Deck 17: Personal Hygiene and Bedmaking

Question 1

Before the beginning of a client's bed bath,the nurse should:

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

Answer 1

Offer the bedpan or urinal

Question 2

When evaluating the shaving of a patient that is 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

Answer 2

The razor is held at a 45-degree angle to the skin

Question 3

The nurse is caring for a ventilated patient in the ICU who has just undergone coronary artery bypass.The nurse is concerned that the patient may be at risk for ventilator-acquired pneumonia (VAP).Because of this,she:

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

Answer 3

Includes the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP

Question 4

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 5

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

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

Question 6

The nurse is getting ready to help the patient prepare a tub bath.The nurse should:

A) Instruct the patient to use safety bars
B) Use the patient's favorite 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 7

When hygiene practices are compared,which is true regarding the provision of hygiene to patients in the acute care setting?

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 themselves.
D) The disposable bath is not an acceptable form of bathing in the long-term care setting.

Question 8

While washing the patient's face,the nurse:

A) Washes the eyes using soap and warm water
B) Washes the eyes from outer canthus to inner canthus
C) Washes the eyes with plain warm water
D) Uses the same portion of the wash cloth

Question 9

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 patient in a prone position
C) Replace foreskin to its natural position after care has been provided
D) Wait until patient has an erection to clean the penis

Question 10

When the following types of baths are considered,which would be considered a therapeutic bath?

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

Question 11

Normal flora that do not cause disease but do prevent disease-causing microorganisms from reproducing are known as:

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

Question 12

The nurse is preparing to provide a complete bed bath to a patient who has a running IV.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 13

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

A) Clip the fingernail gently to prevent injury
B) Clean under the nails using an orange stick
C) Soak the fingernails for no longer than 10 minutes
D) Clean under the nails using the end of a cotton swab

Question 14

Hygienic care of the patient with dry skin should include:

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

Question 15

When teaching parents oral care for a 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 to four per day

Question 16

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

A) Washes the area from back to front
B) Washes the labia majora before the labia minora
C) Avoids tension on indwelling catheter
D) Uses separate sections of the washcloth for each cleansing stroke

Question 17

The usual sequence of the bed bath involves:

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

Question 18

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
D) Ignore the redness since it will return to normal soon

Question 19

Shaving a patient 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 20

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

Question 21

The act of chewing is also known as ________________.

Question 22

______________ are mucous membranes with underlying supportive tissue that encircle the neck of erupted teeth to hold them in place.

Question 23

Regular oral hygiene is necessary to maintain the integrity of tooth surfaces and to prevent gum inflammation known as ____________.

Question 24

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

Question 25

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 26

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

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

Question 27

The patient is complaining of alopecia.To treat this condition,the nurse:

A) Shaves hair off of the affected area
B) Uses permethrin (Nix)
C) Offers the patient access to scarves or wigs
D) Places a drop of oil on the area

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 to sense pain
D) Prevents the entry of bacteria
E) None of above

Question 29

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) An hydraulic lift

Question 30

The nurse is caring for a gentleman 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) Use a fat-free soap for washing
C) Using warm water and moisturizers
D) Bathing with hot water to increase blood flow

Question 31

Fifty-five percent of foot ulcers are due to repeat trauma over time,often caused by ____________________.

Question 32

The nurse assesses the presence of an abrasion as:

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 33

________________ removes dead cells and bacteria and helps maintain skin integrity.

Question 34

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

Question 35

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

A) Peripheral neuropathy
B) Ischemia
C) A pivotal event
D) Pain

Question 36

The patient requires postural drainage three times a day.When the benefits of the following bed positions are compared,which 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 37

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) Too frequent oral hygiene

Question 38

Tissue that surrounds the fingernail,slowly grows over the nail,and must be regularly pushed back with a soft nail brush is known as the __________________.

Question 39

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

Question 40

____________ is the largest human organ.

Question 41

_____________ is balding patches in the periphery of the hairline.