Week One

Question 1

what is the process of hygiene

Answer 1

assessment
plan
implementation
evaluation
document

Question 2

what is in assessment

Answer 2

data collection, subjective and objective data

Question 3

what is in planning

Answer 3

nursing diagnoses

Question 4

what is in implementation

Answer 4

action

Question 5

what are the 5 functions of the skin

Answer 5

protection, secretion, excretion, temp regulation and sensation

Question 6

what are the primary layers of the skin

Answer 6

epidermis
dermis
subcutaneous tissue

Question 7

shields underlying tissue

Answer 7

epidermis

Question 8

contains bundles of collagen, nerve fibers, blood vessels, sweat glands, sebaceous glands and hair follicles

Answer 8

dermis

Question 9

lies just beneath the skin; contains blood vessels, nerves, lymph, and loose connective tissue filled with fat cells

Answer 9

subcutaneous

Question 10

what helps heat or cool you

Answer 10

subcutaneous

Question 11

what requires special attention to prevent infection, odor, and injury

Answer 11

feet hands and nails

Question 12

the condition of a patients hands and feet influences his or her abilities to

Answer 12

perform hygiene care

Question 13

who do you NOT cut nails on

Answer 13

diabetic patients

Question 14

what do you do if your patients toe nails are yellow and thick

Answer 14

get orders to refer patient to a podiatrist

Question 15

what is the oral cavity lined with

Answer 15

mucous membranes

Question 16

what does normal mucosa look like

Answer 16

light pink, soft, moist, smooth, and without lesions

Question 17

what impairs salivary secretion

Answer 17

medications, exposure to radiation and mouth breathing

Question 18

xerostomia

Answer 18

dry mouth

Question 19

gingivitis

Answer 19

inflammation of gums

Question 20

dental caries

Answer 20

tooth decay

Question 21

why is oral care important

Answer 21

helps with digestion and nutrition (if sores in mouth it is difficult to eat)

Question 22

what do you always need to secure in storage cup

Answer 22

dentures, artificial eye, hearing aid

Question 23

what indicates general health status of hair

Answer 23

growth, distribution

Question 24

what affect hair characteristics

Answer 24

hormonal changes, aging, infection and other illnesses

Question 25

what causes changes in hair color or condition

Answer 25

hormonal and nutrient deficiencies

Question 26

scaling of scalp

Answer 26

dandruff

Question 27

how do you check patient for head lice

Answer 27

glove, section hair with tongue blade and if lice is present notify head nurse

Question 28

what requires the most careful attention in hygiene

Answer 28

eyes, ears and nose

Question 29

no soap on

Answer 29

eyes- face (ask patient if they would like face wash or something)

Question 30

talking to patient means getting to know your patient=

Answer 30

therapeutic communication

Question 31

during hygiene what do you assess

Answer 31

emotional status health promotion practices health care education needs

Question 32

what factors influence the way a patient handles hygiene

Answer 32

religion and mobility

Question 33

why should you ALWAYS raise side rails

Answer 33

for patients safety

Question 34

what they can and cannot do for themselves

Answer 34

developmental stage

Question 35

able to afford products for hygiene

Answer 35

socioeconomic status

Question 36

let patient be apart of whatever it is that you are doing

Answer 36

autonomy (participation)

Question 37

during assessment of hygiene what should you ask

Answer 37

what kind of hygiene/grooming do they prefer

Question 38

what are common nursing diagnosis with hygiene

Answer 38

activity intolerance bathing self deficit dressing self care deficit impaired physical mobility

Question 39

when assessing always check where blood is coming _____

Answer 39

from

Question 40

in the nursing process of Planning what are 2 goals and outcomes

Answer 40

partner with patients family and measurable, achievable, individualized care

Question 41

have to decide what assistance is required based on patient

Answer 41

physical ability

Question 42

what is important when figuring out when to give patient hygiene

Answer 42

timing

Question 43

what should you teach a patient

Answer 43

signs and symptoms of infection and when they should call

Question 44

always ask patient to verbalize back what you just _______ them

Answer 44

educated

Question 45

what happens if patient refuses hygiene

Answer 45

ultimately it is patients choose BUT if their condition warrants a certain hygiene skill, educate them about why it needs to be done

Question 46

who is responsible for hygiene of patients

Answer 46

RN and CNA

Question 47

what are the key points of implementation

Answer 47

make instruction so they understand find out preferences and health benefits include safety risks determine that patient understands by repeating

Question 48

what are the bath guidlines

Answer 48

``` provide privacy maintain safety maintain warmth promote independence anticipate needs ```

Question 49

what are the patients with special needs of hygiene

Answer 49

diabetes, artificial airways, unconscious, chemotherapy

Question 50

when dentures are in container always have

Answer 50

luke warm water and lid

Question 51

what prevents tangles in hair

Answer 51

brushing and braiding hair

Question 52

what permission should you obtain when doing hair hygiene

Answer 52

before cutting or braiding

Question 53

why should you always wear gloves when shaving patient

Answer 53

bleeding could occur

Question 54

during hygiene always ask patient what they

Answer 54

prefer

Question 55

if patient is using oxygen what should you check while preforming hygiene

Answer 55

ears for redness and nose as well

Question 56

steps of bed bath before touching patient

Answer 56

``` collect equipment privacy explain procedure offer bed pan or urinal hand hygiene gloves lock wheels raise bed place bath blanket on pt obtain water (pt check water) ```

Question 57

what is the process of washing the patients body in bed bath

Answer 57

wash eyes from inner to outer (dif side of towel) then dry face then dry upper body to lower body long strokes then dry keep cleaned areas covered when getting to perineal care change water and gloves and towel then dry

Question 58

when done with hygiene always ask the patient if they feel

Answer 58

clean and comfortable

Question 59

what are 6 important guidelines for nursing skills in hygiene

Answer 59

- identify patient with two identifiers - move from cleanest to less clean area - use clean gloves for contact with non-intact skin, secretions,blood - test temp of water or solutions - use body mech to take car of your back - give proper direction to NAP when delegating