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Terms in this set (176)
Why are hospitals starting to use CHG there is significant evidence that it reduces the risk of hospital
instead of traditional soap and water for acquired infections
bathing?
Why have facilities turned away from using These basins can easily become chipped and/or cracked
wash basins when bathing? which can foster bacterial growth
When would you NOT use CHG on a client? client has an allergy to chlorhexidine gluconate or patient
prefers traditional soap and water
Why shouldn't you put CHG on your face? CHG could accidentally get into the eyes and ears, causing
irritation
Why is appropriate use of guard railing so To promote patient safety by preventing falls
important in bathing?
Also allows patient to have something to grab onto when
moving side-to-side (ex. nurse needs to wash their buttocks)
Why do we wash from distal to proximal? to promote venous return and circulation
Why do we wipe from front to back when You always want to go from cleanest area to dirtiest, never
bathing clients? vice versa
By cleaning front to back, you are reducing the chance of
infection
How can you make the client more use warm wipes when ever possible, raise the room
comfortable when while providing both bed temperature, have a gender-congruent nurse if possible, only
baths and perineal care? expose the area that needs to be cleaned
Oral care - when would you use an oral Patients undergoing cancer treatment, intubated patients,
swab rather than a toothbrush? elderly, and patients at risk for bleeding from the mouth
When providing oral care, why is it To prevent aspiration
important to raise the head of the bed at
least 30 degrees?
How is providing oral care for a child Children should use smaller toothbrushes w/ softer bristles
different than an adult? and NON-fluoridated toothpaste (until 2-3 years of age)
,When providing oral care for an always gather suction equipment prior to providing oral care
unconscious client who cannot protect their for unconscious patients; these patients are at high risk for
airway, what extra cautionary step must you aspiration!
take?
How would you maintain patient privacy Use a bath blanket or towel to cover exposed areas
when changing a gown?
When should you change a gown? - if the gown is visibly soiled
- after bathing
- if patient requests a new gown
For facial care, who is considered to be a patients w/ bleeding or vascular disorders that have poor
high risk patient? circulation or increased risk for bleeding
What concerns might you have regarding Older adults have reduced collagen, thinner tissues, and
bathing geriatric patients? reduced skin elasticity
Only bathe when necessary to prevent drying out the skin;
consider only bathing 1x/week
The nurse is caring for a client who just gave A - a sitz bath would help w/ soothing the perineal area after a
birth vaginally. The nurse knows that which vaginal delivery
of the following baths would be best for this
patient to help w/ perineal pain? Other patients who would benefit from a sitz bath include pts
who underwent genitourinary surgery
A. Sitz bath
B. Complete bed bath
C. Bag bath
D. Bath w/ traditional soap and water
What type of patients would benefit from a pts w/ skin disorders, burns, muscle injuries, or elevated body
therapeutic bath? temperature
A nurse is going to provide foot care for peripheral neuropathy, diabetes mellitus, peripheral vascular
their patient. Which disorders would require disease
the nurse to change their regimen for foot
care? How should the nurse alter the foot When providing foot care for these patients...
care for these specific patients? - use a nail file, NOT nail clippers
- do not soak their feet
- do not apply lotion in between the toes - this can cause skin
breakdown!
A nurse needs to perform a complete bed unaffected side should be removed first
bath on a client who has a broken left arm.
Because of this, the nurse knows to remove
their gown on which side first?
, The nurse delegates patient hygiene tasks to C - dentures should be placed in a container that is filled w/
the nursing assistant. In which of the water (only a little water is necessary)
following situations should the nurse
intervene due to incorrect technique?
A. Nursing assistant washes arms and legs
from distal to proximal areas
B. Nursing assistant provides oral care for an
unconscious pt by first gathering suction,
raising the head of the bed 30 degrees, and
then swabbing w/ an HCG swab
C. Nursing assistant places dentures in a dry
container overnight
D. Nursing assistant provides perineal care
by wiping from front to back
A nursing assistant is providing perineal care C - failing to return foreskin to original position will impede
for a male client. In which of the following circulation and blood flow to the penis, causing injury
scenarios should the nurse intervene?
A. The nursing assistant begins w/ washing
the upper thigh and groin
B. The nursing assistant washes the tip of the
penis prior to moving to the shaft
C. The nursing assistant does not retract the
foreskin after cleaning underneath to allow
the skin to air dry
D. The nursing assistant cleans the buttocks
last, wiping the outer buttocks then inner
buttocks from front to back
A nursing assistant is providing hygiene care A - this is not good use of body mechanics; prior to providing
to a client. For which of the following care, the bed should be raised to comfortable working height
scenarios should the nurse intervene?
(SATA) C - fluoridated toothpaste should not be used for children
under 2 years of age
A. The nursing assistant puts the bed at the
lowest position while providing care
B. The nursing assistant raises the head of
the bed 30 degrees prior to providing oral
care to an unconscious client
C. The nursing assistant uses fluoridated
toothpaste and soft-bristled brush for a 1-
year old client
D. The nursing assistant uses a new section
of the washcloth for each new dirty area of
the body