Question 1

A number of factors influence a patient's personal preferences for hygiene.Because of this,what is important for the nurse to realize?

Accepted Answer

A) No two individuals perform hygiene care in the same manner. 
B) It is important to standardize a patient's hygienic practices. 
C) Hygiene care is always routine and expected. 
D) Hygiene care is not the time to learn about patient needs. 
A) No two individuals perform hygiene care in the same manner. 
B) It is important to standardize a patient's hygienic practices. 
C) Hygiene care is always routine and expected. 
D) Hygiene care is not the time to learn about patient needs. A

Question 2

Social groups influence hygiene preferences and practices,including the type of hygienic products used and the nature and frequency of personal care.Which of the following developmental stages is most likely to be influenced by family customs?

Accepted Answer

A) Adolescent. 
B) Toddler. 
C) Adult. 
D) Older person. 
A) Adolescent. 
B) Toddler. 
C) Adult. 
D) Older person. B

Question 3

How is basic eye care provided?

Accepted Answer

A) The nurse cleanses the eye with soap and water. 
B) The nurse applies pressure directly to the eyeball. 
C) The nurse cleanses from inner canthus to outer canthus. 
D) The nurse provides less frequent care to unconscious patients. 
A) The nurse cleanses the eye with soap and water. 
B) The nurse applies pressure directly to the eyeball. 
C) The nurse cleanses from inner canthus to outer canthus. 
D) The nurse provides less frequent care to unconscious patients. C

Question 4

The patient has been brought to the emergency department after a motor vehicle accident.The patient is unresponsive.His driver's licence states that he needs glasses to operate a motor vehicle,but no glasses were brought in with the patient.What should the nurse do?

Accepted Answer

A) Assume that the glasses were lost during the accident. 
B) Stand to the side of the patient's eye and observe the cornea. 
C) Assume that the patient was not wearing glasses while driving. 
D) Assume that the ambulance personnel have them. 
A) Assume that the glasses were lost during the accident. 
B) Stand to the side of the patient's eye and observe the cornea. 
C) Assume that the patient was not wearing glasses while driving. 
D) Assume that the ambulance personnel have them.

Question 5

The nurse is providing oral care to an unconscious patient and notes that the patient has extremely bad breath.What is the term for "bad breath"?

Accepted Answer

A) Alopecia. 
B) Halitosis. 
C) Dental caries. 
D) Neuropathy. 
A) Alopecia. 
B) Halitosis. 
C) Dental caries. 
D) Neuropathy.

Question 6

The nurse is caring for an older patient with Alzheimer's disease who is ambulatory but requires total assistance with his activities of daily living (ADLs).The nurse notices that his skin is dry and wrinkled.What should the nurse do?

Accepted Answer

A) Make sure that the patient is receiving daily baths. 
B) Reduce the number of baths per week if possible. 
C) Be aware that sweat glands become more active with aging. 
D) Be sure that the patient is using soap with his bath. 
A) Make sure that the patient is receiving daily baths. 
B) Reduce the number of baths per week if possible. 
C) Be aware that sweat glands become more active with aging. 
D) Be sure that the patient is using soap with his bath.

Question 7

The uncooperative patient is resisting attempts by the nurse to provide oral hygiene care.To provide the needed care,what may the nurse do?

Accepted Answer

A) Use a padded tongue blade. 
B) Hold the patient's mouth open with his or her own fingers. 
C) Position the patient on his or her back. 
D) Use undiluted hydrogen peroxide as a cleaner. 
A) Use a padded tongue blade. 
B) Hold the patient's mouth open with his or her own fingers. 
C) Position the patient on his or her back. 
D) Use undiluted hydrogen peroxide as a cleaner.

Question 8

Scaling of the scalp accompanied by itching is known as which of the following?

Accepted Answer

A) Dandruff. 
B) Pediculosis. 
C) Alopecia. 
D) Ticks. 
A) Dandruff. 
B) Pediculosis. 
C) Alopecia. 
D) Ticks.

Question 9

In providing oral care to an unconscious patient,what is an important action by the nurse?

