Personal Hygiene pretest posttest fully solved graded A+ 2023/2024

Personal Hygiene pretest posttesta nurse is caring for an adult patient who is NPO. The patient is refusing oral care. Which of the following is an appropriate response by the nurse? - correct answer "oral care is still important even though you are not eating" Rational: Bacteria are still present in oral cavity regardless of NPO status. It is important to perform oral care to help reduce oral bacteria and keep oral cavity moist. while performing a complete bed bath the nurse should: - correct answer raise room temperature. Rational: Raising temperature of room will help keep patient warm while various parts of body are exposed and washed. a nurse is caring for a patient who is on long term bed rest and requires frequent linen changes due to excessive diaphoresis. Which of the following is the priority rationale for frequent linen changes? - correct answer moisture from excessive diaphoresis can cause skin breakdown. Rational: greatest risk to patient is skin breakdown, which can result from increased contact with moist sheets causing skin irritation & promoting bacteria growth. Therefore, linens should be changed frequently. a nurse is caring for an unconscious patient. which of the following statements by the nurse indicates an understanding of providing good oral hygiene for the patient - correct answer "ill swab patient's mouth with diluted Rational: Chlorhexidine" Chlorhexidine is correct solution to use for daily oral care for the unconscious patient because evidence-based practice indicates it improves patient outcomes by preventing microbial build-up. when planning morning hygiene care for a postoperative patient, which of the following actions should the nurse include - correct answer ask patient in what order she typically performs her morning routine Rational: patient's plan for routine morning care should be tailored to uniqueness of patient's typical routine. a nurse is assisting a patient with personal hygiene care. Which of the following actions by the nurse will reduce the risk of infection - correct answer cleaning least-soiled areas prior to cleaning most-soiled areas Rational: Least-soiled areas should be cleaned first to prevent moving more contaminants into cleaner areas. a nurse observes an assistive personnel (AP) make a client's bed while the client is out of the room. Which of the following actions by the AP is appropriate for this task - correct answer AP reuses patients blanket & spread. Rational: mattress pad, sheet, blanket, & spread may be reused for same patient if they are not wet or soiled. a nurse is preparing to assist a patient with a tub bath. Identify the sequence of steps the nurse should take. - correct answer -gather all necessary supplies -place a rubber mat on tub floor -assist patient into bathroom -instruct patient on using safety bars when getting in & out of tub -instruct patient to remain in tub for no longer than 20 min. Rational: When assisting patient with a tub bath, nurse should first gather all necessary supplies and then prepare room by placing rubber mat on tub floor to prevent patient from slipping & falling. Nurse should assist patient into bathroom & then give instructions regarding the use of bars to prevent slipping & falling when entering or exiting the bathtub. Finally, patient should be instructed to remain in tub for no longer than 20 min due to possibility of vasodilation from warm water, which can in turn cause light-headedness or dizziness.