Question 1

The nurse is teaching the patient about flossing and oral hygiene. Which instruction will the nurse include in the teaching session?

Accepted Answer

A)  Using waxed floss prevents bleeding. 
B)  Flossing removes plaque and tartar from the teeth. 
C)  Performing flossing at least 3 times a day is beneficial. 
D)  Applying toothpaste to the teeth before flossing is harmful. 
A)  Using waxed floss prevents bleeding. 
B)  Flossing removes plaque and tartar from the teeth. 
C)  Performing flossing at least 3 times a day is beneficial. 
D)  Applying toothpaste to the teeth before flossing is harmful.

Question 2

The patient is being fitted with a hearing aid. In teaching the patient how to care for the hearing aid, which instructions will the nurse provide?

Accepted Answer

A)  Change the battery every day or as needed. 
B)  Adjust the volume for a talking distance of 1 yard. 
C)  Wear the hearing aid 24 hours per day except when sleeping. 
D)  Avoid the use of hairspray, but aerosol perfumes are allowed. 
A)  Change the battery every day or as needed. 
B)  Adjust the volume for a talking distance of 1 yard. 
C)  Wear the hearing aid 24 hours per day except when sleeping. 
D)  Avoid the use of hairspray, but aerosol perfumes are allowed.

Question 3

The patient has been diagnosed with diabetes. When admitted, the patient is unkempt and is in need of a bath and foot care. When questioned about hygiene habits, the nurse learns the patient takes a bath once a week and a sponge bath every other day. To provide ultimate care for this patient, which principle should the nurse keep in mind?

Accepted Answer

A)  Patients who appear unkempt place little importance on hygiene practices. 
B)  Personal preferences determine hygiene practices and are unchangeable. 
C)  The patient's illness may require teaching of new hygiene practices. 
D)  All cultures value cleanliness with the same degree of importance. 
A)  Patients who appear unkempt place little importance on hygiene practices. 
B)  Personal preferences determine hygiene practices and are unchangeable. 
C)  The patient's illness may require teaching of new hygiene practices. 
D)  All cultures value cleanliness with the same degree of importance.

Question 4

Which patients will the nurse determine are in need of perineal care? (Select all that apply.)

Accepted Answer

A)  A patient with rectal and genital surgical dressings 
B)  A patient with urinary and fecal incontinence 
C)  A circumcised male who is ambulatory 
D)  A patient who has an indwelling catheter 
E)  A bariatric patient 
A)  A patient with rectal and genital surgical dressings 
B)  A patient with urinary and fecal incontinence 
C)  A circumcised male who is ambulatory 
D)  A patient who has an indwelling catheter 
E)  A bariatric patient

Question 5

The patient reports to the nurse about a perceived decrease in hearing. When the nurse examines the patient's ear, a large amount of cerumen buildup at the entrance to the ear canal is observed. Which action will the nurse take next?

Accepted Answer

A)  Teach the patient how to use cotton-tipped applicators. 
B)  Tell the patient to use a bobby pin to extract earwax. 
C)  Apply gentle, downward retraction of the ear canal. 
D)  Instill hot water into the ear canal to melt the wax. 
A)  Teach the patient how to use cotton-tipped applicators. 
B)  Tell the patient to use a bobby pin to extract earwax. 
C)  Apply gentle, downward retraction of the ear canal. 
D)  Instill hot water into the ear canal to melt the wax.

Question 6

The debilitated patient is resisting attempts by the nurse to provide oral hygiene. Which action will the nurse take $\bold{next}$?

Accepted Answer

A)  Insert an oral airway. 
B)  Place the patient in a flat, supine position. 
C)  Use undiluted hydrogen peroxide as a cleaner. 
D)  Quickly proceed while not talking to the patient. 
A)  Insert an oral airway. 
B)  Place the patient in a flat, supine position. 
C)  Use undiluted hydrogen peroxide as a cleaner. 
D)  Quickly proceed while not talking to the patient.

Question 7

The nurse is caring for a patient who is immobile. The nurse frequently checks the patient for impaired skin integrity. What is the rationale for the nurse's action?

Accepted Answer

A)  Inadequate blood flow leads to decreased tissue ischemia. 
B)  Patients with limited caloric intake develop thicker skin. 
C)  Pressure reduces circulation to affected tissue. 
D)  Verbalization of skin care needs is decreased. 
A)  Inadequate blood flow leads to decreased tissue ischemia. 
B)  Patients with limited caloric intake develop thicker skin. 
C)  Pressure reduces circulation to affected tissue. 
D)  Verbalization of skin care needs is decreased.

Question 8

The nurse is caring for a patient who refuses to bathe in the morning. When asked why, the patient says "I always bathe in the evening." Which action by the nurse is best?

Accepted Answer

A)  Defer the bath until evening and pass on the information to the next shift. 
B)  Tell the patient that daily morning baths are the "normal" routine. 
C)  Explain the importance of maintaining morning hygiene practices. 
D)  Cancel hygiene for the day and attempt again in the morning. 
A)  Defer the bath until evening and pass on the information to the next shift. 
B)  Tell the patient that daily morning baths are the "normal" routine. 
C)  Explain the importance of maintaining morning hygiene practices. 
D)  Cancel hygiene for the day and attempt again in the morning.

Question 9

When providing hygiene for an older-adult patient, the nurse closely assesses the skin. What is the rationale for the nurse's action?

Accepted Answer

A)  Outer skin layer becomes more resilient. 
B)  Less frequent bathing may be required. 
C)  Skin becomes less subject to bruising. 
D)  Sweat glands become more active. 
A)  Outer skin layer becomes more resilient. 
B)  Less frequent bathing may be required. 
C)  Skin becomes less subject to bruising. 
D)  Sweat glands become more active.

Question 10

The patient is being treated for cancer with weekly radiation therapy to the head and chemotherapy treatments. Which assessment is the priority?

Accepted Answer

A)  Feet 
B)  Nail beds 
C)  Perineum 
D)  Oral cavity 
A)  Feet 
B)  Nail beds 
C)  Perineum 
D)  Oral cavity

Exam 40: Hygiene

The nurse is teaching the patient about flossing and oral hygiene. Which instruction will the nurse include in the teaching session?

The patient is being fitted with a hearing aid. In teaching the patient how to care for the hearing aid, which instructions will the nurse provide?

Which patients will the nurse determine are in need of perineal care? (Select all that apply.)

The patient reports to the nurse about a perceived decrease in hearing. When the nurse examines the patient's ear, a large amount of cerumen buildup at the entrance to the ear canal is observed. Which action will the nurse take next?

The debilitated patient is resisting attempts by the nurse to provide oral hygiene. Which action will the nurse take next\bold{next}next ?

The nurse is caring for a patient who is immobile. The nurse frequently checks the patient for impaired skin integrity. What is the rationale for the nurse's action?

The nurse is caring for a patient who refuses to bathe in the morning. When asked why, the patient says "I always bathe in the evening." Which action by the nurse is best?

When providing hygiene for an older-adult patient, the nurse closely assesses the skin. What is the rationale for the nurse's action?

The patient is being treated for cancer with weekly radiation therapy to the head and chemotherapy treatments. Which assessment is the priority?

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Oxygenation

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The debilitated patient is resisting attempts by the nurse to provide oral hygiene. Which action will the nurse take $\bold{next}$ ?