Accepted Answer

A) Moistening the patient's mouth with lemon-glycerin sponges. 
B) Holding the patient's mouth open with his or her fingers. 
C) Rinsing the patient's mouth and immediately suctioning the oral cavity. 
D) Using foam swabs to help remove plaque. 
A) Moistening the patient's mouth with lemon-glycerin sponges. 
B) Holding the patient's mouth open with his or her fingers. 
C) Rinsing the patient's mouth and immediately suctioning the oral cavity. 
D) Using foam swabs to help remove plaque.

Question 10

The nurse is caring for a patient who has head lice (pediculosis capitis).What should the nurse know about treating this condition?

Accepted Answer

A) Products containing lindane are most effective. 
B) Head lice may spread to furniture and other people. 
C) Treatment must be repeated in 7 to 10 days. 
D) Manual removal is not a realistic option as treatment. 
A) Products containing lindane are most effective. 
B) Head lice may spread to furniture and other people. 
C) Treatment must be repeated in 7 to 10 days. 
D) Manual removal is not a realistic option as treatment.

Question 11

In providing perineal care to a female patient,how should the nurse wash?

Accepted Answer

A) Upward from rectum to pubic area. 
B) From back to front. 
C) From pubic area to rectum. 
D) In a circular motion. 
A) Upward from rectum to pubic area. 
B) From back to front. 
C) From pubic area to rectum. 
D) In a circular motion.

Question 12

The patient received a diagnosis of pediculosis capitis (head lice),was treated upon admission and re-treated 24 hours later,and yet the patient still has the infestation.What should be the nurse's next action?

Accepted Answer

A) Re-treat the patient with a medicated shampoo for eliminating lice. 
B) Use a product containing lindane to get rid of the lice. 
C) Manually remove the lice using a fine-toothed comb. 
D) Have the patient bathe or shower thoroughly. 
A) Re-treat the patient with a medicated shampoo for eliminating lice. 
B) Use a product containing lindane to get rid of the lice. 
C) Manually remove the lice using a fine-toothed comb. 
D) Have the patient bathe or shower thoroughly.

Question 13

The nurse is providing perineal care to an uncircumcised male patient.When providing such care,how should the nurse treat the foreskin?

Accepted Answer

A) Leave the foreskin alone because there is little chance of infection. 
B) Retract the foreskin for cleansing and allow it to return on its own. 
C) Retract the foreskin and keep retracted. 
D) Retract the foreskin and return it to its natural position when done. 
A) Leave the foreskin alone because there is little chance of infection. 
B) Retract the foreskin for cleansing and allow it to return on its own. 
C) Retract the foreskin and keep retracted. 
D) Retract the foreskin and return it to its natural position when done.

Question 14

The patient complains to the nurse about a perceived decrease in hearing.When the nurse examines the patient's ear,she notices a large amount of cerumen (ear wax)buildup at the entrance to the ear canal.What should the nurse do?

Accepted Answer

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

Question 15

The use of critical thinking attitudes is necessary to design a plan of care to meet the patient's hygiene needs.Which of the following are considered critical thinking attributes? (Select all that apply. )

Accepted Answer

A) Curiosity. 
B) Communication principles. 
C) Prior experience. 
D) Humility. 
E) Knowledge of cultural variations. 
A) Curiosity. 
B) Communication principles. 
C) Prior experience. 
D) Humility. 
E) Knowledge of cultural variations.

Question 16

The nurse is preparing to provide a complete bed bath to an unconscious patient.The nurse decides to use a bag bath.She does this for which of the following reasons?

Accepted Answer

A) Washbasins can harbour Gram-negative organisms. 
B) Bag baths entail the use of soaps that enhance cleansing. 
C) Bag baths do not contain emollients. 
D) Bag baths increase skin flaking and scaling. 
A) Washbasins can harbour Gram-negative organisms. 
B) Bag baths entail the use of soaps that enhance cleansing. 
C) Bag baths do not contain emollients. 
D) Bag baths increase skin flaking and scaling.

