Deck 18: Personal Hygiene and Bed Making

Question 1

The optimal position for a female patient for the provision of perineal care is

A) prone.
B) side-lying.
C) high-Fowler's.
D) dorsal recumbent.

Answer 1

dorsal recumbent.

Question 2

When bathing a patient,which sequence is the correct approach to use?

A) Wash the feet after the legs.
B) Wash the eyes after the face.
C) Wash the legs before the abdomen.
D) Wash the back area before the extremities.

Answer 2

Wash the feet after the legs.

Question 3

In relation to hygiene and the acute care setting,the nurse knows that which of the following statements is true?

A) The disposable bath is a less desirable form of bathing than the traditional basin bath.
B) The disposable bath is a more desirable form of bathing than the traditional basin bath.
C) The disposable bath is more desirable for patients who can bathe independently.
D) The disposable bath is not an acceptable form of bathing in the acute care setting.

Answer 3

The disposable bath is a more desirable form of bathing than the traditional basin bath.

Question 4

Shaving with a disposable razor is contraindicated for a patient with

A) heart disease.
B) diabetes mellitus.
C) a head injury.
D) a bleeding disorder.

Question 5

When evaluating the shaving of a patient done by a family member,the nurse determines that the technique is done appropriately when

A) long strokes are used.
B) the razor is held at a 45-degree angle to the skin.
C) shaving is done against the direction of hair growth.
D) a cool cloth is used on the skin before the shave.

Question 6

While washing the patient's face,the nurse should

A) wash the eyes using soap and warm water.
B) wash the eyes from outer canthus to inner canthus.
C) wash the eyes with plain warm water.
D) use the same portion of the washcloth.

Question 7

While evaluating the hygienic care practices of a female patient,the nurse recognizes that additional instruction is necessary if the patient

A) washes the perineal area from back to front.
B) washes the labia majora before the labia minora.
C) avoids tension on the indwelling catheter.
D) uses separate sections of the washcloth for each cleansing stroke.

Question 8

When teaching parents how to provide oral care to their child,the nurse instructs them to

A) give bottles with juice at bedtime.
B) begin dental visits after the child is 8 years old.
C) allow the preschool child to floss his teeth without parental supervision.
D) limit snacks to three or four per day.

Question 9

The nurse is caring for a ventilated patient in the critical care unit (CCU)who has just undergone coronary artery bypass.The nurse is concerned that the patient may be at risk for ventilator-acquired pneumonia (VAP).What step will he or she take to minimize this risk?

A) Be careful not to provide oral hygiene because this may cause bacterial contamination of the airway.
B) Be careful not to use chlorhexidine in oral care because it provides a medium for bacterial growth.
C) Be careful not to use chlorhexidine in oral care because it enhances the rate at which VAP develops.
D) Include the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP.

Question 10

What should hygienic care of the patient with dry skin include?

A) Use of moisturizers
B) Use of ultraviolet light
C) Application of antiseptic lotion
D) Lowering of bathwater temperature

Question 11

A nurse recognizes that a shampoo may be contraindicated for a bed-bound patient with

A) heart disease.
B) diabetes mellitus.
C) a neck injury.
D) a bleeding disorder.

Question 12

The nurse is aware that normal flora that does not cause disease but does prevent disease-causing microorganisms from reproducing is known as

A) sebum.
B) the epidermis.
C) resident bacteria.
D) the dermis.

Question 13

The nurse plans to give the patient a therapeutic bath.Which of the following is considered therapeutic?

A) Bed bath
B) Sponge bath at the sink
C) Sitz bath
D) Bag bath

Question 14

The nurse is preparing to provide a complete bed bath to a patient who has a running intravenous (IV)line.He or she places a bath blanket over the patient and

A) removes the gown from the arm with the IV first.
B) removes the gown from the arm without the IV first.
C) removes the gown after the bath to keep the patient warm.
D) readjusts the IV rate before removing the gown.

Question 15

The nurse is providing nail care for the patient who wants his fingernails "done." The nurse should

A) clip the fingernails gently to prevent injury.
B) clean under the nails using an orange stick.
C) soak the fingernails no longer than 10 minutes.
D) clean under the nails using the end of a cotton swab.

Question 16

The nurse is about to provide oral hygiene to an unconscious patient.To do so,he or she places the patient in which position?

