NCLEX STYLE: Chapter 22: Facilitating Hygiene

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

Activities of daily living (ADLs)

What is the nurse’s role in providing hygiene care?

Assessing abilities, assisting, promoting independence, and delegating

A client refuses a morning bath because of personal preference. What should the nurse do?

Respect the client’s preference

A homeless client is at increased risk for hygiene issues primarily because of what factor?

Living environment

How does pain affect hygiene practices?

It limits mobility and energy

A client forgets when they last bathed and is unable to problem-solve the steps of bathing. What factor is affecting hygiene?

Cognitive impairment

A client with depression refuses to perform hygiene activities because of lack of energy. What factor is affecting hygiene?

Emotional disturbance

Hourly rounds for hygiene are also called what type of rounds?

Comfort or safety rounds

What care is provided immediately after a patient wakes up?

Early morning care

What hygiene care is typically provided after breakfast?

AM care

What hygiene care is provided in the afternoon before visitors arrive?

PM care

What care is provided at bedtime to promote relaxation?

HS care

Before delegating hygiene care to unlicensed assistive personnel (UAP), what must the nurse do first?

Assess the client’s condition

What type of bath involves the nurse washing only areas that the client cannot reach?

Assist bath

What type of bath involves bathing only necessary areas, such as the perineum?

Partial bath

A bath used to soothe irritated skin or promote healing of a condition is called what?

Therapeutic bath

What is the nurse’s best action to persuade a modest client who is anxious about being seen during bathing?

Provide privacy and respect boundaries

Why is foot care especially important in clients with diabetes?

Decreased circulation

What foot care instruction is most important for a client with diabetes?

Have feet checked regularly by a doctor

What is a normal assessment finding for nails?

Clean, pink, smooth

Thickened nails in older adults are most often related to what?

Aging process

Nail changes can be a sign of what underlying issues?

Disease, poor diet, or trauma

What is one benefit of performing regular oral care?

Reduces pneumonia

A client with stomatitis and oral lesions would require special care in what area?

Oral cavity

Oral care contributes to appetite improvement by removing what?

Food particles and secretions