NSE111 - WEEK 7 EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
What is the recommended temperature for a sitz bath? - Answer-40-43°C.
What is the importance of oral hygiene? - Answer-Reduces the risk of pneumonia,
especially in NPO, ventilated, or unconscious patients.
What should be done during AM care? - Answer-Includes bathing, oral care, hair care,
and dressing to refresh clients.
What is the purpose of PM care? - Answer-To provide comfort before rest or visitors.
What should be documented after hygiene care? - Answer-Type of care provided,
patient participation level, skin condition, and any abnormalities.
What is the first step in planning hygiene care? - Answer-Assessment of skin integrity,
mobility, cognition, fatigue, and vitals.
What are common nursing diagnoses related to hygiene care? - Answer-Self-Care
Deficit, Impaired Skin Integrity, Risk for Infection.
What is the 'clean to dirty' sequence in hygiene care? - Answer-Wash from clean areas
to dirty areas to prevent cross-contamination.
What should be done to prevent infection during hygiene care? - Answer-Perform hand
hygiene, clean equipment after use, and use standard precautions.
What environmental considerations should be made for hygiene care? - Answer-
Temperature, lighting, noise, privacy, and safety.
What is a key strategy for diabetic foot care? - Answer-Inspect feet daily for blisters,
redness, or cuts.
What should be used to wash diabetic clients' feet? - Answer-Lukewarm water (~37-
40°C) and mild soap.
What is the rationale for drying feet thoroughly? - Answer-To prevent moisture that
fosters fungal growth.
, What should be done if a patient refuses hygiene care? - Answer-Assess the reason,
respect autonomy, and offer alternative timing or method.
What is the role of a nurse in hygiene care for clients with special needs? - Answer-
Assess risk, adapt technique, and teach self-care to minimize harm.
What is the importance of communication during hygiene care? - Answer-To explain
each step, ask permission, and reassure the patient.
What should be done to ensure safety during showers? - Answer-Check for grab bars,
shower chairs, and nonslip mats.
What is the recommended action for incontinence products? - Answer-Change promptly
to prevent dermatitis and cleanse perineum after each episode.
What is the significance of using gentle, pH-balanced cleansers? - Answer-To preserve
the skin barrier and prevent irritation.
What should be monitored during hygiene care? - Answer-Comfort, cleanliness, skin
condition, and overall response.
Why is it important to dry feet thoroughly, especially between toes? - Answer-Moisture
fosters fungal growth (tinea pedis).
What is the recommended method for moisturizing feet? - Answer-Apply lotion to tops
and bottoms, avoiding between toes to prevent excess moisture.
What should be avoided unless prescribed regarding foot care? - Answer-Avoid soaking
feet, as prolonged soaking can macerate skin and increase breakdown risk.
What type of socks should be worn for proper foot care? - Answer-Wear clean, dry
socks made of cotton or moisture-wicking materials; avoid tight elastics.
What type of footwear is recommended for foot safety? - Answer-Closed-toe, well-fitted
shoes; avoid barefoot walking, even indoors.
What is the proper technique for nail care in patients with poor circulation? - Answer-File
nails straight across and smooth edges; do not cut nails.
What should be monitored to assess circulation in the feet? - Answer-Check pedal
pulses, skin color, temperature, and capillary refill.
What is the teaching priority for diabetic clients regarding foot care? - Answer-Educate
that foot care equals limb preservation; daily inspection is crucial to prevent ulcers and
amputations.
QUESTIONS WITH COMPLETE
SOLUTIONS
What is the recommended temperature for a sitz bath? - Answer-40-43°C.
What is the importance of oral hygiene? - Answer-Reduces the risk of pneumonia,
especially in NPO, ventilated, or unconscious patients.
What should be done during AM care? - Answer-Includes bathing, oral care, hair care,
and dressing to refresh clients.
What is the purpose of PM care? - Answer-To provide comfort before rest or visitors.
What should be documented after hygiene care? - Answer-Type of care provided,
patient participation level, skin condition, and any abnormalities.
What is the first step in planning hygiene care? - Answer-Assessment of skin integrity,
mobility, cognition, fatigue, and vitals.
What are common nursing diagnoses related to hygiene care? - Answer-Self-Care
Deficit, Impaired Skin Integrity, Risk for Infection.
What is the 'clean to dirty' sequence in hygiene care? - Answer-Wash from clean areas
to dirty areas to prevent cross-contamination.
What should be done to prevent infection during hygiene care? - Answer-Perform hand
hygiene, clean equipment after use, and use standard precautions.
What environmental considerations should be made for hygiene care? - Answer-
Temperature, lighting, noise, privacy, and safety.
What is a key strategy for diabetic foot care? - Answer-Inspect feet daily for blisters,
redness, or cuts.
What should be used to wash diabetic clients' feet? - Answer-Lukewarm water (~37-
40°C) and mild soap.
What is the rationale for drying feet thoroughly? - Answer-To prevent moisture that
fosters fungal growth.
, What should be done if a patient refuses hygiene care? - Answer-Assess the reason,
respect autonomy, and offer alternative timing or method.
What is the role of a nurse in hygiene care for clients with special needs? - Answer-
Assess risk, adapt technique, and teach self-care to minimize harm.
What is the importance of communication during hygiene care? - Answer-To explain
each step, ask permission, and reassure the patient.
What should be done to ensure safety during showers? - Answer-Check for grab bars,
shower chairs, and nonslip mats.
What is the recommended action for incontinence products? - Answer-Change promptly
to prevent dermatitis and cleanse perineum after each episode.
What is the significance of using gentle, pH-balanced cleansers? - Answer-To preserve
the skin barrier and prevent irritation.
What should be monitored during hygiene care? - Answer-Comfort, cleanliness, skin
condition, and overall response.
Why is it important to dry feet thoroughly, especially between toes? - Answer-Moisture
fosters fungal growth (tinea pedis).
What is the recommended method for moisturizing feet? - Answer-Apply lotion to tops
and bottoms, avoiding between toes to prevent excess moisture.
What should be avoided unless prescribed regarding foot care? - Answer-Avoid soaking
feet, as prolonged soaking can macerate skin and increase breakdown risk.
What type of socks should be worn for proper foot care? - Answer-Wear clean, dry
socks made of cotton or moisture-wicking materials; avoid tight elastics.
What type of footwear is recommended for foot safety? - Answer-Closed-toe, well-fitted
shoes; avoid barefoot walking, even indoors.
What is the proper technique for nail care in patients with poor circulation? - Answer-File
nails straight across and smooth edges; do not cut nails.
What should be monitored to assess circulation in the feet? - Answer-Check pedal
pulses, skin color, temperature, and capillary refill.
What is the teaching priority for diabetic clients regarding foot care? - Answer-Educate
that foot care equals limb preservation; daily inspection is crucial to prevent ulcers and
amputations.
