Chapter 9, Hygiene and Care of the Patient's Environment

How will the nurse maintain eye hygiene for a patient with dry exudate in the eye?

Soak eyelid with washcloth and remove crust. pp. 195-202

In which direction will the nurse wash the female patient's genital area?

From back to front. pp. 219-221

Which intervention is essential to prevent skin breakdown in a patient experiencing bowel and bladder incontinence?

Thoroughly cleanse the skin after each episode of incontinence. p. 192

Which instructions would the nurse give to the unlicensed assistive personnel (UAP) regarding bathing a patient with dementia?

'If a full bath is not possible, prioritize which body parts need bathing." p. 203

Which type of bath aids in the reduction of inflammation of the perineal and anal areas?

Sitz. p. 195

Which type of bath is best for relieving joint pain in a patient with arthritis?

Paraffin. p. 212

What type of therapy will the nurse provide to alleviate the patient's pain after dental surgery?

Cold. pp. 207-208

Which action performed by a student while bathing a female patient indicates the need for additional teaching?

Allowing the breasts to air dry while completing the bath. pp. 195-202

Which patient statement indicates the need for additional teaching related to diabetic foot care?

"I like to work barefoot in my garden." pp. 217-219

While giving a patient a bed bath, which technique indicates the nurse has a thorough understanding of the basic principles of a bed bath?

The limb farthest from the nurse is washed first. pp. 195-202

Which action can compromise patient safety when an unlicensed assistive personnel (UAP) is providing a complete bed bath?

Leaving the side rails down while changing the water. p. 193

Which phrase best explains the purpose of a sitz bath for a patient who just delivered a baby?

Applies moist heat and cleans the perineal area p. 195

Which position is best to use when cleansing a patient's perineal area?

Lateral recumbent. pp. 195-202

The nurse would use water at which temperature to bathe an older adult patient with sensory impairment?

105F. p. 194

The nurse can anticipate that a patient who has developed an itchy rash caused by an allergic reaction will receive which type of bath?

Medicated. p. 203

An instructor is monitoring a student who is giving perineal care to an uncircumcised male patient. Which action by the student nurse warrants further education?

Not retracting the foreskin of the penis. pp. 219-221

Which intervention will promote patient independence during hygienic procedures?

Allowing the patient to perform as much of the procedure as possible. p. 189

Which skill can be delegated to unlicensed assistive personnel (UAP)?

Cold compress application. p. 209

Which type of bath would the nurse give to the patient who has recently had a vaginal delivery?

Sitz. p. 195

How frequently would the licensed practical nurse/licensed vocational nurse (LPN/LVN) evaluate an older patient's skin under a cold pack after the first 10 minutes?

Every 2 to 3 minutes. p. 208

For a patient with a wound that is bleeding profusely, which nursing intervention could result in increased damage to the patient?

Applying a heat pack p. 208

Which technique is the correct way to massage a reddened area on the skin?

Rub around the reddened patch. p. 207

How would the nurse explain the reason for making a toe pleat while making a patient's bed?

"A toe pleat prevents pressure, which can cause foot drop." pp. 224-227

Which action would the nurse take while cleaning a patient's face?

Use different parts of the washcloth for different parts of the face. pp. 195-202

How will the nurse respond when a child does not want to have a tepid sponge bath because "that's what babies get"?

Offer to let the child sit in the tub for the tepid bath. pp. 195-202

Which intervention might hinder bowel and bladder elimination for a patient?

Stress the need to be quick about bowel and bladder elimination. p. 228

How ill the nurse respond to a patient who is on anticoagulation therapy and wants to shave?

"You will be able to shave only with an electric razor." pp. 213, 216

Which razor would the nurse choose for a patient on anticoagulant who has requested to shave?

Electric. pp. 213, 216

Which statement by a patient indicates the need for further teaching related to urinary catheter care?

"I will wash my perineum from back to front." pp. 219-221

Which patient statement indicates a knowledge deficit regarding care of a patient who is to apply cold therapy after discharge?

"I will place the ice pack directly on the wound." p. 208

The nurse observes the skin changes in a patient who has been immobile for a long period. The skin over the shoulder blade area is red and does not blanch on pressure. There is also warmth, edema, and induration at the site. Which stage of pressure ulcer do these assessment findings indicate?

1 p. 205

Which statement