Deck 2: Personal Care and Hygiene

Question 1

A nurse chooses to bathe a client instead of delegating it to unlicensed assistive personnel (UAP). What rationale for this choice is most likely?

A) The UAP is frequently too busy to provide adequate care.
B) The nurse can assess the client's skin during the bath.
C) The nurse understands the principles of hygiene better.
D) The UAP is not permitted to provide this care.

Answer 1

The nurse can assess the client's skin during the bath.

Question 2

The nurse knows the relationship between the skin and infection is which of the following?

A) Intact skin provides a barrier to infection.
B) Skin harbors many dangerous microbes.
C) Skin has very little to do with infection.
D) Skin contains glands that secrete antibodies.

Answer 2

Intact skin provides a barrier to infection.

Question 3

The client with an IV and bladder catheter has finished bathing and the nurse assists with changing the client's gown. After completing this activity, what action does the nurse take next?

A) Empty the catheter bag.
B) Document the activity.
C) Assess the IV site.
D) Medicate the client for pain.

Answer 3

Assess the IV site.

Question 4

A hospitalized client asks the nurse to cut fingernails and toenails. What response by the nurse is best?

A) "I cannot trim either fingernails or toenails."
B) "I can trim your fingernails only."
C) "Let me check the hospital's policy."
D) "Let me go get the supplies I need."

Question 5

A nurse is preparing to give a newborn a bath. What action does the nurse take first?

A) Check the baby's temperature.
B) Determine if the baby has eaten recently.
C) Ask if a parent would rather do it.
D) Get a stocking cap to keep baby's head dry.

Question 6

A student is providing oral care to clients in the Intensive Care Unit (ICU). What action by the student demonstrates a need for further education?

A) Uses a small, soft toothbrush on a client who is on a ventilator
B) Uses baking soda for tooth brushing in a client with bad breath
C) Checks the mouth for leftover sponge when using a sponge toothette
D) Requests a prescription for oral chlorhexidine rinses

Question 7

What is an important safety consideration for the nurse when providing oral care to an unconscious client?

A) Place the client in a high Fowler's position.
B) Use only moistened toothettes to avoid injury.
C) Do not provide oral care if the client has a bleeding disorder.
D) Turn the client to a side-lying position.

Question 8

What is the preferred way to remove an artificial eye?

A) Grasp it on both sides with your dominant hand and pull out gently.
B) Open the eyelid with the dominant hand and depress the lower lid.
C) Pull the outer canthus of the eye outward and have the client blink.
D) Using your dominant hand, squeeze the skin on the outside of the eyeball.

Question 9

In order to reduce falls on the inpatient unit, what directive by the nurse manager would have the biggest impact?

A) Supply client socks with traction.
B) Label doors with a "fall precautions" sign.
C) Stay with clients using the bathroom or commode.
D) Have two personnel walk clients who need assistance.

Question 10

What is the best way to position the client on this bedpan?

A) Have client lift hips and slide it underneath of him or her.
B) Roll the client on the side, place it against the buttocks, roll the client back.
C) Raise the head of the bed and have client use the overhead trapeze.
D) Assist client to standing position, then assist to sitting on the pan.

Question 11

When making a bed, which action by the nurse is most important for infection control?

A) Have a laundry hamper designated for each room.
B) Put the dirty sheets in the bathroom for housekeeping.
C) Fold the dirty linens and avoid shaking them out.
D) Clean the mattress with every linen change.

Question 12

A client on bedrest perspires heavily in dependent areas and has developed a fungal rash from the heat and moisture. What type of bed does the nurse order to best assist this client?

A) Lateral rotation
B) Low air loss
C) Alternating pressure
D) Multizoned surfaces

Question 13

In order to reduce bathing-related heat loss in a neonate, what action by the nurse is best?

A) Swaddle the neonate in warm towels before dressing.
B) Put the neonate back in the incubator immediately.
C) Ensure the bath water is hot enough to maintain baby's temperature.
D) Only use warmed, premoistened bathing wipes for a bath.

Question 14

A new nurse has not cared for African-American hair before. What information does the charge nurse share?

