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ETSU NRSE 2350 FINAL EXAM
Questions and Answers with 100%
Complete Solutions
What should the patient's room environment be? - ANSWER -
Maintain Comfort: Temp, Noise, Lighting, Ventilation, Odors
-Ill patient's seem to be more sensitive to noise and lighting
commonly found in the HC setting.
-*Side rails should not be used as a restraint*
-Pt's bed should be clean & comfortable
-Maintain pt's privacy
How is hair & scalp care performed? - ANSWER -Important for
the clients' appearance & sense of well-being
-*Essential component of personal hygiene*
-Hair should be brushed daily to remove tangles
-Massage scalp to simulate circulation & distribute natural oils
along the hair shaft
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-Use a *soft-bristled brush* & a *wide toothed* comb or hair
pick to comb through tightly curled hair.
-If client cannot shower, but can sit in a chair, shampoo hair in
the sink.
-For bed rest pt's use a plastic shampoo trough, dry or no rinse
shampoo, or shampoo caps
-Start at the hairline & work toward the neck.
How do you care for dentures? - ANSWER -*Dentures are very
fragile*
-Remove with a gloved hand, pulling *down & out* at the front
of the *upper* denture and lifting *up & out* at the front of
the *lower* denture
-Place in a denture cup, emesis basin, or washcloth on sink
-Brush in a horizontal back & forth motion with a soft brush &
denture cleaner
-Rinse in *tepid* water
-Store in a denture cup labeled with pt's name
-Place in the cup with water to keep them moist, or help
reinsert the dentures
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How & why do we provide oral care? - ANSWER -Helps to
decrease the risk of infection for those in long-term care,
especially the transmission of pathogens that can cause
pneumonia
-Check for aspiration risk, impaired swallowing, or decreased
gag reflex
-Client's with fragile oral mucosa require gentle brushing &
flossing
-Have suction ready to prevent aspiration
-Do not place fingers in an unconscious pt's mouth
-Position the pt on their side with head of bed flat so oral
secretions can drain out
-*Xerostomia: Dry Mouth*
What are some bathing guidelines? - ANSWER -Bathing cleanses
the body, stimulates circulation, provides relaxation, &
enhances healing
-This is often delegated to AP, but the nurse is responsible for
data collection & client care
-Bathe clients whose health problems have exhausted them or
limited their mobility
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What are types of bathes? - ANSWER - Complete bath are for
clients who can tolerate it & whose hygiene needs warrant it
-Partial baths are used for clients who can not tolerate full
baths, need particular cleansing of odorous/ uncomfortable
areas, or can perform part of the bath independently
-Therapeutic baths are used to promote comfort & provide
treatment such as soothe itchy skin
What are common Nursing diagnosis based on hygiene? -
ANSWER -Activity intolerance
-Bathing self-care deficit
-Dressing self-care deficit
-Impaired physical mobility
-Impaired oral mucous membrane
-Ineffective health maintenance
-Risk for infection
What are factors influencing hygiene? - ANSWER -*Social
patterns*: Ethnic, social, and family influences on hygiene
patterns
-*Personal preferences*: Dictate hygiene practices
ETSU NRSE 2350 FINAL EXAM
Questions and Answers with 100%
Complete Solutions
What should the patient's room environment be? - ANSWER -
Maintain Comfort: Temp, Noise, Lighting, Ventilation, Odors
-Ill patient's seem to be more sensitive to noise and lighting
commonly found in the HC setting.
-*Side rails should not be used as a restraint*
-Pt's bed should be clean & comfortable
-Maintain pt's privacy
How is hair & scalp care performed? - ANSWER -Important for
the clients' appearance & sense of well-being
-*Essential component of personal hygiene*
-Hair should be brushed daily to remove tangles
-Massage scalp to simulate circulation & distribute natural oils
along the hair shaft
,2|Page
-Use a *soft-bristled brush* & a *wide toothed* comb or hair
pick to comb through tightly curled hair.
-If client cannot shower, but can sit in a chair, shampoo hair in
the sink.
-For bed rest pt's use a plastic shampoo trough, dry or no rinse
shampoo, or shampoo caps
-Start at the hairline & work toward the neck.
How do you care for dentures? - ANSWER -*Dentures are very
fragile*
-Remove with a gloved hand, pulling *down & out* at the front
of the *upper* denture and lifting *up & out* at the front of
the *lower* denture
-Place in a denture cup, emesis basin, or washcloth on sink
-Brush in a horizontal back & forth motion with a soft brush &
denture cleaner
-Rinse in *tepid* water
-Store in a denture cup labeled with pt's name
-Place in the cup with water to keep them moist, or help
reinsert the dentures
,3|Page
How & why do we provide oral care? - ANSWER -Helps to
decrease the risk of infection for those in long-term care,
especially the transmission of pathogens that can cause
pneumonia
-Check for aspiration risk, impaired swallowing, or decreased
gag reflex
-Client's with fragile oral mucosa require gentle brushing &
flossing
-Have suction ready to prevent aspiration
-Do not place fingers in an unconscious pt's mouth
-Position the pt on their side with head of bed flat so oral
secretions can drain out
-*Xerostomia: Dry Mouth*
What are some bathing guidelines? - ANSWER -Bathing cleanses
the body, stimulates circulation, provides relaxation, &
enhances healing
-This is often delegated to AP, but the nurse is responsible for
data collection & client care
-Bathe clients whose health problems have exhausted them or
limited their mobility
, 4|Page
What are types of bathes? - ANSWER - Complete bath are for
clients who can tolerate it & whose hygiene needs warrant it
-Partial baths are used for clients who can not tolerate full
baths, need particular cleansing of odorous/ uncomfortable
areas, or can perform part of the bath independently
-Therapeutic baths are used to promote comfort & provide
treatment such as soothe itchy skin
What are common Nursing diagnosis based on hygiene? -
ANSWER -Activity intolerance
-Bathing self-care deficit
-Dressing self-care deficit
-Impaired physical mobility
-Impaired oral mucous membrane
-Ineffective health maintenance
-Risk for infection
What are factors influencing hygiene? - ANSWER -*Social
patterns*: Ethnic, social, and family influences on hygiene
patterns
-*Personal preferences*: Dictate hygiene practices
