Personal Hygiene and Bedmaking

Normal flora that does not cause disease but do prevent disease -causing microorganisms from reproducing are known as:

A. Sebum

B. The epidermis

C. Resident Bacteria

D. The dermis

C. Resident Bacteria

When hygiene practices are compared, which is true regarding the provision of hygiene to patients in the acute care setting?

A. The disposable bath is a less desirable from of bathing than the traditional basin bath

B. The disposable bath is a more desirable form of bathing than the traditional basin bath.

C. The disposable bath is more desirable for patients who can bather themselves.

D. The disposable bath is not an acceptable form of bathing in the long-term care setting.

B. The disposable bath is a more desirable form of bathing than the traditional basin bath.

The nurse is caring for a ventilated patient in the ICU who has just undergone coronary artery bypass. The nurse is concerned that the patient may be at risk for ventilator-acquired pneumonia (VAP). Because of this, she:

A. Does not provide oral hygiene because this may cause bacterial contamination of the airway

B. Is careful not to use chlorhexidine in oral care because it provides a medium for bacterial growth

C. Does not use chlorhexidine in oral care because it enhances the rate at which VAP develops

D. Includes the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP

D. Includes the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP

When the following types of baths are considered, which would be considered a therapeutic bath?

A. Bed Bath

B. Sponge bath at the sink

C. Sitz Bath

D. Bag bath

C. Sitz Bath

Before the beginning of a client's bed bath, the nurse should:

A. Lower the bed

B. Offer the bedpan or urinal

C. Partially undress the client

D. Place the head of the bed in high-Fowler's position

B. Offer the bedpan or urinal

The nurse is preparing to provide a complete bed bath to a patient who has a running IV. She placed a bath blanket over the patient and:

A. Removed the gown from the arm with the IV first

B. Removed the gown from the arm without the IV first

C. Removed the gown after the bath to keep the patient warm

D. Readjust the IV rate before moving the gown

B. Removed the gown from the arm without the IV first

The usual sequence of the bed bath involves:

A. Washing the feet after the legs

B. Washing the eyes after the face

C. Washing the legs before the abdomen

D. Washing the back area before the extremities.

A. Washing the feet after the legs

Hygienic care of the patient with dry skin should include:

A. Use of moisturizers

B. Use of ultraviolet light

C. Application of antiseptic lotion

D. Lowering of bath water temperature

A. Use of moisturizers

While giving the patient a bed bath, the nurse notices a reddened area on the patient's coccyx. The nurse should:

A. Decrease the temperature of the bath water

B. Massage thr reddened area to decrease the redness

C. Apply topical moisturising agents

D. Ignore the redness since it will return to normal soon

C. Apply topical moisturising agents

The optimal position for a female patient for the provision of perineal care is:

A. Prone

B. Side-lying

C. High-Fowler;s

D. Dorsal recumbent

D. Dorsal recumbent

While evaluating the hygienic care practices of a female client, a nurse recognizes that additional instruction is necessary if the client:

A. Washes the area from back to front

B. Washes the labia majora before the labia minora

C. Avoids tension on indwelling catheter

D. Uses separate sections of the washcloth for each cleansing stroke

A. Washes the area from back to front

in providing perineal care for a male patient, the nurse realized that the patient has not been circumcised. The nurse should:

A. Retract the foreskin after care has been completed

B. Place patient in a prone position

C. Replace foreskin to its natural position after care has been provided

D. Wait until patient has an erection to clean the penis

C. Replace foreskin to its natural position after care has been provided

The nurse is getting ready to help the patient prepare a tub bath. The nurse should:

A. Instruct the patient to use safety bars.

B. Use the patient's favorite bath oil for aroma therapy

C. Instruct the patient to stay in the tub no longer than 30 minutes

D. Check on the patient every 20 minutes

A. Instruct the patient to use safety bars.

When teaching parents oral care for a child, the nurse instructs them to:

A. Give bottles with juice at bedtime

B. Begin dental visit after the child is 8 years old

C. Allow the preschool child to floss his teeth without parental supervision

D. Limit snacks to three to four per day

D. Limit snacks to three to four per day

The nurse is about to provide oral hygiene for an unconscious patient. To do soi, she placed the patient in which position?

