Question 1

A homeless person uses the soap and towels in a public restroom to wash up. This is an example of which type of factor affecting personal hygiene practices?

Accepted Answer

The homeless person's ability to afford and access personal hygiene products and facilities is influenced by their socioeconomic class.

Question 2

The mother of a child 2 years of age tells the nurse she always cleans the child's ears with a hairpin. What would the nurse tell the mother?

Accepted Answer

Using a hairpin to clean a child's ear can potentially puncture the eardrum, which can cause permanent damage to the child's hearing. The nurse should advise the mother to stop using a hairpin and suggest alternative methods such as using a Q-tip or taking the child to a healthcare provider for ear cleaning.

Question 3

The nurse has completed an assessment of a client's typical hygiene practices. How should the nurse best document the findings of this assessment in the client's chart?

Accepted Answer

The best way to document the findings of the assessment is to provide specific information about the client's hygiene practices. Option A provides specific details about the client's bathing and skin care routines. It is important to document this type of information so that the healthcare team can provide individualized care that meets the client's needs. Options B, C, and D are too vague and do not provide enough information for the healthcare team.

Question 4

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?

Accepted Answer

Partial care involves assisting the client with aspects of personal hygiene they are unable to manage themselves, such as hard-to-reach areas, while allowing them to perform tasks they are capable of independently.

Question 5

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?

Accepted Answer

The nurse provided partial care because the client was able to perform some aspects of their morning care independently (washing face, arms, abdomen, legs, and brushing teeth) but required assistance for washing the back and rectal area, and ambulating to a chair.

Question 6

Which clent would be at greatest risk for injury to the skin and mucous membranes?

Accepted Answer

The man who is 77 years old with diabetes is at the greatest risk for injury to the skin and mucous membranes. Diabetes can cause poor blood flow and nerve damage, making the skin more susceptible to injuries and slower to heal. This can lead to infections and delayed wound healing.

Question 7

Which client would be most at risk for alterations in oral health?

Accepted Answer

A man with a nasogastric tube is most at risk for alterations in oral health due to the tube's insertion and presence in the oral cavity, which can lead to mouth dryness, oral infections, and dental caries. The other options do not necessarily pose a significant risk to oral health.

Question 8

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?

Accepted Answer

Electric shavers are recommended for clients on anticoagulants to minimize the risk of cuts and bleeding.

Question 9

A nurse is providing perineal care to a female client. In which direction would the nurse move the washcloth?

Accepted Answer

The correct technique for providing perineal care to a female client involves moving the washcloth from the pubic area toward the anal area to prevent the transfer of bacteria from the anal area to the urethra, which could cause infection.

Question 10

A nurse is preparing to provide foot care to a client who has decreased mobility. Which of the following techniques should the nurse employ when providing this care?

Accepted Answer

Using an antifungal powder on the client's feet if necessary is appropriate for preventing or treating fungal infections, which can be a concern for clients with decreased mobility.

Question 11

A school nurse is assessing children in the third grade for pediculosis capitis. What assessments should be made?

Accepted Answer

Pediculosis capitis, commonly known as head lice, is a common contagious condition among school-aged children. The nurse should assess the head for the presence of nits (lice eggs) on the hair shaft, as this is a characteristic sign of the condition. Checking the pubic area or nails is not relevant to this assessment, and checking for evidence of abuse is a separate assessment that should be made if there are any concerns or indications.

Question 12

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?

Accepted Answer

Using a nonsoap cleaning agent can help to clean the skin without stripping it of its natural oils, which can contribute to skin dryness. Organic soap and shampoo may still contain ingredients that can dry out the skin. Bathing the client more often without soap or shampoo may still irritate the skin, and bed baths may not effectively remove dirt and oils from the skin.

Question 13

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?

Accepted Answer

Placing dentures in water prevents them from drying out and warping due to exposure to air. Water is a common and easily accessible solution for storing dentures overnight. Saline solution may be used instead of water, but it is not always necessary. The rationale for using saline solution is to maintain the proper pH balance of the denture and prevent the growth of bacteria. However, for short-term storage, water is sufficient. Comfort and preventing dentures from being thrown away are not the primary reasons for storing dentures in water or saline solution.

Question 14

While conducting an oral assessment, a nurse notices the client's gums are red and swollen, some teeth are loose, and blood and pus can be expressed when the gums are palpated. What condition do these symptoms indicate?

Accepted Answer

The symptoms described are consistent with periodontitis, which is an inflammatory disease of the gums and other supportive tissues of the teeth. The redness, swelling, and bleeding are signs of inflammation, and the loose teeth and pus suggest advanced disease. Plaque and caries can contribute to periodontitis, but they are not the primary cause. Halitosis (bad breath) is a symptom that can occur with periodontitis, but it is not specific to this condition.

Question 15

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

Accepted Answer

Gender does in fact affect personal hygiene practices, as there are some differences in hygiene practices between genders. For example, women may have different cleanliness requirements during menstruation. Therefore, the correct answer is D.

Question 16

A student has been assigned to provide hygiene care to four clients. Which one would require special consideration for perineal care?

Accepted Answer

The middle-aged woman with a Foley catheter would require special consideration for perineal care as the catheter enters the bladder through the urethra and proper hygiene is necessary to prevent infection. The other clients do not have conditions that require special consideration for perineal care.

Question 17

A nurse is providing oral care to a client with dentures. What action would the nurse do first?

Accepted Answer

Before performing any procedure that involves contact with bodily fluids or mucous membranes, it is essential for healthcare professionals to don gloves to prevent the transmission of infections and ensure both patient and caregiver safety. This is in accordance with standard precautions.

Question 18

The nurse and nursing aid are providing perineal care for an incontinent client. What information is important for the nurse to consider when providing perineal care?

Accepted Answer

Applying moisture barriers to the skin of the perineal area can protect the skin from irritation and breakdown caused by exposure to urine and feces. Providing excessive hydration to the skin or aggressively cleansing with a washcloth or towel can actually increase the risk of skin breakdown and irritation. Washing the perineal area frequently with soap and water is important for hygiene, but must be done gently to avoid skin damage.

Question 19

A nurse is conducting a health history for a client with a skin problem. What question or statement would be most useful in eliciting information about personal hygiene?

Accepted Answer

This question directly asks about personal hygiene practices and allows the client to share information about their skin care routine. The other options make assumptions or judgments about the client's habits and could potentially offend or discourage them from sharing accurate information.

Question 20

Which client is most likely to require hospitalization related to problems associated with the feet?

Accepted Answer

Peripheral vascular disease can result in decreased blood flow to the feet, causing ulcers, infections, and other serious complications that may require hospitalization. The other conditions listed do not typically lead to foot-related hospitalizations.

Quiz 30: Hygiene