Question 1

The nurse is caring for a patient who has diabetes mellitus and circulatory insufficiency,with peripheral neuropathy and urinary incontinence.The nurse realizes that patients with these conditions

Accepted Answer

A)   Have decreased pain sensation and increased risk of skin impairment.
B)   Are at decreased risk of developing infection due to urinary pH level.
C)   Also have decreased caloric intake, which results in accelerated wound healing.
D)   Have impaired venous return, allowing for greater circulation and less breakdown. A

Question 2

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

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 because that is the "normal" routine.
C)   Explain to the patient the importance of maintaining morning hygiene practices.
D)   Cancel hygiene for the day and attempt again in the morning. A

Question 3

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 harbor gram-negative organisms.
B)   Bag baths use soaps that enhance cleansing.
C)   Bag baths do not contain emollients.
D)   Bag baths increase skin flaking and scaling. A

Question 4

The patient is complaining of an inability to clear his nasal passages.The nurse instructs the patient to

Accepted Answer

A)   Blow his nose forcefully to clear the passage.
B)   Insert a cotton-tipped applicator as far as possible.
C)   Apply gentle suction using a pediatric bulb suction device.
D)   Use a dry washcloth to absorb secretions.

Question 5

The nurse is admitting an elderly patient for failure to thrive and weight loss.A nasogastric tube is inserted for supplemental tube feedings.The nurse should become concerned when

Accepted Answer

A)   Bleeding is noted where the tube comes in contact with the nares.
B)   Nasal mucosa is pink.
C)   No discharge from the nose is noted.
D)   Clear, watery discharge is noted.

Question 6

When providing basic eye care,the nurse

Accepted Answer

A)   Cleanses the eye with soap and water.
B)   Applies pressure directly to the eyeball.
C)   Cleanses from inner canthus to outer canthus.
D)   Provides less frequent care to unconscious patients.

Question 7

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

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.

Question 8

The female nurse is caring for a male patient who is uncircumcised but not ambulatory,although he has full function of arms and hands.The nurse is providing the patient with a partial bed bath.Perineal care for this patient

Accepted Answer

A)   Is not necessary because he is not circumcised.
B)   Should be postponed because it may cause him embarrassment.
C)   Should be done by the patient.
D)   Should be done by the nurse.

Question 9

Of the following developmental changes,which are most commonly associated with the elderly?

Accepted Answer

A)   Increased eccrine and apocrine gland function
B)   Fungal nail infections
C)   Less resilient skin and bruising
D)   Increased skin lubrication
E)   Dry, itchy skin

Question 10

The patient has been forcefully blowing his nose and now has a nosebleed.The nurse is concerned about the patient's condition and assesses the patient for which possible negative issues?

Accepted Answer

A)   Clearance of nasal passages
B)   Injury to the tympanic membrane (eardrum) 
C)   Damage to nasal mucosa
D)   Eye injury
E)   Decreased nasal passage pressure

Question 11

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 adult

Question 12

The patient has been diagnosed with diabetes for the past 12 years.When admitted,the patient is unkempt and is in need of a bath and foot care.When questioned about his hygiene habits,the patient tells the nurse that baths are taken once a week where he comes from,although he takes a sponge bath every other day.To provide ultimate care for this patient,the nurse understands that

Accepted Answer

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

Question 13

The unconscious patient is resisting attempts by the nurse to provide oral hygiene.To provide the needed care,the nurse may

Accepted Answer

A)   Insert an oral airway upside down.
B)   Hold the patient's mouth open with her fingers.
C)   Position the patient on his back.
D)   Use undiluted hydrogen peroxide as a cleaner.

Question 14

Of the following patients,which are in need of perineal care?

Accepted Answer

A)   A patient with urinary and fecal incontinence
B)   A circumcised male who is ambulatory
C)   A patient with rectal and perineal surgical dressings
D)   A patient with an indwelling catheter
E)   A morbidly obese patient

Question 15

Scaling of the scalp accompanied by itching is known as

Accepted Answer

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

Question 16

The nurse is bathing a patient and notices movement in the patient's hair.The nurse should

Accepted Answer

A)   Ignore the movement and continue.
B)   Use gloves or a tongue blade to inspect the hair.
C)   Examine the hair without gloves to make picking lice easier.
D)   Shave the hair off of the patient's head.

Question 17

Of the following hearing aids,which interferes the most with wearing eyeglasses and using a phone?

Accepted Answer

A)   In-the-canal hearing aid
B)   In- the-ear hearing aid
C)   Behind-the-ear hearing aid
D)   They are all equally useful.

Question 18

The patient is diagnosed with pediculosis capitis (head lice)and was treated upon admission and was re-treated 24 hours later,yet the patient is still infested.The nurse should next

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.

Question 19

The nurse is teaching the patient about flossing and oral hygiene.The nurse teaches the patient that

Accepted Answer

A)   Flossing needs to be done at least three times a day.
B)   To prevent bleeding, the patient should use waxed floss.
C)   Flossing removes plaque and tartar from the teeth.
D)   Applying toothpaste to the teeth before flossing is harmful.

Question 20

The nurse is providing education about the importance of proper foot care to a patient who has diabetes mellitus.The nurses understands that this is important for the patient because

Accepted Answer

A)   Plantar warts can develop from foot fungi.
B)   Poor foot care leads to neuropathy.
C)   A strong dorsalis pedis pulse indicates poor blood flow.
D)   Foot ulcers are the most common precursor to amputation.

Exam 39: Hygiene