module 6 hygiene and bed making exam
questions and answers
What are various factors that affect personal hygiene?
social practices: how they are raised or infuenced
body image: some people are clean cut, some arent and need to be taught hygiene
health benefits and motivations: help people understand that it is important for their health to have
good hygiene
developmental stage: aging affects the condition of body tissues and structures. Children don't know
to clean selves. Adolescence go through body changes It's hard for old people to perform good
hygiene care sometimes..
physical condition: illness andn injury can make it hard for good hygiene habits
cultural variables: level of education, gender preference, geographic location,
socioeconomic status: some peopel cant afford to good hygiene
personal preference: know what time and kinds of baths and products patient normally uses
What are the purposes of giving a bath and providing skin care?
good hygiene is linked with good health
maintains personal cleanliness
-prevents offensive body odors, especially in axillae and pubic areas
-bathing removes perspiration, some bacteria, and dead skin cells which minimizes skin irritation and
reduces the dance of infection
promotes comfort and relaxation
promotion of range of motion
-movement of extremities while bathing
stimulates circulation
-warm water and gentle strokes from distal to proximal increases circulation and promote venous
return
Helps improve self image
-promotes feeling of being refreshed, relaxed. Promot the patients independents as much as possible
Nurses advantage of patients taking baths
strengthens nurse-patient relationship by providing the opportunity to develop a meaningful nurse
patient relationship
provides opportunity for assessment of the patient including condition of patient , psychosocial and
learning needs.
when would the nurse choose to use a shower, assisted bath, or a bed bath?
A shower allows for more thorough cleaning than a bed bath but can cause fatigue however some
people feel cleaner in a shower or less insecure...
bed bath: if a patient is not mobile, or unconscious, totally dependent
, An assisted bath is commonly used in long term care and allows more thorough cleaning
What assessments are important when providing back care? Why do you massage the back?
assessments: consult the medical record for any contraindications to a massage. Ensure the patient
wants a massage because they may dislike physical contact. Reduce noise and make sure the patient
is comfortable
observe the skin for redness or open areas. part attention to the skin over bony prominence
massage the back to promote relaxation, relieves muscular tension, decrease perception of pain
provides opportunity for nurse to observe skin for signs of breakdown
In addition to promoting a sense of well-being, why is providing oral hygiene important?
refreshes the mouth. prevents deterioration of the oral cavity.
indequate oral care can lead to impaired nutrition , stroke, poor blood sugar control in diabetes.
inadequate oral care and some medications diminish salivary production, which in turn reduces the
ability of the oral environment to help fight effects of pathogens.
How does the nurse provide denture care? What is the most important safety measure?
Encourage patients to clean their dentures on a regular basis to prevent gingival infection and
irritation. They must be removed at night to rest the gums and prevent bacterial buildup.
Procedure for care of dentures:
- Identify patient
- Ask patient if dentures fit and if there is any tenderness or irritation
- Hand hygiene and gloves. Fill sink with tepid water with a washcloth at the bottom
- Remove dentures. If patient is unable to remove them independently, grasp upper plate with gauze
and pull downwards. Lower denture, gently lift from jaw and rotate one side downwards. Place
dentures in sink.
- Apply cleaning agent to brush and brush surfaces of dentures
- If patient uses adhesive, apply a thin layer to undersurface before inserting
- If patient needs help inserting dentures, moisten upper dentures and press firmly to seal in place.
Ask if dentures feel comfortable.
- To rest gums and reduce risk of infection, store dentures in a secure moist place.
How is oral hygiene different for the unconscious patient? What is the risk factor? How is safety
maintained?
Unconscious patients can't spit, or swallow, they need suction and their heads need to be positioned
downward to prevent aspiration. The secretion build up in their mouths from not swallowing or
spitting often contains gram negative bacteria that can cause pneumonia.
They must be protected from choking.
Why do you wipe the eyes from inner to outer canthus?
To keep as much buildup out of the lacrimal secretions.