Question 17

The nurse is caring for a patient who refuses "A.M.care." When asked why,the patient tells the nurse that she always bathes in the evening.What should the nurse do?

Accepted Answer

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

Question 18

A self-sufficient bedridden patient unable to reach all body parts needs which type of bath?

Accepted Answer

A) Complete bed bath. 
B) Bag bath. 
C) Sponge bath. 
D) Partial bed bath. 
A) Complete bed bath. 
B) Bag bath. 
C) Sponge bath. 
D) Partial bed bath.

Question 19

The patient is complaining of an inability to clear his nasal passages.How should the nurse instruct the patient?

Accepted Answer

A) To blow his nose forcefully to clear the passage. 
B) To insert a cotton-tipped applicator as far as possible. 
C) To apply gentle suction with a pediatric bulb suction device. 
D) To use a dry washcloth to absorb secretions. 
A) To blow his nose forcefully to clear the passage. 
B) To insert a cotton-tipped applicator as far as possible. 
C) To apply gentle suction with a pediatric bulb suction device. 
D) To use a dry washcloth to absorb secretions.

Question 20

The nurse is teaching a patient about contact lens care.The patient has plastic lenses,so what does the nurse instruct the patient to do?

Accepted Answer

A) Use tap water to clean lenses. 
B) Keep the lenses is a cool dry place when not being used. 
C) Reuse storage solution for up to a week. 
D) Wash and rinse lens storage case daily. 
A) Use tap water to clean lenses. 
B) Keep the lenses is a cool dry place when not being used. 
C) Reuse storage solution for up to a week. 
D) Wash and rinse lens storage case daily.

Exam 38: Hygiene

A number of factors influence a patient's personal preferences for hygiene.Because of this,what is important for the nurse to realize?

Social groups influence hygiene preferences and practices,including the type of hygienic products used and the nature and frequency of personal care.Which of the following developmental stages is most likely to be influenced by family customs?

How is basic eye care provided?

The patient has been brought to the emergency department after a motor vehicle accident.The patient is unresponsive.His driver's licence states that he needs glasses to operate a motor vehicle,but no glasses were brought in with the patient.What should the nurse do?

The nurse is providing oral care to an unconscious patient and notes that the patient has extremely bad breath.What is the term for "bad breath"?

The nurse is caring for an older patient with Alzheimer's disease who is ambulatory but requires total assistance with his activities of daily living (ADLs).The nurse notices that his skin is dry and wrinkled.What should the nurse do?

The uncooperative patient is resisting attempts by the nurse to provide oral hygiene care.To provide the needed care,what may the nurse do?

Scaling of the scalp accompanied by itching is known as which of the following?

In providing oral care to an unconscious patient,what is an important action by the nurse?

The nurse is caring for a patient who has head lice (pediculosis capitis).What should the nurse know about treating this condition?

In providing perineal care to a female patient,how should the nurse wash?

The patient received a diagnosis of pediculosis capitis (head lice),was treated upon admission and re-treated 24 hours later,and yet the patient still has the infestation.What should be the nurse's next action?

The nurse is providing perineal care to an uncircumcised male patient.When providing such care,how should the nurse treat the foreskin?

The patient complains to the nurse about a perceived decrease in hearing.When the nurse examines the patient's ear,she notices a large amount of cerumen (ear wax)buildup at the entrance to the ear canal.What should the nurse do?

The use of critical thinking attitudes is necessary to design a plan of care to meet the patient's hygiene needs.Which of the following are considered critical thinking attributes? (Select all that apply. )

The nurse is preparing to provide a complete bed bath to an unconscious patient.The nurse decides to use a bag bath.She does this for which of the following reasons?

The nurse is caring for a patient who refuses "A.M.care." When asked why,the patient tells the nurse that she always bathes in the evening.What should the nurse do?

A self-sufficient bedridden patient unable to reach all body parts needs which type of bath?

The patient is complaining of an inability to clear his nasal passages.How should the nurse instruct the patient?

The nurse is teaching a patient about contact lens care.The patient has plastic lenses,so what does the nurse instruct the patient to do?

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