Edition,Questions with Correct Solutions
A number of factors influence a patient's personal preferences for hygiene. Because of this, it is
important for the nurse to realize which of the following?
No two individuals perform hygiene in the same manner.
2. Social groups influence hygiene preferences and practices, including the type of hygienic products
used and the nature and frequency of personal care. Which of the following developmental stages is
most likely to be influenced by family customs?
Toddler.
3. The patient received a diagnosis of diabetes 12 years ago. When admitted today, the patient is
unkempt and is in need of a bath and foot care. When questioned about his hygiene habits, the
patient tells the nurse that baths are taken once a week where he comes from, although he takes a
sponge bath every other day. To provide ultimate care for this patient, what must the nurse
understand?
The patient's illness may necessitate teaching of new hygiene practices.
4. The nurse is caring for a patient who refuses "A.M. care." When asked why, the patient tells the
nurse that she always bathes in the evening. What should the nurse do?
Defer the bath until evening and pass on the information to the next shift.
5. Successful critical thinking requires synthesis of knowledge, experience, information gathered from
patients, critical thinking qualities, and intellectual and professional standards. Once the assessment
has been done, what is it important for the nurse to understand?
Critical thinking is ongoing.
6. When the nurse provides hygiene for an older patient, why is it important for the nurse to closely
assess the skin?
As people age, less frequent bathing may be required.
7. The nurse is bathing a patient and notices movement in the patient's hair. What should the nurse
do?
Use gloves or a tongue blade to inspect the hair.
8. When assessing a patient's skin, what does the nurse need to know?
Moisture on the skin can lead to skin maceration.
9. The nurse is caring for a patient who is immobile. Why is the nurse aware that the patient is at risk
for impaired skin integrity?
Pressure reduces circulation to affected tissue.
, 10. The nurse is caring for a patient who has diabetes mellitus, circulatory insufficiency, peripheral
neuropathy, and urinary incontinence. What does the nurse know about patients with these
conditions?
They have decreased pain sensation and are at increased risk of skin impairment.
11. The nurse is caring for a patient who has undergone external fixation of a broken leg and has a
cast in place. To prevent skin impairment, what should the nurse do?
Assess all surfaces exposed to the cast for pressure areas.
12. Of the following interventions, which would be the most important for preventing skin
impairment in a mobile patient with local nerve damage?
During a bath, assess for pain.
13. Of the following disorders, which is caused by a virus?
Plantar warts.
14. The nurse is caring for a patient who is complaining of severe foot pain caused by corns. The
patient states that she has been using oval corn pads to self-treat the corns, but they seem to be
getting worse. What does the nurse explain?
Depending on severity, surgery may be needed to remove the corns.
15. The patient receives a diagnosis of athlete's foot (tinea pedis). The patient says that she is relieved
because it is "only athlete's foot" and it can be treated easily. What does the nurse explain about
athlete's foot?
It is contagious and frequently recurs.
16. When assessing a patient's feet, the nurse notices that the toenails are thick and separated from
the nail bed. What causes this condition?
Fungi
17. The nurse is providing education about proper foot care to a patient who has diabetes mellitus.
Why is this important?
Foot ulcers are the most common precursor to amputation.
18. The nurse is providing oral care to an unconscious patient and notes that the patient has
extremely bad breath. What is the term for "bad breath"?
Halitosis.
19. The nurse is caring for an unresponsive patient who has a nasogastric tube in place for continuous
tube feedings. Why does the nurse assess the patient's oral hygiene?
Oral hygiene helps prevent gingivitis.