Chapter 9: Hygiene and Care of the Patient’s Environment

Chapter 9: Hygiene and Care of the Patient’s Environment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is preparing to bathe a patient. What should the room temperature be set at?

a.	No warmer than 67° F
b.	No cooler than 68° F
c.	No cooler than 70° F
d.	75° F or warmer

 

 

ANS:  B

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

 

DIF:    Cognitive Level: Application           REF:   Page               OBJ:   1| 2| 4

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

MSC:  NCLEX: Physiological Integrity

 

2. The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area. What is the least amount of time the nurse will instruct for a sitz bath?

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               OBJ:   2| 3

TOP:   Therapeutic baths                            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

3. A patient is recovering from a hemorrhoidectomy and experiences dizziness within 5 minutes when taking a sitz bath. What action should the nurse implement?

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: Application           REF:   Page               OBJ:   3

TOP:   Sitz bath         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

4. What should the water temperature be when preparing a tepid bath for a patient?

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: Knowledge            REF:   Page 439        OBJ:   4

TOP:   Tepid bath      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

5. The nurse is assessing a patient’s skin for signs of impaired skin integrity. Which finding by the nurse is considered a major manifestation?

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: Comprehension     REF:   Page               OBJ:   5

TOP:   Pressure ulcers                                KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity