Deck 37: Hygiene

Question 1

When teaching patients how to properly brush their teeth,the nurse instructs them to hold the toothbrush at what angle to the gum line?

A) 15 degrees
B) 30 degrees
C) 45 degrees
D) 90 degrees

Answer 1

C

Question 2

Which of the following instructions should the nurse give an adolescent patient with acne?

A) Apply moisturizing lotions or creams.
B) Wash the face and hair daily with very warm water and soap.
C) Apply warm or cold soaks.
D) Add moisture to the air with the use of a humidifier.

Answer 2

B

Question 3

The nurse is instructing the patient with peripheral vascular disease about daily foot care.Which of the following is included in the nurse's instruction for the patient?

A) Soaking the feet for 5 to 10 minutes each day
B) Filing the nails into a curved shape
C) Using commercial corn removers if needed
D) Thoroughly inspecting the feet daily

Answer 3

D

Question 4

A patient on chemotherapy is experiencing stomatitis.Which of the following does the nurse advise the patient to use for mouth care?

A) A commercial mouthwash
B) An alcohol and water mixture
C) Normal saline rinses
D) A firm toothbrush

Question 5

The nurse is completing a bed bath for a dependent adult male patient.During the perineal care,the patient has an erection.Which of the following actions should the nurse take?

A) Continue with the perineal care.
B) Tell the patient it's okay, and ask him to relax.
C) Ask the patient to try to do the care by himself as well as he can.
D) Defer the perineal care until a little later in the bath.

Question 6

The nurse is caring for a patient who has right-sided paralysis after a cerebrovascular accident (stroke).Which of the following factors would be most likely to result in pressure ulcer formation for this patient?

A) Poor nutrition
B) Immobility
C) Reduced hydration
D) Skin secretions

Question 7

A patient has severe right-sided weakness and is unable to complete bathing and grooming independently.Based on this observation,which of the following nursing diagnoses is identified by the nurse?

A) Powerlessness
B) Self-care deficit
C) Tissue integrity impairment
D) Knowledge deficit of hygiene practices

Question 8

A patient who is suspected of having vascular insufficiency to the lower extremities is assessed by the nurse to have which one of the following?

A) Increased hair growth on the legs and feet
B) Dull appearance of the skin
C) Erythema on elevation of the feet
D) Diminished pedal pulses

Question 9

After an initial treatment with a medicated shampoo for head lice,when should the nurse instruct the patient to complete a repeat application of the shampoo?

A) 24 hours later
B) 72 hours later
C) 7 to 10 days later
D) 2 weeks later

Question 10

A 61-year-old patient with diabetes mellitus has a physician's order for meticulous foot care.Which of the following rationales is most appropriate with respect to the physician's order?

A) The aging process causes increased skin breakdown.
B) Increased neuropathy occurs with diabetes mellitus and places the patient at risk.
C) The patient probably has a history of poor hygienic care.
D) The lower extremities are difficult to see and therefore more prone to inadequate hygiene.

Question 11

The nurse observes an adult patient of Middle Eastern descent diagnosed with bipolar disorder attempting to bathe himself using only his left hand.Which of the following does the nurse assume is the most likely reason for the patient's behaviour?

A) A cultural preference
B) A personal idiosyncrasy
C) His psychiatric diagnosis
D) A need for personal control

Question 12

The nurse delegates the hygienic care of a male patient to the unregulated care provider.In reviewing the patient assignment,the nurse instructs the unregulated care provider to make sure to use an electric razor to shave the patient with which of the following conditions?

A) Thrombocytopenia
B) Congestive heart failure
C) Osteoarthritis
D) Pneumonia

Question 13

A different approach to traditional hygienic care is the "bag bath." Which of the following is the best rationale for using this approach?

A) It is less expensive than the traditional bed bath method.
B) It takes less time to complete.
C) It leaves the skin softer.
D) It reduces the risk of infection.

Question 14

Which of the following positions is used to promote postural drainage in the patient?

A) Flat
B) Fowler's
C) Trendelenburg's
D) Semi-Fowler's

Question 15

The nurse is discussing skin hygiene with a group of adolescent athletes.For which of the following reasons does the nurse specifically plan to discuss the prevention and management of athlete's foot?

A) It is a common skin disorder among this particular population.
B) It is both easily prevented and managed if the problem is understood.
C) The condition can spread to other parts of the body if it is not managed well.
D) The condition is often a source of social embarrassment for those who have it.

Question 16

To administer oral care to a semicomatose patient,the nurse should place the patient in which of the following positions?

A) Reverse Trendelenburg's
B) High Fowler's with the head to the side
C) Side-lying with the head turned toward the dependent side
D) Supine with the neck slightly forward

Question 17

Which of the following is an age-related change that may require an adaptation of personal hygiene?

A) Strengthening of the periodontal membrane
B) Increased bony structure of the mouth
C) Increased saliva production
D) Weaker jaw muscles

Question 18

Which of the following is an inflammation of the tissue surrounding a fingernail that commonly occurs after a hangnail?

A) Callus
B) Paronychia
C) Ingrown nail
D) Keratosis

Question 19

The nurse notes that the older adult patient in his or her care has dry,flaky skin on her hands,face,arms,and legs.Which of the following does the nurse know is true about bathing older adult patients?

A) They may require bathing more frequently because they tend to keep their surrounding environment quite warm.
B) They may require bathing less frequently than younger patients because of dry skin.
C) They require bathing with strong soap due to issues with incontinence.
D) They require bathing with very hot water and vigorous rubbing to remove dead skin cells.

Question 20

The nurse is preparing to assist the adult female patient with perineal care.Which of the following is the best position for this patient?

A) Dorsal recumbent
B) Side-lying
C) Supine
D) Prone