UNIT 13 nclex hygoene

Slide 1 - What is the focus of hygiene skills in NUR 316?

Providing safe personal hygiene care that promotes comfort and dignity

Slide 1 - What is an important nursing responsibility during hygiene care?

Assess the patient's needs and provide appropriate assistance

Slide 2 - How can personal hygiene care affect a patient's emotional well-being?

It can improve self-worth and confidence

Slide 2 - Why should the nurse not assume an adult patient can perform hygiene independently?

The patient's physical and self-care abilities must be assessed

Slide 3 - What should determine how often a patient receives a bath?

Individual hygiene needs and patient preferences

Slide 3 - Why should the nurse assess bathing frequency rather than assume everyone needs the same schedule?

Hygiene needs differ among patients

Slide 4 - What hygiene concern is identified among hospitalized patients?

Some patients report not receiving adequate bathing assistance

Slide 4 - Which hygiene need is frequently reported as inadequate in long-term care?

Oral hygiene

Slide 5 - What is pruritus?

Itching of the skin

Slide 5 - What is halitosis?

Bad breath

Slide 5 - What is cerumen?

Earwax

Slide 5 - What is alopecia?

Hair loss

Slide 5 - What is gingivitis?

Inflammation of the gums

Slide 5 - What is stomatitis?

Inflammation of the oral mucosa

Slide 6 - What are the three main purposes of hygiene care?

Promote comfort; improve self-image; decrease infection and disease

Slide 6 - Why is hygiene considered an important nursing intervention?

It supports physical comfort and infection prevention

Slide 7 - Which factors influence personal hygiene practices?

Preferences; culture; religion; finances; development; body image; physical ability; social practices; psychosocial barriers

Slide 7 - A patient refuses a hygiene practice because of religious beliefs. What should the nurse consider?

The patient's cultural and religious preferences

Slide 8 - Which hygiene consideration is important during infancy?

Umbilical cord care until the cord falls off

Slide 8 - What hygiene changes are emphasized during adolescence?

Deodorant use and menstrual hygiene

Slide 9 - What should the nurse do to protect privacy before bathing?

Close blinds and curtains; cover the patient; expose only the area being washed

Slide 9 - What safety precautions should the nurse take before providing bedside hygiene?

Lock the bed; adjust its height; manage side rails safely

Slide 10 - Which environmental factors affect patient comfort during hygiene?

Room temperature; odors; noise; mattress and linen condition

Slide 10 - What bed safety equipment should the nurse check?

Side rails and wheel locks

Slide 11 - What should the nurse ask about visitors before providing personal care?

Whether the patient would like visitors to leave

Slide 11 - How should the nurse position a patient during hygiene care?

In a comfortable position that the patient can tolerate

Slide 12 - Which types of bathing are included in hygiene care?

Shower; tub bath; self-help bath; partial bath; complete bed bath; therapeutic bath

Slide 12 - Which additional hygiene skills must nurses provide?

Perineal care; foot and nail care; oral care; hair care; eye care; ear care; nasal care

Slide 13 - What should the nurse determine before choosing a bathing method?

The patient's physical abilities and assistance needs

Slide 13 - Why are different bathing methods necessary?

Patients have different levels of mobility and self-care ability

Slide 14 - What should the nurse assess before assisting with a shower?

Ability to perform self-care and ambulate or transfer with minimal assistance

Slide 14 - What shower water temperature is listed in the PowerPoint?

Approximately 110 to 115 degrees Fahrenheit

Slide 15 - What is the priority nursing concern when assisting with a shower?

Fall prevention

Slide 15 - Which interventions reduce falls during showering?

Non-skid surfaces; handrails; accessible call light; shower chair or bench

Slide 16 - Which patients should avoid showers according to the slides?

Immunocompromised; frail; newborn; critically ill; certain postoperative; burns or grafts; mechanically ventilated

Slide 16 - Which alternative hygiene product is recommended for patients who should avoid showers?

Prepackaged bathing wipes

Slide 17 - Which shower equipment helps patients who cannot safely stand?

Shower chairs and benches

Slide 17 - What is required when a patient uses a rolling shower chair?

Supervision

Slide 18 - What benefit does immersion in a tub provide?

Helps remove dry or crusty skin and relax sore muscles or joints

Slide 18 - Why should bubble baths be avoided in children according to the slides?

They may increase the risk of urinary tract infections

Slide 19 - What is the priority when assisting with a tub bath?

Prevent falls and assess the patient's ability to participate safely

Slide 19 - Which transfer equipment may be needed for tub bathing?

A hydraulic or manual lift

Slide 20 - What should the nurse consider when selecting tub bathing equipment?

The patient's mobility and transfer needs

Slide 20 - Why might a mechanical bathing lift be used?

To assist with transferring a patient safely into and out of the tub

Slide 21 - What is a self-help bath?

The patient performs bathing while the nurse assists with areas they cannot reach

Slide 21 - Which areas may require assistance during a self-help bath?

Back; feet; legs

Slide 22 - What is a partial bath?

Cleansing body areas that cause odor or discomfort

Slide 22 - When is a partial bath appropriate?

Between complete baths or when the patient cannot tolerate a full bath

Slide 23 - What are the benefits of prepackaged bathing wipes?

Reduce skin damage; promote consistent bathing; apply moisturizers

Slide 23 - What is a towel bath?

Bathing with moistened towels or blankets using a no-rinse solution

Slide 24 - What is a bag bath?

