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NCO: Hygiene
Nightingale BSN 205, Week 5 NCO, Hygiene
| Question | Answer |
|---|---|
| When preparing to provide mouth care to a patient who is in a coma, the nurse first ensures patient safety by doing what? | Assessing the patient's gag reflex |
| The nurse is planning to insert an oral airway into an unconscious patient before performing mouth care. In which direction is the airway initially inserted into the patient's mouth? | Upside down, or with the curve facing up |
| What is the primary reason an unconscious patient is placed in the side-lying position when mouth care is provided? | To reduce the risk of aspiration |
| When brushing the teeth of an unconscious patient, why is the toothbrush held so that its bristles are at a 45-degree angle to the gum line? | To allow the bristles to reach beneath the gum line |
| What must the nurse avoid when brushing the tongue of an unconscious patient? | Stimulating the gag reflex |
| Which instruction would the nurse give when asking nursing assistive personnel (NAP) to give a complete bed bath to a patient? | Do not massage any reddened areas on the patient's skin |
| A patient is being given a bed bath. The nurse realizes that another washcloth is needed to complete the bath. What is one way in which the nurse can ensure the patient's safety? | Make sure the call light is within the patient's reach |
| The nurse is preparing to give a patient a bath using a disposable bath-in-a-bag product. What should the nurse do first? | Warm the product in the microwave |
| What can the nurse do to keep the patient from becoming chilled while receiving a bath with a disposable bath-in-a-bag product? | Lightly cover the patient with a bath towel. |
| The nurse has washed a patient's arms. Which area should the nurse wash next? | Hands |
| Which patient should not have his or her feet soaked during a complete bed bath? | A patient with diabetes mellitus |
| The nurse is bathing a patient who is unconscious. What should the nurse do to ensure safe care of the patient's eyes? | Use eye patches or shields taped in place. |
| When preparing to clean a patient's dentures using the sink, the nurse first protects the dentures by doing what? | Padding the sink basin with a washcloth |
| What would the nurse instruct nursing assistive personnel (NAP) to report when performing denture care for a patient? | The appearance of any cracks in the dentures |
| Under what circumstances would the nurse assume responsibility for providing denture care for a patient? | The patient is unable to care for the dentures on his or her own |
| A patient tells the nurse that at home he cleans his dentures after every meal and before going to bed. When would denture care be planned for this patient while hospitalized? | After every meal and before going to bed |
| A patient has removed her dentures and placed them on the bedside stand. What would the nurse do to protect the patient's dentures? | Obtain a denture cup, label it with the patient's name, and store the dentures in a safe place. |
| Which personal protective equipment (PPE) will the nurse wear if there is a risk of a blood splash when caring for a patient? | Gown, gloves, mask, and eye protection |
| What will the nurse do first when preparing to apply personal protective equipment (PPE) before caring for a patient in isolation? | Perform hand hygiene |
| The nurse is discussing the guidelines for proper use of PPE by nursing assistive personnel (NAP). Which statement made by the NAP requires follow-up by the nurse? | I really dislike wearing a mask, so it's the first thing I take off. |
| When removing a gown worn as personal protective equipment (PPE) while caring for a patient in isolation, why does the nurse avoid touching the outside of the gown? | To prevent touching contaminated material with unprotected hands |
| When delegating patient care that requires nursing assistive personnel (NAP) to use personal protective equipment (PPE), it is necessary for the nurse to do what first? | Review the patient's need for a specific isolation precaution |
| A patient with left-sided muscle weakness is prescribed a bath every other day. Which precaution would help the nurse reduce this patient's risk of falling? | Decline the patient's request to add scented oil to the bathwater |
| Which nursing action reduces the risk of falling as a patient is getting into or out of a bathtub? | Place a skidproof disposable bath mat in front of the tub. |
| The nurse has just helped a patient into the bathtub. Before leaving the bathroom, what would the nurse do to help ensure the patient's safety? | Show him how to use the call signal. |
| The nurse is assisting a patient with a tub bath. After the patient has been safely positioned in the tub, he tells the nurse, "I'll call you when I'm done." What is the nurse's best response? | Well, I'll check back with you in about 5 minutes to see if you need anything. |
| The nurse is helping a patient get out of a bathtub, and the patient appears to be unsteady on her feet. What should the nurse do to help ensure the patient's safety? | Drain the bathtub before the patient gets out. |
Created by:
alishalynne93
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