ch 32 hygiene

Question 1

alopecia

Answer 1

hair loss or baldness

Question 2

caries

Answer 2

cavities of the teeth

Question 3

cerumen

Answer 3

wax in the external ear canals, consisting of a heavy oil and brown pigment

Question 4

cheilosis

Answer 4

ulceration of the lips

Question 5

gingivitis

Answer 5

inflammation of the gingivae or gums

Question 6

glossitis

Answer 6

inflammation of the tongue

Question 7

halitosis

Answer 7

offensive breath

Question 8

pediculosis

Answer 8

infestation w licew

Question 9

periodontitis

Answer 9

extensive inflammation of the gums and alveolar tissues; synonym for periodontitis

Question 10

plaque

Answer 10

invisible, destructive, bacterial film that builds up on teeth and eventually leads to the destruction of tooth enamel

Question 11

stomatitis

Answer 11

inflammation of the oral mucosa

Question 12

tartar

Answer 12

hard deposit on the teeth near the gum line formed by plaque buildup and dead bacteria

Question 13

factors affecting personal hygiene

Answer 13

culture
socioeconomic class
spiritual practices
developmental level
health state
personal preferences

Question 14

during health assessment, you assess what 6 things?

Answer 14

skin
oral care
eyes, ears, & nose
hair
nails & feet
perineal & genital area

Question 15

physical assessment of skin should be performed at least…

Answer 15

once per shift

Question 16

what you should be assessing within the oral cavity

Answer 16

lips
buccal mucosa
color and surface of gingiva
teeth
tongue
hard and soft palates
oropharynx

Question 17

what to look for in the oral cavity

Answer 17

dental caries/damaged teeth
gingivitis
periodontitis
stomatitis
glossitis
cheilosis
dry/pale oral mucosa
oral malignancies

Question 18

what to look for during eyes, ears, & nose assessment.

Answer 18

-distribution, position/symmetry, and alignment
-presence of cerumen
-tenderness, patency, dryness, edema, bleeding, discharge/secretions

Question 19

what to look for during hair assessment

Answer 19

-texture, cleanliness, oiliness/dryness
-scaling, lesions, inflammation, or infection
-dandruff, hair loss
-pediculosis

Question 20

what to look for during nails & feet assessment

Answer 20

-cleanliness & intactness
-capillary refill & contour of nail bed
-swelling, inflammation, lesions/injuries of feet

Question 21

what to look for during perineal & genital areas

Answer 21

-color, lesions, swelling, inflammation, excoriation, tenderness, discharge
-anal cracks, nodules, distended veins, masses, polyps
-usual/unexpected odors

Question 22

early morning care

Answer 22

-assist pt w toileting
-wash face & hands
-provide oral care

Question 23

morning care (AM care)

Answer 23

after breakfast:
-toileting
-oral care
-bathing (special skin treatments)
-hair care and styling
-dressing
-positioning for comfort/skin protection
-refreshing or changing bed linens

Question 24

afternoon care (PM Care)

Answer 24

-ensuring comfort after lunch
-toileting, handwashing, & oral care
-refreshing/straightening bed linens
-assisting w repositioning/mobility (could be continual process throughout day)

Question 25

hour of sleep care (HS care)

Answer 25

-before bedtime -assistance w toileting, handwashing, & oral care -changing soiled bed linens or clothing -positioning for comfort/skin protection -offer relaxation techniques (lotion, back massage) -safety (call light, personal objs w in reach)

Question 26

(As needed care = PRN care) clothing & bed linen is changed for...

Answer 26

soiling or for diaphoretic pts

Question 27

CHG baths

Answer 27

Chlorhexidine gluconate (CHG) is a cleaning product that kills germs. Prevents infections.

Question 28

mouth swabs

Answer 28

Sponge swabs are meant to moisten the oral cavity, help loosen sticky mucus secretions, food debris and thickened saliva.

Question 29

describe eye care

Answer 29

-clean from inner to outer canthus -wet, warm cloth; cotton ball; or compress -diff surface for each eye to avoid contamination -use artificial tear solution or NS (norm saline) q4h if blink reflex is absent -care for eyeglasses, contacts, or artificial eye, if indicated

Question 30

describe nose care

Answer 30

test for patency (the quality or state of being open or unobstructed) of both nares remove crusted nasal sections by applying warm, moist compress

Question 31

electric razors are only for...

Answer 31

high-risk pts

Question 32

trimming of the nails are not usually allowed due to...

Answer 32

risk of injury/ingrown nails

Question 33

nails should be...

Answer 33

straight-across, w smooth edges

Question 34

what are the 4 lotion and moisture barriers options?

Answer 34

barrier spray barrier cream protective moisturizing lotion & ointment emollients (moisturizing treatments applied directly to the skin to soothe and hydrate it)

Question 35

specific skin care teaching for dx-based topics such as...

Answer 35

dry skin diabetic foot care acne wounds