A. Folwer's

B. Semi-Fowler's

C. Sims

D. Supine

C. Sims

(Similar to side line position)

A nurse recognizes that a shampoo may be contraindicated for a bed-bound patient with:

A. Heart disease

B. Diabete mellitus

C. A neck injury

D. A bleeding disorder

C. A neck injury

Shaving a patient with a disposable razor is contraindicated for a patient with:

A. Heart disease

B. Diabete mellitus

C. A neck injury

D. A bleeding disorder

D. A bleeding disorder

When evaluating the shaving of a patient that is done by a family member, the nurse determines that the technique is done appropriately when:

A. Long strokes are used

B. The razor is held at a 45-degree angle to the skin

C. Shaving is done against the direction of hair growth

D. A cool cloth is used on the skin before the shave

B. The razor is held at a 45-degree angle to the skin

The nurse is providing nail care for the patient who wants his fingernails "done". The nurse should:

A. Clip the fingernail gently to prevent injury

B. Clean under the nails using an orange stick

C. Soak the fingernails for no longer than 10 minutes

D. Clan under the nails using the end of a cotton swab

C. Soak the fingernails for no longer than 10 minutes

The nurse assesses the presence of an abrasion as:

A. A papulopustular skin eruption

B. Rough texture on the skin surface

C. Erythema and scaly, oozing areas

D. A scraping away of the epidermis

D. A scraping away of the epidermis

The nurse is caring for a gentleman who has dry skin. When the following interventions are compared, which would be most appropriate for this patient?

A. Limiting the frequency of bathing

B. Use a fat-free soap for washing

C. Using warm water and moisturizers

D. Bathing with hot water to increase blood flow

C. Using warm water and moisturizers

The patient is complaining of alopecia. To treat this condition, the nurse:

A. Shaves hair off of the affected area

B. Uses permethrin (Nix)

C. Offers the patient access to scarves or wigs

D. Places a drop of oil on the area

C. Offers the patient access to scarves or wigs

the Patient requires postural drainage three times a day. When the benefits if the following bed positions are compared, which would be most appropriate for this task?

A. Fowler's position

B. Trendelenburg's position

C. Reverse Trendelenburg's position

D. Semi-Fowler's position

B. Trendelenburg's position

This skin, the largest human body organ, protects us from heat, light, injury, and infection and does which of the following? (Select all that apply)

A. Helps regulate body temperature

B. Stores water, vitamin D, and fat

C. Helps to sense pain

D. Prevents the entry of bacteria

A,B, C, D

Critically ill patients on a ventilator are at risk for ventilator-associated pneumonia (VAP) Sources of VAP include: (Select all that apply)

A. Bacteria in the oral pharynx

B. Dental plaque

C. Chlorhexidine rinse

D. Too frequent oral hygiene

A, B

When taking a shower in the home setting, the patient at risk for galls may benefit from: (Select all that apply)

A. Installation of grab bars

B. Adhesive strips applied to the tub floor

C. Addition of a shower chair or stool

D. A hydraulic lift

A, B, C

Patients at greatest risk for developing serious foot problems include those with: (Select all that apply)

A. Peripheral neuropathy

B. Peripheral vascular disease

C. Pancreatitis

D. Diabetes

A, B, D

The development of diabetic foot ulcers is dependent on which of the following? (Select all that apply)

A. Peripheral neuropathy

B. Ischemia

C. A pivotal event

D. Pain

A, B, C

The patient is admitted with the diagnosis of pediculosis capitis. Proper treatment for this condition would include which of the following: (Select all that apply)

A. Use of medicated shampoo or permethrin (NIX)

B. Use of products containing lindane

C. Combing hair with a nit comb for 2 to 3 days after treatment

D. Washing linens in cold water for 30 minutes

A, C

____ is the largest human organ

Skin

The first line of defense to external injury and infection contains several thin layers of cells undergoing stages of maturation. This first line of defense is known as the ___________________.

Epidermis

________________ provides an acidic coating to protect the epidermis against penetration from chemicals and microorganisms, and also minimizes loss of water and plasma proteins.

Sebum

_______ removes dead cells and bacteria and helps maintain skin integrity.

Bathing

The act of chewing is also known as ______________________.

Mastication

__________ are mucous membranes with underlying supportive tissues that encircle the neck of erupted teeth to hold them in place.

gums/ gingiva

Regular oral hygiene is necessary to maintain the integrity of tooth surfaces and to prevent gum inflammation know as __________________.

gingivitis

itis

inflammation

Periphreal

lower extremities

vascular

pertaining to blood vessels

pediculosis capitis

head lice

Tissue that surrounds the fingernails, slowly grows over the nail, and must be regularly pushed back with a soft nail brush is known as the ___________.

cuticle

Fifty-five percent of foot ulcers are due to repeat trauma over time, often caused by ____________________.

Poorly fitted shoes

______________ is defined as excessive growth of body and facial hair.

Hirsutism

___________ is balding patches in the periphery of the hairline.

Alopecia