Chapter 18: Hygiene and Care of the Patient’s Environment

Foundations Of Nursing 6th Edition by Barbara Lauritsen Christensen

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Chapter 18: Hygiene and Care of the Patient’s Environment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Before giving the patient a bath, the nurse must ensure that the temperature of the room should be no cooler than:
a. 67° F.
b. 68° F.
c. 70° F.
d. 75° F.

 

ANS:   B

The recommended room temperature is 68° to 74° F.

 

DIF:    Cognitive Level: Application             REF:    Page 436         OBJ:    1

TOP:    Patient’s environment                        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

  1. The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area and should last at least:
a. 10 to 15 minutes.
b. 20 to 30 minutes.
c. 30 to 40 minutes.
d. 1 hour.

 

ANS:   B

The sitz bath should last 20 to 30 minutes.

 

DIF:    Cognitive Level: Application             REF:    Page 439         OBJ:    3

TOP:    Therapeutic baths                               KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

  1. If a patient recovering from a hemorrhoidectomy experiences dizziness within 5 minutes when taking a sitz bath, the nurse should:
a. cover the patient to prevent chilling.
b. stay with the patient until the full time for the bath has elapsed.
c. remove the patient from the sitz bath and return to bed.
d. assess vital signs every 5 minutes during the remainder of the sitz bath.

 

ANS:   C

The patient may become dizzy during a sitz bath due to dilation of the large vessels in the abdomen. If this occurs, the patient should be removed from the sitz bath and returned to bed. Vital signs should be assessed until they return to normal.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 439         OBJ:    3

TOP:    Sitz bath          KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

  1. When the nurse is preparing a tepid bath for a patient, the water temperature should be:
a. 98.6° F.
b. 100.2° F.
c. 104.8° F.
d. 110.4° F.

 

ANS:   A

The tepid bath is taken in water that is 98.6° F.

 

DIF:    Cognitive Level: Application             REF:    Page 439         OBJ:    3

TOP:    Tepid bath       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

  1. The nurse assessing a patient’s skin for signs of impaired skin integrity knowing that a major manifestation is a(n):
a. burn.
b. laceration.
c. pressure ulcer.
d. infection.

 

ANS:   C

A major manifestation of impaired skin integrity is a pressure ulcer.

 

DIF:    Cognitive Level: Application             REF:    Page 449         OBJ:    5

TOP:    Pressure ulcers                                    KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

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