Hygiene Practice Questions with Rationale Latest Update Rated A

Hygiene Practice Questions with Rationale Latest Update Rated A A nurse is bathing a patient who has a fever. Why should the nurse use tepid water for this procedure? A. Increases heat loss B. Removes surface debris C. Reduces surface tension of skin D. Stimulates peripheral circulation Answer: A Heat is transferred from the warm surface of the skin ti the water that is in direct contact with the body, and evaporation of the water promotes cooling. Tepid water is slightly below body temperature, and a person with a fever has an elevated body temperature (febrile). A nurse must make the decision to give a patient a full or partial bed bath. Which is the most important for the basis of this decision? A. Primary health-care provider's order for the patient's activity B. Immediate need of the patient C.Time of the patient's last bath D. Patient preference Answer: B A total patient assessment with an analysis of the data identifies the needs of the patient and the appropriate intervention to meet those needs A patient has a nasogastric tube to decompress the stomach for 3 days and is scheduled for intestinal surgery in the morning. For which of the following is the patient at the greatest risk? A. Physical injury B. Ineffective social interaction C. Decreased nutritional intake D. Altered oral mucus membrane Answer: D Not drinking anything by mouth and having a tube through the nose and posterior pharynx can result in drying of the oral mucus membranes and a coated, furrowed tongue. A patient is incontinent of urine and stool. For which patient response should the nurse be most concerned? A.Impaired skin integrity B. Altered sexuality C.Dehydration D. Confusion Answer: A Fecal matter contains enzymes that erode the skin, and urine is an acidic fluid that macerates the skin. As a result, altered skin integrity is a serious concern. A nurse is giving a patient a bed bath. Which nursing action is most important? A. Lower the 2 side rails om the working side of the bed B. Ensure that the bath water is at least 110 degrees Fahrenheit C. Fold the washcloth like a mitt on the hand D. Raise the bed to the highest position Answer: B The temperature of bath water should be between 110 to 115 degrees Fahrenheit to promote comfort, dilate blood vessels, and prevent chilling. A lower temperature can cause chilling, and a higher temperature can cause skin trauma. A nurse plans to give a patient a back rub. Which is the product the nurse should use foe this intervention. A. Baby powder B. Rubbing alcohol C. Moisturizing lotion D. Antimicrobial cream Answer: C Moisturizing lotion lubricates the skin and reduces friction between the nurses hands and patients back. Lotion facilitates smooth movement of the hands across the patients skin, which is relaxing and -prevents trauma to the skin. The use of a moisturizing lotion for a back rub does not require a primary health- care provider's order A nurse changes the linen of a bed while the patient sits in a chair. Of the options presents, which is the most important nursing action when changing bed linens. A. Ensuring the hem of the bottom sheet is facing the mattress B. Arranging the linen in the order in which it is to be used C. Shifting the mattress up to the headboard of the bed D. Checking the soiled bed linen for personal items Answer: D A nurse must take reasonable precautions to ensure that a patient's personal belongings, especially eyeglasses, dentures, and prosthetic devices are kept safe. Checking for personal belongings before placing soiled linen into a linen hamper is a reasonable, prudent nursing action. A nurse is responsible for providing hair care for a patient. Which should the nurse do to distribute oil evenly along hair shafts A. Brush from the scalp toward the hair B. Lift opened fingers through hair C. Applying conditioner D. Use fine-tooth comb Answer: A Brushing the hair from the scalp to the ends of the hair massages the scalp and distributes the oils secreted by the scalp down along the length of the hair shaft Which of the following identified by the nurse places the patient at the greatest risk for impaired self care when toileting..? A. Amputation of a foot B. Early dementia C. Fractured hip D. Pregnancy Answer: C Discomfort resulting from the proximity of fracture to the pelvic area and the limitations placed on the positioning of or wight-bearing on, the affected leg impact of patient's ability to use bedpan or transfer to a commode A patient asks a nurse, "Why do I have ti use mouthwash if I brush my teeth?" Which rationale should the nurse include include when responding to this question? A. Minimizes the formation of cavities B. Helps reduce offensive mouth odors