Patient Care: Oral, Hair, and Skin Hygiene

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Questions and Answers

What is primarily assessed to determine the presence of tissue damage?

Blanchable and non-blanchable erythema (correct)

Blood flow rates

Skin temperature variations

Capillary refill time

Which nursing intervention is essential for preventing pressure ulcers?

Changing position at least every 2 hours (correct)

Encouraging bed mobility only

Providing long bed rest periods

Administering medications for anxiety

Which factor does NOT contribute to tissue damage?

Pressure intensity

Tissue ischemia

Skin moisture (correct)

Pressure duration

Which type of skin loss is indicated by the presence of a blister?

Partial thickness skin loss Signup and view all the answers

What device can be used to alleviate pressure on bony prominences?

Air mattress Signup and view all the answers

Which activity is NOT considered an Activity of Daily Living (ADL)?

Attending medical appointments Signup and view all the answers

What does the Katz Index of Independence measure?

Performance in six functions related to ADLs Signup and view all the answers

Which intervention can help minimize friction when moving a patient?

Using a pad or draw sheet Signup and view all the answers

What is the first step in denture care?

Remove the dentures Signup and view all the answers

Which technique should be used when brushing and combing hair?

Brush from scalp toward hair ends Signup and view all the answers

What should be done before trimming fingernails?

Check agency policy for order Signup and view all the answers

Which of the following is contraindicated for diabetic patients during foot care?

Clipping toenails Signup and view all the answers

What is important to keep in mind when providing hair care?

Consider cultural preferences Signup and view all the answers

What is a key consideration when using a safety razor for shaving a male patient?

Use short strokes for larger areas Signup and view all the answers

Why is it necessary to moisten hair before brushing or combing?

To prevent damage and breakage Signup and view all the answers

What is the primary goal of a complete bed bath?

To ensure the patient is thoroughly cleansed Signup and view all the answers

Which of the following is NOT a benefit of back massage?

Helps in weight loss Signup and view all the answers

Which technique should be avoided during perineal care?

Roughly scrubbing the area Signup and view all the answers

How should hair care be performed for a patient with long hair?

Gently combing and braiding to prevent tangles Signup and view all the answers

What is the purpose of using a bag bath?

To provide a cleaning solution that evaporates quickly Signup and view all the answers

What is the recommended frequency for bathing specific body areas like the face and axillae?

Daily or as needed Signup and view all the answers

What should patients with dry skin be encouraged to use?

Moisturizing creams Signup and view all the answers

Which statement regarding denture care is accurate?

Denture care is essential for preventing oral infections Signup and view all the answers

What is a primary consideration to maintain skin integrity?

Avoiding rough rubbing or abrasive cleaning Signup and view all the answers

What position should patients be in for effective back massage?

Lateral Position (Lying on Side) Signup and view all the answers

For which group of individuals is gentle skin care particularly crucial?

Older adults Signup and view all the answers

What technique is emphasized for cleansing during a bag bath?

Wiping with a moist cloth for each area Signup and view all the answers

Study Notes

Oral Care and Hygiene for Dependent Patients

Denture care includes removal, cleaning, inspection, and returning to the mouth, using a washcloth to prevent drops.
Oral hygiene for unconscious patients requires the head of the bed to be lowered, turning the head to the side, and having suction available.
Independent patients can perform oral hygiene themselves; nurses provide supplies when assistance is needed.

Hair Care and Nail Care

Hair care involves brushing, shampooing, and respecting patient preferences; consider cultural factors and obtain provider orders for those with limited mobility.
Nail care includes soaking nails in warm water, clipping straight across, and checking agency policies for specific nail trimming actions.
Toenail care is often performed by a podiatrist.

Skin Properties and Care Principles

Skin is the largest organ, providing protection, sensation, temperature regulation, and synthesizing Vitamin D.
Intact skin serves as a critical defense mechanism; maintain clean, wrinkle-free linens, and avoid harsh rubbing.
Dry skin is more susceptible to infections; moisturizing creams and reduced bathing frequency are recommended.
Address body odor with cleanliness; apply deodorants only after washing.

Hygiene Procedures and Types of Baths

Personal hygiene encompasses various tasks like bathing, grooming, and oral care, crucial for patients' comfort and well-being.
Bed baths vary based on patient abilities: complete bed bath for total dependence, partial for select areas, and assist bed baths to promote independence.
Privacy, safety, and hand hygiene are vital during any bathing procedure.

Back Massage and Skin Assessments

Back massages promote relaxation and circulation; avoid contraindications such as open wounds or areas of redness that do not blanch.
Regular total body skin assessments help identify potential issues; maintain skin cleanliness and dryness while minimizing pressure and friction.

Activities of Daily Living (ADLs)

ADLs include essential actions such as ambulation, dressing, and grooming; assistance is often required for elderly or ill patients.
Functional status assessment detects changes in health and is critical in managing care for older adults during hospitalization.

Katz Index for ADLs

The Katz Index measures independence in six key functions: bathing, dressing, toileting, transferring, continence, and feeding.
Evaluating a patient’s ability in these areas aids in developing personalized care plans.

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Description

This quiz covers essential care practices for dependent patients, focusing on oral hygiene, hair care, and skin properties. Participants will learn techniques for effectively managing the personal care needs of patients, including best practices for those with limited mobility. Knowledge of patient preferences and safety protocols is emphasized.