Hygiene and Patient Environment Chapter 9

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Questions and Answers

What is the primary reason why a patient may become particularly chilled in a hospital setting?

Limited mobility and impaired circulation (correct)

The use of cold therapy for pain management

The effects of soap and detergents on the skin

Exposure to drafts and cool temperatures

Which of the following factors is not considered a primary aspect of maintaining a therapeutic hospital room environment?

Adequate lighting

Room temperature

Presence of a personal television (correct)

Minimizing noise levels

What is the main reason behind the use of warm or hot water baths for patients?

To relax muscles and promote circulation

To cleanse and disinfect the skin in cases of infection

To control fever and lower body temperature

To provide a soothing experience and improve hygiene (correct)

Which of the following correctly describes the defining characteristic of Stage III pressure injury?

Full-thickness tissue loss with subcutaneous fat visible but no bone, tendon, or muscle exposure Signup and view all the answers

Which of the following is LEAST likely to contribute to the development of a pressure injury?

Adequate nutritional intake and hydration Signup and view all the answers

In the context of patient care, what is the primary purpose of using cold therapy?

To control pain and reduce inflammation Signup and view all the answers

Which of the following is NOT considered a component of basic patient hygiene?

Administering oral medications Signup and view all the answers

What is the main contraindication for a back rub?

The patient is at risk for deep vein thrombosis Signup and view all the answers

Which of the following best describes the purpose of tepid sponge baths?

To lower body temperature and manage fever Signup and view all the answers

Why is it important for nurses to be role models for personal hygiene?

To instill healthy hygiene habits in patients and their families Signup and view all the answers

When providing perineal care for a male patient, which of the following is the correct order of steps? Assume the patient is not circumcised.

Cleanse the glans penis, then retract the foreskin, then clean the shaft of the penis, finally clean the scrotum and anal area. Signup and view all the answers

Skin care assessment involves observing changes in skin characteristics. Which of these is NOT a relevant indicator for assessing skin health?

Body mass index (BMI) Signup and view all the answers

When making an occupied bed, which technique is most important for ensuring patient safety?

Using a draw sheet to move the patient to the edge of the bed. Signup and view all the answers

Which of the following actions would NOT be considered appropriate when assisting a patient with a bedpan?

Leaving the patient alone while they use the bedpan. Signup and view all the answers

Which of the following statements is MOST ACCURATE regarding the relationship between skin health and overall well-being?

Skin is a reflection of internal health, and changes in skin condition can indicate underlying health issues. Signup and view all the answers

Study Notes

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

This chapter covers hygiene and environmental care for patients.
It discusses the therapeutic hospital room environment.
It describes personal hygiene practices.
It details variations in bath procedures based on patient condition and physician orders.
It explains the procedure for a bed bath.
It identifies nursing interventions for preventing and treating pressure ulcers.
It discusses heat and cold therapy and related procedures.
It describes procedures for oral hygiene, shaving, hair care, nail care, eye, ear, and nose care.
It outlines the procedure for a back rub.

Patient's Room Environment

Factors affecting the patient's environment include a comfortable and safe environment
Important factors include temperature, ventilation, noise levels, odors, and lighting.

Life Span Considerations (Older Adults)

Older adults may experience factors like becoming chilled, limited mobility, impaired circulation, and adverse effects of soaps and detergents on their skin when doing hygiene care.

Room Equipment

Essential room equipment includes bedside stands, beds, overbed tables, chairs, and lights.

Hygiene

Principles of health include holistic care encompassing skin, hair, hands, feet, eyes, ears, nose, mouth, back, and perineum.
Personal hygiene consists of self-care measures to maintain health and prevent diseases.
Nurses are vital role models and teachers demonstrating proper hygiene.

Bathing

Often, unlicensed assistive personnel perform bathing tasks.
Therapeutic baths include cool water tub baths, warm water tub baths, hot water tub baths, and sitz baths.

Other Baths

Bath types include complete bed baths, partial assistance during bed baths, tepid sponge baths, and medicated baths.

Pressure Injuries

Normal skin characteristics are important to consider
Impaired skin integrity can lead to pressure injuries.
Pressure injuries occur when persistent pressure on the skin causes blood vessel collapse.
Factors influencing pressure injuries include shearing force and friction.
Prevention and interventions for pressure injuries are essential.

Stages of Pressure Injuries

Stage I: Localized skin area with nonblanchable redness.
Stage II: Partial-thickness loss of dermis.
Stage III: Full-thickness tissue loss, subcutaneous fat, tendon or muscle visible.
Stage IV: Full-thickness tissue loss, exposed bone, tendon or muscle.
Unstageable/unclassified Injuries involve full-thickness tissue loss with a wound base covered by eschar or slough

Heat and Cold Therapy

Patients with injuries often benefit from heat or cold therapy application.
Heat applications promote comfort and healing.
Cold applications decrease swelling and pain.
Heat and cold therapy can be applied in either dry or moist form.

Components of Patient's Hygiene

This category includes; oral hygiene, hair care, shaving, hand, foot, and nail care, perineal care, and eye, ear, and nose care.

Back Care and Back Rubs

Back care and related rubs are provided post-bathing.
Back rubs promote relaxation, relieve muscle tension, and stimulate circulation.
Understanding contraindications is crucial for safe back rubs.

Lesson 9.2: Further Hygiene and Care of the Patient's Environment

This lesson continues the discussion of patient care.
It covers procedures for perineal care (male and female).
It discusses skin care procedures.
It describes procedures for making unoccupied and occupied beds.
Patient assistance with bedpans, urinals, and bedside commodes is addressed.

Perineal Care

Care of the genitalia (male and female) is part of perineal care.
Catheter care is also included.

Skin Care

Skin condition changes influence color, texture, thickness, turgor, temperature, and hydration.
Healthy and intact skin maintains optimal physiologic function.

Bedmaking

Patient beds are typically made in the morning after bathing.
Empty beds are made when possible.
Occupied bed making is a high priority, balancing safety, comfort, and privacy.

Assisting the Patient with Elimination

This section details how to assist patients with bedpans and urinals.
It also describes care for incontinent patients.

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Description

This quiz focuses on Chapter 9, which delves into hygiene and the care of a patient's environment. It covers essential practices including personal hygiene, the management of a therapeutic hospital room, and nursing interventions to prevent pressure ulcers. Additionally, it addresses specific considerations for older adults to ensure their comfort and safety.