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Hygiene (NCLEX)
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Terms in this set (45)

A nurse is bathing a patient who 1. Increases heat loss

has a fever. Why should the nurse
use tepid bath water for this
procedure?
1. Increases heat loss
2. Removes surface debris
3. Reduces surface tension of
skin
4. Stimulates peripheral
circulation

A nurse must make the decision 2. Immediate need of the patient

to give a patient a full or partial
bed bath. Which criterion is most
important for the basis of this
decision?
1. Primary health-care providers
order for the patients activity.
2. Immediate need of the patient
3. Time of the patients last bath
4. Patient preference

A patient has had a nasogastric 4. Altered oral mucous membranes.

tube to decompress the stomach
for 3 days and is scheduled for
intestinal surgery in the morning.
For which of the following is the
patient at the greatest risk?
1. Physical injury.
2. Ineffective social interaction
3. Decreased nutritional intake
4. Altered oral mucous
membranes.
A patient is incontienent of urine 1. Impaired skin integrity
and stool. For which patient
response should the nurse be
most concerned?
1. Impaired skin integrity
2. Altered sexuality
3. Dehydration
4. Confusion

A nurse is giving a patient abed 2. Ensure that the bath water is at least 110 F.
bath. Which nursing action is
most important?
1. Lower the 2 side rails on the
working side of the bed.
2. Ensure that the bath water is at
least 110 degrees F
3. Fold the washcloth like a mitt
on a hand
4. Raise the bed to the highest
position.

A nurse plans to give a patient a 3. Moisturizing cream

back rub. Which is the product
the nurs eshould use for this
intervention?
1. Baby powder
2. Rubbing alcohol
3. Moisturizing cream
4. Antimicrobial cream

A nurse changes the linens of a 4. Checking the soiled bed linens for personal items.
bed while the patients sits in a
chair. Of the options presented,
which is the most important
nursing action when changing
bed linens?
1. Ensuring the hem of the
bottom sheet is facing the
mattress.
2. Arranging the linen in order in
which it is to be used.
3. Shifting the mattress up to the
headboard of the bed.
4. Checking the soiled bed linens
for personal items.
A nurse is responsible for 1. Brush from the scalp toward the hair ends.
providing hair care for a patient.
Which should the nurse do to
distribute oil evenly along hair
shafts?
1. Brush from the scalp toward
the hair ends.
2. Lift opened fingers through
the hair.
3. Apply a conditioner to wet
hair.
4. Use a fine toothed comb.

Which condition identified by the 3. Fractured hip

nurse places a patient at the
greatest risk for impaired self
care when toileting?
1. Amputation of a foot
2. Early dementia
3. Fractured hip
4. Pregnancy

A patient asks the nurse, "Why do 2. Helps reduce offensive mouth odors.
I have to use mouthwash if I
brush my teeth?" Which rational
should the nurse include when
responding to this question?
1. Minimizes the formation of
cavities
2. Helps reduce offensive mouth
odors.
3. Softens debris that
accumulates in the mouth.
4. Destroys pathogens that are
found in the oral cavity.

A nurse planning to shampoo the 3. Brush the hair to remove tangles.

hair of a patient who has an
order for bedrest. Which should
the nurse do first?
1. Wet hair thoroughly before
applying shampoo.
2. Encourage the use of dry
shampoo.
3. Brush the hair to remove
tangles
4. Tape eye shields over both
eyes.
A patient has just had perineal 2. Sitz bath
surgery. Which type of bath
should the nurse expect to be
ordered for this patient?
1. Sponge bath
2. Sitz bath
3. Tub bath
4. Bed bath

A nurse plans to assist a patient 4. Ensuring that the patient can locate bathing supplies placed on
who has impaired vision with a the over bed table.
bed bath. Which is the most
appropriate nursing intervention
to facilitate bathing for this
patient?
1. Providing the patient with a
liquid bath gel rather than a bar
of soap.
2. Giving the patient an adapted
toothbrush to use when brushing
the teeth.
3. Checking the patients ability to
give self care through a crack in
the curtain.
4. Ensuring the patient can
locate bathing supplies placed
on the over bed table.

A nurse plans to meet the 1. Assisting with the bath as needed.

hygiene needs of a hospitalized
patient who is experiencing
hemiparesis because of a brain
attack (cerebrovascular
accident). Which is an
appropriate nursing
intervention?
1. Assisting with the bath as
needed.
2. Giving total assistance with a
complete bed bath.
3. Providing minimal supervision
during the bath.
4. Encouraging a family member
to bathe the patient.
A nurse is making an occupied 2. Ensuring that the patients head is supported and is in functional
bed. Which nursing action is alignment
most important?
1. Securing top linens under the
foot of the mattress and
metering the corners.
2. Ensuring that the patients head
is supported and is in functional
alignment
3. Fan-folding soiled linens as
close to the patients body as
possible.
4. Positioning the bed in the
horizontal position.