N100 Chapter 39: Hygiene Review Questions

The RN is assisting a P/T with rheumatoid arthritis to bathe at the sink. During the bath the P/T states that she is tired. The RN notices the P/T is breathing rapidly and the pulse is rapid. What is the RN best response?

Help the P/T Return to the Bed

The P/T who is cognitively impaired and has dementia requires hygiene care. The P/T often displays aggressive behavior such as screaming and hitting during the bath. Which technique make the bathing experience less stressful for both the RN and the P/T? (

Allow the P/T to Perform as Much of the Care as Possible; Try an Alternative to Traditional Bathing Such as the "Bag Bath.

Which is the primary concern when providing oral hygiene for a P/T who is unconscious?

Prevent Aspiration

A male RN is caring for a 32-y/o female Muslim P/T who has an indwelling Foley catheter. After introducing himself to the P/T, the RN learns that the P/T foes no want him to help her with personal hygiene care. Which of the following is/are appropriate ac

Finding a female RN to help the P/T; Asking the P/T if she prefers a family member assist with the care

You are helping a female P/T bathe. As you are about to perform perineal care, the P/T says, "I can finish my bath." The P/T has discomfort and burning in the perineal area. What action do you need to take initially?

Explain to the P/T that, because of her symptoms, you need to observe the perineal area

The P/T wears a full dentures. His usual denture care includes taking the teeth out once a day to brush. He wears the dentures overnight. You are concerned that he might be at risk for developing denture-induced stomatitis. Which points do you include in

Do not wear damaged or poorly fitting dentures; Observe mouth for redness areas under the dentures and small red sores on the roof of the mouth; See dentures after meals; See dentist regularly

A P/T who is receiving chemotherapy has inflamed gums and oral mucosa and painful sores in the mouth. Which of the following oral care actions are appropriate? (Select all that apply.)

Applying water-soluble moisturizing gel on the oral mucosa; Encouraging intake of soft foods

While planning morning care, which of the following P/T would receive the highest priority to receive his or her bath first?

A P/T who is experiencing frequent incontinent diarrheal stools

During bathing you P/T experiences shortness of breath (SOB) and labored breathing with a Respiratory Rate (RR) of 30. The bed is in a flat position. You change the bed position to:

Fowler's

A RN caring for a male P/T observes the RN assistant personal (NAP) performing perineal care. Which of the following observed actions indicates a need for further teaching for the NAP? The NAP:

Did not retract the foreskin before cleaning

A RN teaching a family member caregiver how to bathe the P/T explains the importance of using long strokes on the P/T extremities, moving distal to proximal. Which explanation does the RN include? Long strokes moving distal to proximal are used to:

Stimulate venous return

Which of the Following actions would best help prevent skin breakdown in a P/T who is incontinent of stools and very weak and drowsy?

Checking frequently for soiling

The RN is caring for a P/T who has reduced sensation in both feet. Which of the following should the RN do? (Select all that apply.)

Wash feet with lukewarm water and then dry well; File the toenails straight across

The RN recognizes that her older-adult P/T needs additional teaching about skin care when the older adult says, "I should:

Use hot water for bathing

You ask the NAP to clean a P/T who has been incontinent of urine. Several minutes later you pass the open door of the room and see the NAP changing the P/T gown and linen. Which of the following requires you to immediate attention?

Room door is open to the hallway