Chapter 22 – Facilitating Hygiene

Hygiene care includes activities such as bathing, showering, and combing hair. These are classified as what type of activities?

Activities of daily living (ADLs)

What is the nurse’s role in hygiene care?

Assessing self-care abilities and promoting independence

What factor most affects hygiene practices for a person experiencing homelessness?

Living environment

What factor most influences a client's preference to bathe before bedtime?

Personal preference

What factor influences a client's daily bathing due to a religious belief in ritual cleansing?

Culture or spirituality

What is a primary reason a patient living in poverty may have poor hygiene?

Limited access to hygiene facilities

What physical factor contributes to hygiene limitations for a patient with severe arthritis?

Limited mobility

What factor is affecting hygiene care for a client who forgets when they last bathed?

Cognitive impairment

What factor interferes with hygiene care for a client with depression showing no interest in bathing?

Emotional disturbance

During hourly rounds, what is the nurse’s primary focus?

Checking comfort and self-care needs

What tasks are usually performed during early morning care?

Washing face and hands, mouth care

What hygiene care is typically provided after breakfast?

Mouth care only

What is the purpose of PM care in the hospital?

Bathing clients before bedtime

What type of hygiene care is provided before sleep to promote rest?

PM care

Before delegating hygiene care to a UAP, what action must the nurse take?

Assess the client’s limitations and give instructions

When the nurse bathes only the necessary areas, what type of bath is this?

Partial bath

What type of bath is it when the nurse helps a client bathe difficult-to-reach areas?

Assist bath

What type of bath is used to soothe irritated skin or sore muscles?

Therapeutic bath

What is the safest foot care practice for a client with diabetes?

Regular inspection by a healthcare provider

What is a normal assessment finding for nails?

Clean, pink, and smooth appearance

What change commonly occurs in nails with aging?

Thickening

What might nail changes indicate besides aging?

Underlying disease or inadequate diet

What is one benefit of regular oral care?

Reduced incidence of pneumonia

During oral assessment, what condition might be identified?

Gingivitis or stomatitis

A patient with poor oral hygiene and oral lesions is at greater risk for what condition?

Oral malignancies