N125 Test with Questions & 100% Correct
Solutions
Factors that influence personal hygiene practices - ANSWER Rationale: patient comfort,
safety, wellbeing
When giving a bed bath position the bed at a comfortable working height. Lower the
side rail on the side close to you. Keep the other side rail up. Assist the client to move
near you. - ANSWER Rationale: This avoids undue reaching and straining and promotes
good body mechanics. It also ensures client safety.
Place a blanket over top sheet. Remove the top sheet from under the bath blanket by
starting at the client's shoulders and moving linen down toward client's feet. Ask the
client to grasp and hold the top of the bath blank while pulling linen to the foot of the
bed. - ANSWER Rationale: The bath blanket provides comfort, warmth, and privacy.
Only part of the client's body that might cause discomfort or odor, are washed: The
nurse provides care for dependent clients and assists self-sufficient clients confined to
bed by washing their backs. - ANSWER Partial bath
This bath is commercially prepared product that contains presoaked disposable
washcloths that contain no-rinse cleanser solution. - ANSWER Bag bath
For uncircumcised males, retract the prepuce(foreskin) to expose the glans penis (tip of
the penis) for cleaning. Replace the foreskin after cleaning the glans. - ANSWER
Retracting the foreskin is necessary to remove the smegma (thick, cheesy secretion)
that collects under the foreskin and facilitates bacterial growth.
Prolonged soaking is generally not recommended for diabetic clients or individuals with
peripheral vascular disease - ANSWER Rationale: Prolonged soaking may remove natural
, skil oils, thus drying the skin and making it more susceptible to cracking and injury such
as maceration
Identify patient using two identifiers ( name and birthday or name and medical record
number) - ANSWER Rationale: Ensures correct patient. Complies with The Joint
Commission Standards and improves patient safety (TJC, 2016).
Assess patient's tolerance for bathing: activity tolerance, comfort level during
movement, cognitive ability, musculoskeletal function, and presence of shortness of
breath. - ANSWER Rationale: Determines patient's ability to perform or tolerate bathing
and level of assistance required (e.g., tub bath, partial bath).
Bath type for cognitively impaired aggressive patient - ANSWER Rationale: Bag bath
Maintain a calm, nonthreatening, quiet environment using therapeutic communication.
- ANSWER Rationale: Cognitively Impaired
Assess environment for safety (e.g., check room for spills, make sure that equipment is
working properly and that bed is locked and in low position. - ANSWER
Rationale:Identifies safety hazards that could cause or potentially lead to harm (QSEN,
2014)
Perform hand hygiene. If patient has nonintact skin or skin is soiled with drainage,
excretions, or body secretions, apply clean gloves. Ensure that patient is not allergic to
latex. - ANSWER Rationale: Reduces transmission of microorganisms.
Prevents allergic reaction if latex gloves are used.
Verify that bed is in locked position and raise bed to comfortable working height. Lower
side rails closet to you and help patient into comfortable supine position, maintaining
body alignment, Bring patient toward side closest to you. - ANSWER Rationale: Prevents
Solutions
Factors that influence personal hygiene practices - ANSWER Rationale: patient comfort,
safety, wellbeing
When giving a bed bath position the bed at a comfortable working height. Lower the
side rail on the side close to you. Keep the other side rail up. Assist the client to move
near you. - ANSWER Rationale: This avoids undue reaching and straining and promotes
good body mechanics. It also ensures client safety.
Place a blanket over top sheet. Remove the top sheet from under the bath blanket by
starting at the client's shoulders and moving linen down toward client's feet. Ask the
client to grasp and hold the top of the bath blank while pulling linen to the foot of the
bed. - ANSWER Rationale: The bath blanket provides comfort, warmth, and privacy.
Only part of the client's body that might cause discomfort or odor, are washed: The
nurse provides care for dependent clients and assists self-sufficient clients confined to
bed by washing their backs. - ANSWER Partial bath
This bath is commercially prepared product that contains presoaked disposable
washcloths that contain no-rinse cleanser solution. - ANSWER Bag bath
For uncircumcised males, retract the prepuce(foreskin) to expose the glans penis (tip of
the penis) for cleaning. Replace the foreskin after cleaning the glans. - ANSWER
Retracting the foreskin is necessary to remove the smegma (thick, cheesy secretion)
that collects under the foreskin and facilitates bacterial growth.
Prolonged soaking is generally not recommended for diabetic clients or individuals with
peripheral vascular disease - ANSWER Rationale: Prolonged soaking may remove natural
, skil oils, thus drying the skin and making it more susceptible to cracking and injury such
as maceration
Identify patient using two identifiers ( name and birthday or name and medical record
number) - ANSWER Rationale: Ensures correct patient. Complies with The Joint
Commission Standards and improves patient safety (TJC, 2016).
Assess patient's tolerance for bathing: activity tolerance, comfort level during
movement, cognitive ability, musculoskeletal function, and presence of shortness of
breath. - ANSWER Rationale: Determines patient's ability to perform or tolerate bathing
and level of assistance required (e.g., tub bath, partial bath).
Bath type for cognitively impaired aggressive patient - ANSWER Rationale: Bag bath
Maintain a calm, nonthreatening, quiet environment using therapeutic communication.
- ANSWER Rationale: Cognitively Impaired
Assess environment for safety (e.g., check room for spills, make sure that equipment is
working properly and that bed is locked and in low position. - ANSWER
Rationale:Identifies safety hazards that could cause or potentially lead to harm (QSEN,
2014)
Perform hand hygiene. If patient has nonintact skin or skin is soiled with drainage,
excretions, or body secretions, apply clean gloves. Ensure that patient is not allergic to
latex. - ANSWER Rationale: Reduces transmission of microorganisms.
Prevents allergic reaction if latex gloves are used.
Verify that bed is in locked position and raise bed to comfortable working height. Lower
side rails closet to you and help patient into comfortable supine position, maintaining
body alignment, Bring patient toward side closest to you. - ANSWER Rationale: Prevents
