NURSING 110 EXAM 3 || All Accurately Answered.
Immobilization correct answers pressure and reduced circulation
Reduced sensation correct answers -paralysis
-circulatory insufficiency
-diabetes
Nutrition and hydration alterations correct answers Limited calorie and protein intake results in
thinner, less elastic skin and loss of subcutaneous tissue
Secretions and Excretions on the Skin correct answers Moisture serves as a medium for bacterial
growth
Vascular Insufficiency correct answers Ischemia and skin breakdown
External Devices correct answers Friction, pressure
Altered Cognition correct answers Decreased awareness or communication deficit
Xerostomia correct answers dry mouth
Gingivitis correct answers inflammation of the gums
Dental caries correct answers tooth decay
Factors Influencing Personal Hygiene Practices correct answers -Social practices
-Personal preferences
,-Body image
-Socioeconomic status
-Health Beliefs and Motivation
-Cultural Variables
-Developmental Stage
-Physical Condition
Assessment correct answers -Self-care ability
-Physical condition
-Emotional status
-Cultural influences and hygiene practices
Patient Centered Care correct answers Explore the patient's viewpoint
Planning correct answers -Set priorities based on assistance required, extent of problems, nature
of diagnoses.
-Evaluate patient for type of care to be given
-Time hygiene care appropriately
Gender issues correct answers May need an assistant for legal/ethical considerations
Cognitive issues correct answers Dementia - fear, confusion, communication, combativeness
Cultural issues correct answers -Be sensitive to personal preferences and traditions
-Be non judgmental
Implementation correct answers -Use caring to reduce anxiety, promote comfort.
, -Administer meds for symptoms before hygiene.
-Be alert for patient's anxiety or fear.
-Assist and prepare patients to perform hygiene as independently as possible.
-Discuss signs and symptoms of problems.
-Inform patients about community resources.
Complete bed bath correct answers -Pain, unconscious, respiratory distress on exertion, mobility
limitations
-Can exhaust patient - turning and positioning required can increase oxygenation demands and
lead to fatigue
Partial bed bath correct answers -Partial immobility - can assist with unaffected side
-Nurse bathes areas patient can't reach, patient bathes other area
Sponge bath at the sink correct answers Patient is able to get out of bed and assist
Tub bath correct answers more common in long term care
Shower correct answers -check activity orders
-cover iv's and dressings
Bag Bath correct answers -Contains several soft, nonwoven cotton cloths that are premoistened
in a solution of no-rinse surfactant cleanser and emollient.
-The bag bath offers an alternative because of the ease of use, reduced time bathing, and patient
comfort
CHG (Chlorhexidine gluconate) bath correct answers This antimicrobial bath wipe is used to
decrease the frequency of hospital-acquired infections on skin, invasive lines, and catheters
Immobilization correct answers pressure and reduced circulation
Reduced sensation correct answers -paralysis
-circulatory insufficiency
-diabetes
Nutrition and hydration alterations correct answers Limited calorie and protein intake results in
thinner, less elastic skin and loss of subcutaneous tissue
Secretions and Excretions on the Skin correct answers Moisture serves as a medium for bacterial
growth
Vascular Insufficiency correct answers Ischemia and skin breakdown
External Devices correct answers Friction, pressure
Altered Cognition correct answers Decreased awareness or communication deficit
Xerostomia correct answers dry mouth
Gingivitis correct answers inflammation of the gums
Dental caries correct answers tooth decay
Factors Influencing Personal Hygiene Practices correct answers -Social practices
-Personal preferences
,-Body image
-Socioeconomic status
-Health Beliefs and Motivation
-Cultural Variables
-Developmental Stage
-Physical Condition
Assessment correct answers -Self-care ability
-Physical condition
-Emotional status
-Cultural influences and hygiene practices
Patient Centered Care correct answers Explore the patient's viewpoint
Planning correct answers -Set priorities based on assistance required, extent of problems, nature
of diagnoses.
-Evaluate patient for type of care to be given
-Time hygiene care appropriately
Gender issues correct answers May need an assistant for legal/ethical considerations
Cognitive issues correct answers Dementia - fear, confusion, communication, combativeness
Cultural issues correct answers -Be sensitive to personal preferences and traditions
-Be non judgmental
Implementation correct answers -Use caring to reduce anxiety, promote comfort.
, -Administer meds for symptoms before hygiene.
-Be alert for patient's anxiety or fear.
-Assist and prepare patients to perform hygiene as independently as possible.
-Discuss signs and symptoms of problems.
-Inform patients about community resources.
Complete bed bath correct answers -Pain, unconscious, respiratory distress on exertion, mobility
limitations
-Can exhaust patient - turning and positioning required can increase oxygenation demands and
lead to fatigue
Partial bed bath correct answers -Partial immobility - can assist with unaffected side
-Nurse bathes areas patient can't reach, patient bathes other area
Sponge bath at the sink correct answers Patient is able to get out of bed and assist
Tub bath correct answers more common in long term care
Shower correct answers -check activity orders
-cover iv's and dressings
Bag Bath correct answers -Contains several soft, nonwoven cotton cloths that are premoistened
in a solution of no-rinse surfactant cleanser and emollient.
-The bag bath offers an alternative because of the ease of use, reduced time bathing, and patient
comfort
CHG (Chlorhexidine gluconate) bath correct answers This antimicrobial bath wipe is used to
decrease the frequency of hospital-acquired infections on skin, invasive lines, and catheters
