Personal hygiene 2024 Exam |100% Correct|
a nurse is assisting a patient with personal hygiene care. Which of the following actions by the nurse will
reduce the risk of infection *Ans*✨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 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?
*Ans*✨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 adult patient who is NPO. The patient is refusing oral care. Which of the following
is an appropriate response by the nurse? *Ans*✨"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.
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 *Ans*✨"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.
a nurse is preparing to assist a patient with a tub bath. Identify the sequence of steps the nurse should
take. *Ans*✨-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.
a nurse is assisting a patient with personal hygiene care. Which of the following actions by the nurse will
reduce the risk of infection *Ans*✨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 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?
*Ans*✨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 adult patient who is NPO. The patient is refusing oral care. Which of the following
is an appropriate response by the nurse? *Ans*✨"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.
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 *Ans*✨"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.
a nurse is preparing to assist a patient with a tub bath. Identify the sequence of steps the nurse should
take. *Ans*✨-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.