A) Fowler's
B) Semi-Fowler's
C) Sims'
D) Supine

Question 17

While giving the patient a bed bath,the nurse notices a reddened area on the patient's coccyx.The nurse should

A) decrease the temperature of the bath water.
B) massage the reddened area to decrease the redness.
C) apply topical moisturizing agents to the area.
D) ignore the redness because it will return to normal soon.

Question 18

The home care nurse is getting ready to help the patient prepare a tub bath.What should the nurse be sure to do?

A) Instruct the patient to use safety bars.
B) Use the patient's favourite bath oil for aroma therapy.
C) Instruct the patient to stay in the tub no longer than 30 minutes.
D) Check on the patient every 20 minutes.

Question 19

In providing perineal care for a male patient,the nurse realizes that the patient has not been circumcised.The nurse should

A) retract the foreskin after care has been completed.
B) place the patient in prone position.
C) replace the foreskin to its natural position after care has been provided.
D) have the patient adduct his legs.

Question 20

What should the nurse do before starting a patient's bed bath?

A) Lower the bed.
B) Offer the bedpan or urinal.
C) Partially undress the patient.
D) Place the head of the bed in high-Fowler's position.

Question 21

A patient is admitted with the diagnosis of pediculosis capitis (head lice).Proper treatment for this condition would include which of the following? (Select all that apply.)

A) Use of medicated shampoo or permethrin
B) Use of products containing lindane
C) Combing the hair with a nit comb for 2 to 3 days after treatment
D) Washing linens in cold water for 30 minutes

Question 22

The patient confides in the nurse that she is bothered by the fact that she has alopecia.How should the nurse respond to this information?

A) Shave hair off of the affected area.
B) Use permethrin.
C) Offer the patient access to scarves or wigs.
D) Place a drop of oil on the area.

Question 23

The development of diabetic foot ulcers is dependent on which of the following? (Select all that apply.)

A) Peripheral neuropathy
B) Tissue ischemia
C) Trauma to the foot
D) Pain in the affected extremity

Question 24

The nurse is caring for a male patient who has dry skin.When the following interventions are compared,which would be most appropriate for this patient?

A) Limiting the frequency of bathing
B) Using a fat-free soap for washing
C) Using warm water and moisturizers
D) Bathing with hot water to increase blood flow

Question 25

The first line of defense against external injury and infection contains several thin layers of cells undergoing different stages of maturation.This first line of defense is known as the _______.

A) sebum
B) epidermis
C) resident bacteria
D) dermis

Question 26

_________________ provides an acidic coating to protect the skin against penetration from chemicals and microorganisms; it also minimizes loss of water and plasma proteins.

A) Sebum
B) The epidermis
C) Resident bacteria
D) The dermis

Question 27

The patient requires postural drainage three times a day.Which of the following bed positions would be most appropriate for this task?

A) Fowler's position
B) Trendelenburg's position
C) Reverse Trendelenburg's position
D) Semi-Fowler's position

Question 28

The skin,the largest human body organ,protects us from heat,light,injury,and infection and does which of the following? (Select all that apply.)

A) Helps regulate body temperature
B) Stores water,vitamin D,and fat
C) Helps sense pain
D) Prevents the entry of bacteria
E) None of the above

Question 29

The ____________ is the largest human organ.

A) liver
B) brain
C) heart
D) skin

Question 30

When taking a shower in the home setting,the patient at risk for falls may benefit from (Select all that apply.)

A) installation of grab bars.
B) adhesive strips applied to the tub floor.
C) addition of a shower chair or stool.
D) a hydraulic lift.

Question 31

Critically ill patients on a ventilator are at risk for ventilator-associated pneumonia (VAP).Sources of VAP include (Select all that apply.)

A) bacteria in the oral pharynx.
B) dental plaque.
C) chlorhexidine rinses.
D) frequent oral hygiene.

Question 32

Patients at greatest risk for developing serious foot problems include those with (Select all that apply.)

A) peripheral neuropathy.
B) peripheral vascular disease.
C) pancreatitis.
D) diabetes.

Question 33

The nurse assesses the patient's skin and notices an abrasion.Which of the following best describes this type of skin abnormality?

A) A papulopustular skin eruption
B) Rough texture on the skin surface
C) Erythema and scaly,oozing areas
D) A scraping away of the epidermis

Question 34

_____________ is balding patches in the periphery of the hairline.

A) Petechiae
B) Epidermis
C) Hirsutism
D) Alopecia

Question 35

________________ is defined as excessive growth of body and facial hair.

A) Petechiae
B) Epidermis
C) Hirsutism
D) Alopecia