Hygiene Clinical Questions Paper

Hygiene Clinical Questions Paper
9. During bathing your patient experiences shortness of breath
and labored breathing with a respiratory rate of 30. The bed is
in a flat position. You change the bed position to:
1. Trendelenburg’s.
2. Reverse Trendelenburg’s.
3. Fowler’s.
4. Semi-Fowler’s.
10. A nurse caring for a male patient observes the nursing assistive
personnel (NAP) performing perineal care. Which of the following observed actions indicates a need for further teaching
for the NAP? The NAP:
1. Used clean gloves.
2. Did not retract the foreskin before cleansing.
3. Used the clean portion of washcloth for each cleansing
wipe.
4. Used a circular motion to cleanse from urinary meatus
outward.
11. A nurse teaching a family member caregiver how to bathe the
patient explains the importance of using long strokes on the
patient’s extremities, moving from distal to proximal. Which
explanation does the nurse include? Long strokes moving from
distal to proximal are used to:
1. Decrease the chance of infection.
2. Help remove dry, flaky skin.
3. Prevent skin trauma.
4. Stimulate venous return.
12. Which of the following actions would best help prevent skin
breakdown in a patient who is incontinent of stools and very
weak and drowsy?
1. Checking frequently for soiling
2. Washing the perineal area with strong soap and water
3. Placing the call light within easy reach
4. Keeping a pad under the patient
13. The nurse is caring for a patient who has reduced sensation in
both feet. Which of the following should the nurse do? (Select
all that apply.)
1. Avoid cleaning the feet until an order from the health care
provider is received.
2. Wash the feet with lukewarm water and then dry well.
3. Apply moisturizing lotion to the feet, especially between
the toes.
4. File the toenails straight across.
14. The nurse recognizes that her older-adult patient needs additional teaching about skin care when the older adult says,
“I should:
1. Bathe twice a week.
2. Rinse well after using soap.
3. Use hot water for bathing.
4. Drink plenty of fluids.
15. You ask the nursing assistive personnel (NAP) to clean a
patient who has been incontinent of urine. Several minutes
later you pass the open door of the room and see the NAP
changing the patient’s gown and linen. Which of the following
requires your immediate attention?
1. Room temperature is overly warm.
2. Room door is open to the hallway.
3. Television volume is too loud.
4. Strong odor of urine is detected.

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