Hygiene

Question 1

Factors Affecting Personal Hygiene

Answer 1

Culture

Socioeconomic class

Spiritual practices

Developmental level

Health state

Personal preferences

Question 2

Potential Oral Problems

Answer 2

Dental caries or plaque

Periodontal disease

Question 3

Periodontal diseases include:

Answer 3

Gingivitis
Periodontitis
Tartar
Halitosis
Stomatitis
Glossitis
Cheilosis
Dry oral mucosa

Question 4

Hygiene Assessments includes:

Answer 4

Eyes, Ear, Nose

Hair

Nails and Feet

Perineal and vaginal areas

Question 5

When assessing Eyes, Ear and Nose Hygiene, what are you checking?

Answer 5

Distribution, position, alignment

Presence of cerumen

Tenderness, patency, dryness, edema, bleeding, discharge or secretions

Question 6

Hair hygiene assessment includes:

Answer 6

Texture, cleanliness, oiliness
Scaling, lesions, inflammation, or infection
Dandruff, hair loss
Pediculosis

Question 7

Hygiene Assessment of the Nails and Feet include:

Answer 7

Cleanliness and intactness

Capillary refill and contour of the nail bed

Swelling, inflammation, lesions of the feet

Question 8

Perineal and vaginal areas Assessment includes:

Answer 8

Color lesions, swelling, inflammation, excoriation, tenderness, discharge

Anal cracks, nodules, distended veins, masses, or polyps

Odor

Question 9

Purposes of bathing

Answer 9

Cleanses the skin

Acts as a skin conditioner

Helps to relax a person
Promotes circulation

Serves as musculoskeletal exercise

Stimulates the rate and depth of respirations

Promotes comfort through muscle relaxation and skinstimulation

Provides person with sensory input

Helps improve self-image

Strengthens nurse–patient relationship

Aiding with Bed bath

Question 10

Administering Oral Hygiene includes

Answer 10

Moistening the mouth

Cleaning the mouth

Caring for dentures

Toothbrushing and flossing

Using mouthwashes

Question 11

How to care for eyes

Answer 11

Clean from inner to outer canthus with wet, warm cloth, cotton ball, or compress

Use artificial tear solution or normal saline every 4 hours if blink reflex is absent

Care for eyeglasses, contact lens, or artificial eye if indicated

Question 12

How to clean Ear

Answer 12

Wash external ear with washcloth-covered finger; do not use cotton-tipped swabs

Perform hearing aid teaching and care if indicated

Question 13

How to clean Nose

Answer 13

Clean nose by having patient blow it if both nares are patent

Remove crusted secretions around nose by applying warm, moist compress

Question 14

Proving Hair Care

Answer 14

Identify patient’s usual hair and scalp care practices and styling preferences

Note any history of hair or scalp problems such as dandruff, hair loss, or baldness

Treat any infestations, such as pediculosis or ticks

Groom and shampoo hair

Care for beards and mustaches

Assist with unwanted hair removal

Electric razors for patients on anticoagulant therapy

Question 15

Nail care: What should you assess for with the nail?

Answer 15

Assess nails for color and shape, intactness and cleanness, and tenderness

Check for history of nail or foot problems

Question 16

How to clean nails and feet?

Answer 16

Check for history of nail or foot problems

Soak nails and feet and assist with cleaning and trimming nails (if not contraindicated)

Massage the feet to promote relaxation and comfort

Provide diabetic foot care if indicated

Question 17

How to ensure Bedside safety

Answer 17

The bed is in its lowest position

The bed position is safe for the patient

The bed controls are functioning (bed is electrically safe)

Call light is functioning and always within reach

Side rails are raised if indicated or requested by patient

The wheels or casters are locked

Question 18

Teaching Skin Care

Answer 18

Soaps and cleansers
Deodorants and antiperspirants
Cosmetics
Sunscreen
Checking for ticks

Question 19

Patient Outcome Achievement for Hygiene

Answer 19

Level of patient participation in hygiene program

Elimination of, reduction in, or compensation for factors interfering with independent execution of hygiene measures

Changes related to specific skin problems and independent patient management of prescribed treatment program