Hygiene

Question 1

Hygiene definition

Answer 1

Conditions or practices of cleanliness conductive to health

Question 2

What is the first line of defense?

Answer 2

Skin
skin/mucosal cells essential to health of the body

Question 3

What is the body’s largest organ?

Answer 3

Skin

Question 4

What are the functions of the skin?

Answer 4

Protection
Secretion
Excretion
Temperature Regulation
Sensation

Question 5

Epidermis

Answer 5

Several thin layers of epithelial cells
Shield underlying cells

Question 6

Dermis

Answer 6

Support epidermis and contains collagen, nerve fibers, blood vessels, glands, hair follicles

Question 7

What glands are in the dermis?

Answer 7

Sweat and sebaceous

Question 8

Sebaceous glands

Answer 8

Secrete sebum (oily, odorless fluid into hair follicles) which softens, lubricates skin, slows water loss, bacterial action

Question 9

Subcutaneous tissue

Answer 9

Nerves, blood vessels, nerves, lymph, and connective tissue filled with fat tissue/cells
- Fat insulates
- Cushions upper layers
- Loosely secure skin to underlying tissues

Question 10

Normal nails look like

Answer 10

Transparent, smooth, and convex
Pink nail bed and translucent white tip

Question 11

What does normal mucosa look like?

Answer 11

Light pink, soft, moist, smooth , no lesions

Question 12

Xerostomia

Answer 12

Dry mouth

Question 13

Gingivitis

Answer 13

Inflammation of gums

Question 14

Dental caries

Answer 14

Tooth decay

Question 15

What can impair salivary secretion?

Answer 15

Medications
Exposure to radiation
Mouth breathing

Question 16

What is a reflection of general health status via growth, distribution, and pattern?

Answer 16

Hair

Question 17

Sensitive sensory tissues are

Answer 17

Eyes
Nose
Ears

Question 18

Good hygiene practices include

Answer 18

Support function and stability of the skin, mucosa and other functions
Promote self image
Provide comfort

Question 19

What should you consider about the patient when performing hygiene?

Answer 19

Social, socioeconomic status, personal preferences, health beliefs and motivation, developmental stages, physical conditions, body image

Question 20

Nursing actions for hygiene (things to remember for a patient)

Answer 20

Utilize knowledge
Culture and developmental
No judgement
Professional standards
Outside the box
Maintain confidence

Question 21

Nursing process while giving hygiene to a patient

Answer 21

Agree to timing and results
Adapt to culture and resources
Allow for independence and assist when needed
Privacy
Maintain warmth

Question 22

Safety during hygiene

Answer 22

Side rails
Test temperature

Question 23

Nursing safety with hygiene

Answer 23

Proper body alignment

Question 24

Benefits of bathing

Answer 24

Removed sweat, dirt, and bacteria
Prevent skin problems
Refreshes/comforts
Stimulates circulation/passive excercise
Opportunity to communicate and physical assessment

Question 25

If you need to give a patient a shower and the patient is weak, what equipment should you use?

Answer 25

Shower chair

Question 26

Sitz bath

Answer 26

Perineal and anal areas for treatment and comfort

Question 27

Perineal Care importance to prevent

Answer 27

Skin breakdown

Question 28

Perineal risk factors

Answer 28

Urinary/fecal incontinence Rectal and perineal surgical dressings In dwelling catheters Morbid obesity

Question 29

What is the difference between soap and water Vs CHG?

Answer 29

Soap and water is a reservoir for bacteria and transmission of hospital acquired infections CHG has less bacterial growth and disposable cloths

Question 30

CHG

Answer 30

Chlorinexidine Gluconate

Question 31

What are the 3 points of a patient room hygiene?

Answer 31

Clean up clutter Maintain comfort - temperature, noise, lighting, vent, odors Bed Table Clean ( No urinals or bedpans )

Question 32

What are the 4 moments beds need to be changed?

Answer 32

If linens are not soiled, not changed daily Soiled linens changed when needed Ambulatory, showering, bathroom Bedridden then occupied bed making

Question 33

Critical of Hygiene

Answer 33

Honor requests Meds if needed Safety bed rails Proper body mechanics Raise bed Privacy and modesty Keep warm Change gloves and water