comfort to the patient?

Uses warm water for the bath

While performing hygiene, which nursing action reduces skin inflammation and promotes circulation?

Washing the feet in warm water

Which intervention is appropriate when bathing a patient who cannot move from the bed?

Washing the patient from front to back when cleaning the buttocks Folding the bath blanket back to the patient's waist

Which technique does the nurse use while bathing a patient?

Washing the patient's extremities in a distal-to-proximal motion

Which action may increase the risk of amputation in a patient who has diabetes mellitus?

Wearing garters Wearing tight shoes Wearing knee-high nylons