Hygiene NCLEX questions and Answers Graded A

Hygiene NCLEX questions and Answers Graded A A nurse assisting with a patient bed bath observes that an older female patient has dry skin. The patient states that her skin is always "itchy." Which nursing action would be the nurse's best response? A) Bathe the patient more frequently. B) Use an emollient on the dry skin. C) Massage the skin with alcohol. D) Discourage fluid intake. - ANS- B A nurse caring for patients in a critical care unit knows that providing good oral hygiene is an essential part of nursing care. What are some of the benefits of providing this care? Select all that apply. A) It promotes the patient's sense of well-being. B It prevents deterioration of the oral cavity. C) It contributes to decreased incidence of aspiration pneumonia. D) It eliminates the need for flossing. E) It decreases oropharyngeal secretions. F) It compensates for an inadequate diet. - ANS- A, B, C A nurse caring for patients in a skilled nursing facility performs risk assessments on the patients for foot and nail problems. Which patients would be at a higher risk? Select all that apply. A) A patient who is taking antibiotics for chronic bronchitis B) A patient diagnosed with type II diabetes C) A patient who is obese D) A patient who has a nervous habit of biting his nails E) A patient diagnosed with prostate cancer F) A patient whose job involves frequent hand washing - ANS- B, C, D,F A nurse is about to bathe a female patient who has an intravenous access in place in her forearm. The patient's gown, which does not have snaps on the sleeves, needs to be removed prior to bathing. What should the nurse do? A) Temporarily disconnect the IV tubing at a point close to the patient and thread it through the gown sleeve. B) Cut the gown with scissors to allow arm movement. C) Thread the bag and tubing through the gown sleeve, keeping the line intact. D) Temporarily disconnect the tubing from the IV container, threading it through the gown. - ANS- C A nurse is caring for a 25-year-old male patient who is comatose following a head injury. The patient has several piercings in his ears and nose. The piercing in his nose appears to be new and is crusted and slightly inflamed. Which action would be appropriate when caring for this patient's piercings? A) Do not remove or wash the piercings without permission from the patient. B) Rinse the sites with warm water and remove crusts with a cotton swab. C) Wash the sites with alcohol and apply an antibiotic ointment. D) Remove the jewelry and allow the sites to heal over. - ANS- B A nurse is caring for an 80-year-old patient who has become weak and fatigues easily. He is unable to wash his body and always asks the nurse to brush his teeth. Based on this information, what is an appropriate nursing diagnosis for this patient? A) Risk for Impaired Skin Integrity related to immobility B) Bathing/Hygiene Self-Care Deficit related to decreased strength and endurance C) Social Isolation related to lack of visitors D) Impaired Oral Mucous Membrane related to inability to brush his teeth - ANS- B A nurse is caring for an adolescent with severe acne. Which recommendations would be most appropriate to include in the teaching plan for this patient? Select all that apply. A. Wash the skin twice a day with a mild cleanser and warm water B. Use cosmetics liberally to cover blackheads. C. Use emollients on the area. D. Squeeze blackheads as they appear. E. Keep hair off the face and wash hair daily. F. Avoid sun-tanning booth exposure and use sunscreen. - ANS- A, E,F A nurse is providing foot care for patients in a long-term care facility. Which actions are recommended guidelines for this procedure? Select all that apply. A) Bathe the feet thoroughly in a mild soap and tepid water solution. B) Soak the feet in warm water and bath oil. C) Dry feet thoroughly, including the area between the toes. D) Use an alcohol rub if the feet are dry. E) Use an antifungal foot powder if necessary to prevent fungal infections. F) Cut the toenails at the lateral corners when trimming the nail. - ANS- A, C,E The following are recommended guidelines for foot care: bathe the feet thoroughly in a mild soap and tepid water solution; dry feet thoroughly, including the area between the toes; and use an antifungal foot powder if necessary to prevent fungal infections. The nurse should avoid soaking the feet, use moisturizer if the feet are dry, and avoid digging into or cutting the toenails at the lateral corners when trimming the nails. A nurse is scheduling hygiene for patients on her unit. What is the most important consideration when planning a patient's personal hygiene? A) When the patient had his or her most recent bath B) The patient's usual hygiene practices and preferences C) Where the bathing fits in the nurse's schedule D) The time that is convenient for the patient care assistant - ANS- B A nurse is teaching a student nurse how to cleanse the perineal area of both male and female patients. What are accurate guidelines when performing this procedure? Select all that apply. A) For male and female patients, wash the groin area with a small amount of soap and water and rinse. B) For a female patient, spread the labia and move the washcloth from the anal area toward the pubic area. C) For male and female patients, always proceed from the most contaminated area to the least contaminated area. D) For male and female patients, use a clean portion of the washcloth for each stroke. E) For a male patient, clean the tip of the penis first, moving the washcloth in a circular motion from the meatus outward. F) In an uncircumcised male patient do not retract the foreskin (prepuce) while washing the penis. - ANS- A, E, D A nurse observes a marked inflammation of the gums, along with recession and bleeding of the gums, and documents this observation using which term? A) Glossitis B) Caries C) Cheilosis D) Periodontitis - ANS- D Periodontitis is a marked inflammation of the gums, whereas caries refers to the presence of tooth decay. Cheilosis is ulceration of the lips, and glossitis is an inflammation of the tongue. An older patient with an unsteady gait requests a tub bath. Which action would be most appropriate? A) Add Alpha-Keri oil to the water to prevent dry skin. B) Allow the patient to lock the door to guarantee privacy. C) Assist the patient in and out of the tub to prevent falling. D) Keep the water temperature very warm because the patient chills easily. - ANS- C Safe nursing practice requires that the nurse assist a patient with an unsteady gait in and out of the tub. Adding Alpha-Keri oil to the bath water is dangerous for this patient because it makes the tub slippery. Although privacy is important, if the patient locks the