A) African-American hair is much oilier than Caucasian hair so it needs daily shampooing.
B) To comb through the hair without breaking it, apply petroleum jelly to it first.
C) Because of the dense structure of each individual hair, it is strong and not prone to breakage.
D) Leave-in conditioners, shea butter, or coconut oil are good products for this dry hair type.

Question 15

A nurse in the pediatric clinic sees a parent with a young daughter. The parent is concerned that several children in the grade school have head lice. What teaching by the nurse is best?

A) "Don't sit next to anyone who has lice."
B) "She should stay home for a few days."
C) "We can treat her now if you are worried."
D) "Don't use anyone else's brushes and combs."

Question 16

Parents call the nurse at the clinic distraught because the school says their child has head lice and cannot return until the infestation has been treated. One parent states "I can't believe they think we are so filthy!" What response by the nurse is best?

A) "There's no need to be upset over lice."
B) "Head lice have no relationship to cleanliness."
C) "You don't have pets in the home, do you?"
D) "Do you have help with household cleaning?"

Question 17

The registered nurse is discussing oral care with a unlicensed assistive personnel (UAP). The UAP has not provided oral care to several clients by the end of the shift. The UAP states "What's the big deal? Sometimes I don't brush my teeth twice a day." What response by the nurse is best?

A) "Oral care is important to our clients' comfort."
B) "You don't brush your teeth twice a day?"
C) "It's important to help prevent infections."
D) "It's in the policy and in your job description."

Question 18

A nurse has been assigned several bed baths and is very busy. One client requests to have the bath and hygiene care provided on the evening shift instead of now. What response by the nurse is most appropriate?

A) "The evening shift expects that all bathing is completed on the day shift."
B) "Of course. I will let the evening shift know this is your preference."
C) "What if I come back later and we can do your bath then?"
D) "I have to do your bath now. I have other clients waiting for me."

Question 19

The nurse wants to delegate various aspects of hygiene care to unlicensed assistive personnel (UAP). What actions by the nurse are most important? (Select all that apply.)

A) Providing the UAP clear and specific directions
B) Directly supervising the UAP carry out the tasks
C) Instructing the UAP to report back to the nurse
D) Ensuring the UAP understands the directions
E) Informing the UAP about assessments to make while providing care

Question 20

The nursing manager is orienting several new nurses and states "Here, we maintain the concentric rings of privacy." Which of the following are components included in this concept? (Select all that apply.)

A) HIPAA rules
B) Curtains
C) Closed door
D) Signs
E) Gown
F) Covers

Question 21

What information does the student learn about head lice in children? (Select all that apply.)

A) Head lice usually occur on dirty, oily hair.
B) Head lice can jump from one host to another.
C) Because of the new vaccine, head lice are uncommon.
D) Head lice are usually spread by contact with an infected person.
E) African-Americans and Hispanics have higher rates of infestations.
F) Infestations are not related to cleanliness.

Question 22

A nurse is frustrated that the specific skin-care regime on an older client is not working as well as possible to protect the client's fragile skin. What assessments by the nurse take priority for this client? (Select all that apply.)

A) Fluid status
B) Laboratory values
C) Blood pressure
D) Nutritional status
E) 24-hour intake and output trend

Question 23

A new nurse has never taken care of hearing aids before. What information does the charge nurse provide about care of these devices? (Select all that apply.)

A) Plain soap and water are used for cleaning debris off the hearing aids.
B) Tell the client he or she must remove the aids before showering.
C) Place a towel in the sink to avoid breaking them when cleaning them.
D) Instruct the client to not spray hairspray or perfume/cologne over the aids.
E) The hearing aids need to be stored in the storage box they came with.

Question 24

A nurse is delegating hygiene tasks to a unlicensed assistive personnel (UAP). For which clients does the nurse tell the UAP not to provide a foot soak? (Select all that apply.)

A) Client with a fever
B) Client with diabetes mellitus
C) Client with diabetic neuropathy
D) Client with swollen feet
E) Client with an infectious disease

Question 25

What does the nurse know about hygiene? (Select all that apply.)

A) Cleaning proceeds from clean to dirty.
B) Culture may influence hygiene practices.
C) Hygiene needs may change from day to day.
D) Most soaps change the pH of healthy skin.
E) Preventing cold stress is important in the older client.