How is eye care different for the unconscious patient?
questions and answers
What are various factors that affect personal hygiene?
social practices: how they are raised or infuenced
body image: some people are clean cut, some arent and need to be taught hygiene
health benefits and motivations: help people understand that it is important for their health to have
good hygiene
developmental stage: aging affects the condition of body tissues and structures. Children don't know
to clean selves. Adolescence go through body changes It's hard for old people to perform good
hygiene care sometimes..
physical condition: illness andn injury can make it hard for good hygiene habits
cultural variables: level of education, gender preference, geographic location,
socioeconomic status: some peopel cant afford to good hygiene
personal preference: know what time and kinds of baths and products patient normally uses
What are the purposes of giving a bath and providing skin care?
good hygiene is linked with good health
maintains personal cleanliness
-prevents offensive body odors, especially in axillae and pubic areas
-bathing removes perspiration, some bacteria, and dead skin cells which minimizes skin irritation and
reduces the dance of infection
promotes comfort and relaxation
promotion of range of motion
-movement of extremities while bathing
stimulates circulation
-warm water and gentle strokes from distal to proximal increases circulation and promote venous
return
Helps improve self image
-promotes feeling of being refreshed, relaxed. Promot the patients independents as much as possible
Nurses advantage of patients taking baths
strengthens nurse-patient relationship by providing the opportunity to develop a meaningful nurse
patient relationship
provides opportunity for assessment of the patient including condition of patient , psychosocial and
learning needs.
when would the nurse choose to use a shower, assisted bath, or a bed bath?
A shower allows for more thorough cleaning than a bed bath but can cause fatigue however some
people feel cleaner in a shower or less insecure...
bed bath: if a patient is not mobile, or unconscious, totally dependent
, An assisted bath is commonly used in long term care and allows more thorough cleaning
What assessments are important when providing back care? Why do you massage the back?
assessments: consult the medical record for any contraindications to a massage. Ensure the patient
wants a massage because they may dislike physical contact. Reduce noise and make sure the patient
is comfortable
observe the skin for redness or open areas. part attention to the skin over bony prominence
massage the back to promote relaxation, relieves muscular tension, decrease perception of pain
provides opportunity for nurse to observe skin for signs of breakdown
In addition to promoting a sense of well-being, why is providing oral hygiene important?
refreshes the mouth. prevents deterioration of the oral cavity.
indequate oral care can lead to impaired nutrition , stroke, poor blood sugar control in diabetes.
inadequate oral care and some medications diminish salivary production, which in turn reduces the
ability of the oral environment to help fight effects of pathogens.
How does the nurse provide denture care? What is the most important safety measure?
Encourage patients to clean their dentures on a regular basis to prevent gingival infection and
irritation. They must be removed at night to rest the gums and prevent bacterial buildup.
Procedure for care of dentures:
- Identify patient
- Ask patient if dentures fit and if there is any tenderness or irritation
- Hand hygiene and gloves. Fill sink with tepid water with a washcloth at the bottom
- Remove dentures. If patient is unable to remove them independently, grasp upper plate with gauze
and pull downwards. Lower denture, gently lift from jaw and rotate one side downwards. Place
dentures in sink.
- Apply cleaning agent to brush and brush surfaces of dentures
- If patient uses adhesive, apply a thin layer to undersurface before inserting
- If patient needs help inserting dentures, moisten upper dentures and press firmly to seal in place.
Ask if dentures feel comfortable.
- To rest gums and reduce risk of infection, store dentures in a secure moist place.
How is oral hygiene different for the unconscious patient? What is the risk factor? How is safety
maintained?
Unconscious patients can't spit, or swallow, they need suction and their heads need to be positioned
downward to prevent aspiration. The secretion build up in their mouths from not swallowing or
spitting often contains gram negative bacteria that can cause pneumonia.
They must be protected from choking.
Why do you wipe the eyes from inner to outer canthus?
To keep as much buildup out of the lacrimal secretions.
How is eye care different for the unconscious patient?
