MCCN 205 New Final Exam With Complete Solutions
100% Verified
Evidenced Based Practice (EBP) - ANSWER A method of care that incorporates the
most current and best available research; it provides a direction that treatments should
be performed on the basis of scientific evidence and principles if that is available
PICOT- ANSWER Population
Intervention
Comparison
Outcome
Time
personal hygiene assessment - ANSWER general appearance
self reports/ view of self
smell
greasy hair or skin
brushed/not brushed teeth
hair done/combed
dress appropriate
factors affecting personal hygiene - ANSWER mobility
mental status
Skin Assessment - ANSWER color, moisture, temperature, texture, turgor, vascularity,
edema, lesions
,Oral cavity assessment - ANSWER pink, blanched
presence of lesions or blood
moist, dry
hair assessment - ANSWER color, texture, distribution
nail assessment - ANSWER shape and contour, consistency, color, capillary refill
Hygiene Nursing Diagnosis - ANSWER self-care deficit
hygiene nursing interventions - ANSWER ADL help - assist, setup, do it entirely
figure out root of self care deficit
Priorities of Scheduled Hygiene Care - ANSWER early morning care
am care - bed bath, oral care, breakfast
pm care - bed bath, hair washing, shaving, etc
PRN care- perineal care, after meals
hs care - relaxation, oral care
depends on patient needs/wants, status, and cultural preferences
Perineal care (peri-care) - ANSWER cleaning of the perineum and anus, as well as the
vulva and the penis
chlorhexidine bath - ANSWER CHG
kills germs
reduces spread of infection
, pre-op
helpful in ICU
bed bath - ANSWER washing with a basin of water at the bedside
using wipes
hair care
assist, total assist, set up, refused
oral care - ANSWER care of mouth, teeth and gums. Cleaning the teeth, gums, tongue,
inside of mouth
and dentures, if used
back massage - ANSWER 3-5min
relaxation, comfort, sleep
Making an Occupied Bed - ANSWER Raise side rail opposite working side of the bed.
Raise second side rail opposite working side of the bed and assist the resident to roll
over the bottom linen, preventing trauma and avoid pain to resident.
Changing a messy and un-occupied bed *Loosens soiled linen on both sides of bed and
rolls it from head to foot of bed.
Remove one piece at a time
Avoid touching skin or clothes
Place in a hamper or bag.
Linen must not touch hospital floor.
Admitting patient ANSWER -general routine, include, initial greeting. proper
identification
-patient assessment
100% Verified
Evidenced Based Practice (EBP) - ANSWER A method of care that incorporates the
most current and best available research; it provides a direction that treatments should
be performed on the basis of scientific evidence and principles if that is available
PICOT- ANSWER Population
Intervention
Comparison
Outcome
Time
personal hygiene assessment - ANSWER general appearance
self reports/ view of self
smell
greasy hair or skin
brushed/not brushed teeth
hair done/combed
dress appropriate
factors affecting personal hygiene - ANSWER mobility
mental status
Skin Assessment - ANSWER color, moisture, temperature, texture, turgor, vascularity,
edema, lesions
,Oral cavity assessment - ANSWER pink, blanched
presence of lesions or blood
moist, dry
hair assessment - ANSWER color, texture, distribution
nail assessment - ANSWER shape and contour, consistency, color, capillary refill
Hygiene Nursing Diagnosis - ANSWER self-care deficit
hygiene nursing interventions - ANSWER ADL help - assist, setup, do it entirely
figure out root of self care deficit
Priorities of Scheduled Hygiene Care - ANSWER early morning care
am care - bed bath, oral care, breakfast
pm care - bed bath, hair washing, shaving, etc
PRN care- perineal care, after meals
hs care - relaxation, oral care
depends on patient needs/wants, status, and cultural preferences
Perineal care (peri-care) - ANSWER cleaning of the perineum and anus, as well as the
vulva and the penis
chlorhexidine bath - ANSWER CHG
kills germs
reduces spread of infection
, pre-op
helpful in ICU
bed bath - ANSWER washing with a basin of water at the bedside
using wipes
hair care
assist, total assist, set up, refused
oral care - ANSWER care of mouth, teeth and gums. Cleaning the teeth, gums, tongue,
inside of mouth
and dentures, if used
back massage - ANSWER 3-5min
relaxation, comfort, sleep
Making an Occupied Bed - ANSWER Raise side rail opposite working side of the bed.
Raise second side rail opposite working side of the bed and assist the resident to roll
over the bottom linen, preventing trauma and avoid pain to resident.
Changing a messy and un-occupied bed *Loosens soiled linen on both sides of bed and
rolls it from head to foot of bed.
Remove one piece at a time
Avoid touching skin or clothes
Place in a hamper or bag.
Linen must not touch hospital floor.
Admitting patient ANSWER -general routine, include, initial greeting. proper
identification
-patient assessment
