NUR 2356 FINAL EXAM STUDY GUIDE| LATEST GUIDE

MCD-1 Final Exam Study Guide Hygiene: Benefits of Bathing:  Bathe clients to cleanse body, stimulate circulation, provide relaxation, and enhance healing.  Bathe clients whose health problems have exhausted them or limited their mobility  Give a complete bath to clients who can tolerate it and whose hygiene needs warrant it.  Allow rest periods for clients who become tired.  Partial baths are useful when clients cannot tolerate a complete bath, need cleanings of odorous or uncomfortable areas, and can perform part of the bath independently.  Therapeutic baths are used to promote comfort and provide treatment. Giving a Bed Bath:  Collect supplies, provide privacy, explain procedure, apply gloves.  Lock wheels on the hospital bed and adjust the height to a comfortable working position.  Place a blanket over the client, and remove gown.  Obtain warm bath water. Start by washing clients face first and allow client to perform this task if able.  Perform the bath systematically by starting with the client’s trunk and upper extremities and continuing to the lower extremities. Keep clean area covered with a blanket or towel.  Wash with long, firm strokes from distal to proximal and light strokes over lower extremities for clients who have a history of deep vein thrombosis.  Apply a lotion and powder (If needed) and a clean gown.  Replace water if he becomes cool, and use fresh water for perineal care.  Document skin assessment, type of bath, and the clients response. Oral Hygiene: • Proper oral hygiene helps decrease the risk of infection, especially from the transmission of pathogens that can cause pneumonia. • Other populations who require meticulous oral hygiene include those who are seriously ill, injured, unconscious, dehydrated, and have an altered mental status or limited upper body movement. Autonomy for a Client Requiring Oral Care? • Brush the teeth twice a day. • Use a soft toothbrush. • Moisturize oral mucosa and lips every 2 to 4 hours. • Use a chlorhexidine gluconate (0.12%) rinse twice a day during the perioperative period for patients who undergo cardiac surgery (adult patients). • Use mouthwash inside the mouth twice a day for adult patients who are on a ventilator. • Give the patients the oral supplies.