Fundamentals of Nursing – Hygiene *Q&A* [verified]

Fundamentals of Nursing – Hygiene *Q&A* [verified] The nurse is assisting a patient with rheumatoid arthritis to bathe at the sink. During the bath the patient states that she is tired. The nurse notices the patient is breathing rapidly and the pulse is rapid. What is the nurse's best response? A. Finish the bath quickly B. Help the patient return to bed C. Leave the patient alone to rest in the chair at the sink for a few minutes D. Instruct the patient to take deep breaths and try to relax *Ans* B A patient who is cognitively impaired and has dementia requires hygiene care. The patient often displays aggressive behavior such as screaming and hitting during the bath. Which techniques make the bathing experience less stressful for both the nurse and the patient? (Select all that apply.) A. Allow the patient to perform as much of the care as possible. B. Start by washing the face. C. Try an alternative to traditional bathing such as the "bag bath." D. Use restraints to prevent the patient from injuring self or the nurse. *Ans* A, C A male nurse is caring for a 32-year-old female Muslim patient who has an indwelling Foley catheter. After introducing himself to the patient, the nurse learns that the patient does not want him to help her with personal hygiene care. Which of the following is(are) appropriate actions? (Select all that apply.) A. Finding a female nurse to help the patient B. Convincing the patient that he will work quickly and provide as much privacy as possible C. Skipping hygiene care for the day except for the parts that the patient can complete independently D. Asking the patient if she prefers a family member assist with the care *Ans* A, D What is the priority concern when providing oral hygiene for a patient who is unconscious? A. Thoroughly brushing all tooth and oral surfaces B. Preventing aspiration C. Controlling mouth odor D. Applying local antiseptic such as chlorhexidine *Ans* B You are helping a female patient bathe. As you are about to perform perineal care, the patient says, "I can finish my bath." The patient has discomfort and burning in the perineal area. What action do you need to take initially? A. Explain to the patient that, because of her symptoms, you need to observe the perineal area. B. Insist that you are supposed to complete the care. C. Honor the patient's request to complete her own perineal care to avoid any embarrassment. D. Ask the patient if a family member can complete the care instead. *Ans* A Your patient wears full dentures. His usual denture care includes taking the teeth out once a day to brush. He wears the dentures overnight. You are concerned that he might be at risk for