Module 6: Personal Cleanliness, Grooming and Elimination - "Hartman's Nursing Assistant Care The Basics" by Hartman Publishing, Inc with Jetta Fuzy, RN, MS solved with verified answers

Module 6: Personal Cleanliness,
Grooming and Elimination - "Hartman's
Nursing Assistant Care The Basics" by
Hartman Publishing, Inc with Jetta Fuzy,
RN, MS solved with verified answers

ADLs - ANSWER-activities of daily living: DEATH: Dressing, eating, ambulating, toileting, hygiene.
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A.M. Cares - ANSWER-toileting, wash face/hands, oral care, etc. completed in the morning -A.M. and
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P.M. cares are standard in nursing homes.
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P.M Cares - ANSWER-toileting, wash face/hands, snack, oral care, backrub, etc. completed in evening
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before resident goes to bed.
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Partial bath - ANSWER-bath that includes washing the hands/face, underarms, under breasts (for
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woman), back, any skinfolds, and perineal area
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Guidelines for tube feeding - ANSWER-Pt. is NPO, wash hands, make sure tube is not kinked, look for
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signs of infection, report if tube comes out, ONLY a nurse or doctor will insert/remove tube, resident
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should remain at 30 degrees at all times and 45 degrees during feeding.
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Oral care for unconscious patient - ANSWER-Turn pt. to side, use a bite guard and an oral swab
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(toothette) and water/cleaning solution (per care plan,) use swab dipped in water/cleaning solution and
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wrung out for cleaning mouth, apply lip moisturizer.
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Dressing resident with weak side - ANSWER-Removing clothes: remove unaffected arm first (strong),
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Putting clothes on: place on affected side first (weak.) Maintain privacy.
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Foot care: Things to notice and report - ANSWER-Dry flaking skin, open skin, Discoloration (red, gray,
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white, or black areas,) Blisters, Bruises, Blood or drainage, Long or ragged toenails, ingrown toenails,
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swelling, soft/fragile/red heels, differences in temperature of the feet
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Complete bed bath - ANSWER-bath administered to totally dependent patient in bed including pericare
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and foot care (may include shampoo in bed.) Work from head to toe (clean to dirty.)
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Observe and report skin issues - ANSWER-Changes to note: Pale, white, reddened, gray or purple skin,
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Blisters/bruises/or wounds on skin, Differences in temp, complaints of tingling, warmth, or burning, dry,
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cracked or flaking, itching or scratching, Rash/discoloration, Swelling, Fluid/drainage/blood, Broken skin,
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Changes in an existing injury.
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