Bathing with 8 to 10 moistened washcloths using a no-rinse solution

Slide 24 - When is a basin and water bath especially useful?

When the patient is grossly soiled

Slide 25 - What is the purpose of a therapeutic bath?

Relax muscles and remove scales or crust from skin

Slide 25 - What must the nurse verify before adding therapeutic bathing ingredients?

That the ingredients and special directions are ordered

Slide 26 - Which therapeutic bath is specifically identified in the PowerPoint?

Sitz bath

Slide 26 - Which ingredients are shown or identified for therapeutic bathing?

Oatmeal; coal tar; breastmilk

Slide 27 - What should guide the selection of a therapeutic bathing product?

The prescribed treatment and patient needs

Slide 27 - What infection prevention concern applies to therapeutic bathing?

Hospital bathing water and equipment may contribute to healthcare-associated infections

Slide 28 - What should the nurse consider when assisting patients with special bathing needs?

Individual physical limitations and the assistance required

Slide 28 - Why should bathing plans be individualized?

Patients may need different equipment and levels of assistance

Slide 29 - What skin problems are associated with morbid obesity?

Moisture in skin folds; pressure injuries; friction; shearing

Slide 29 - What equipment may be needed when bathing a patient with morbid obesity?

A mechanical lift and additional staff

Slide 30 - Why might a mechanical lift be necessary for a patient with morbid obesity?

To support safe transfers when additional assistance is needed

Slide 30 - What should the nurse prioritize when planning bathing assistance for a larger patient?

Appropriate equipment and sufficient staff assistance

Slide 31 - What product category is emphasized for patients with moisture in skin folds?

Moisture-wicking products

Slide 31 - Which skin concern should the nurse monitor in patients with deep skin folds?

Excess moisture and skin breakdown

Slide 32 - A patient with dementia refuses a shower. What should the nurse do?

Remain calm and do not force the patient to bathe

Slide 32 - What intervention may help a patient with dementia accept hygiene care?

Use familiar caregivers and encourage participation

Slide 33 - How should the nurse reduce sensory overload during bathing?

Reduce noise and unnecessary staff; speak slowly and calmly

Slide 33 - What should the nurse do before touching a patient with dementia?

Explain the action before performing it

Slide 34 - What is the purpose of perineal care?

Promote comfort; prevent odor; reduce excoriation and infection

Slide 34 - Why is the perineal area at risk for bacterial or yeast growth?

It is warm and moist

Slide 35 - When should perineal care be provided?

During a bed bath or following an incontinent episode

Slide 35 - What is especially important when performing perineal care?

Professional behavior and patient privacy

Slide 36 - In which direction should the nurse cleanse the female perineum?

Front to back using a clean section of the cloth each time

Slide 36 - What must the nurse remember when cleaning an uncircumcised male patient?

Retract the foreskin for cleansing and replace it afterward

Slide 37 - What should the nurse do after cleansing the anal area?

Allow skin to dry and apply skin protectant if needed

Slide 37 - What additional care should be completed during perineal hygiene when applicable?

Catheter care

Slide 38 - Why is nail care part of nursing hygiene?

It supports cleanliness and reduces the risk of skin injury

Slide 38 - Which patient characteristic should the nurse consider before providing nail care?

The patient's ability to safely perform self-care

Slide 39 - What are normal nail assessment findings?

Intact; pink; smooth; convex; evenly curved

Slide 39 - How should nails be cared for in patients with diabetes or circulatory problems according to the slides?

Use a nail file rather than clippers

Slide 40 - Why should the nurse remove rough nail edges?

Rough nails can scratch and break the skin

Slide 40 - What hygiene concern is associated with dirty nails?

They can harbor and transmit microorganisms

Slide 41 - What should the nurse assess when inspecting toenails?

Appearance and abnormalities that may affect nail care

Slide 41 - Why should nail abnormalities be identified before trimming?

Some patients require additional precautions to avoid injury

Slide 42 - Which area of the body is the focus of foot care?

Feet and toes

Slide 42 - Why is foot hygiene especially important for patients with mobility concerns?

The feet support body weight and absorb shock during movement

Slide 43 - Why are older adults at increased risk for foot complications?

Foot problems and circulation concerns increase with aging

Slide 43 - Why are foot injuries particularly concerning in patients with diabetes?

Delayed healing and infection may occur

Slide 44 - What common foot problems should the nurse recognize?

Corns; calluses; athlete's foot; ingrown toenails; odor; plantar warts; pressure injuries; bunions

Slide 44 - What is tinea pedis?

Athlete's foot

Slide 45 - Which findings should the nurse assess during foot care?

Color; temperature; swelling; wounds; deformities; nail condition; odor; itching; dryness

Slide 45 - What are normal foot assessment findings listed in the slides?

Pink; warm; dry

Slide 46 - What is the priority teaching for a patient with diabetes regarding foot care?

Inspect the feet daily

Slide 46 - Where should lotion NOT be applied during diabetic foot care?

Between the toes

Slide 47 - What diabetic foot complication is illustrated in the PowerPoint?

Foot ulceration

Slide 47 - Why should patients with diabetes inspect their feet regularly?

To identify skin problems before they worsen

Slide 48 - Which hygiene skill is demonstrated in this slide?

Assisting a patient with oral care

Slide 48 - Why may a patient require nursing assistance with oral care?

They may be unable to perform the task independently