NSG 232 Hygiene Quiz

The nurse is performing a bed bath for a client. The nurse is about to start washing the client's left leg. Which of the following actions is most appropriate for the nurse to perform?

• Wash from the thigh down towards the ankle

• Wash from the ankle up towards the thigh

• Start at the knee, wash upwards to the thigh then downwards to the ankle

• Wash the groin, then the feet proceeded by the rest of the leg

Answer explanation

As noted on slide 23 of your powerpoint washing from distal to proximal stimulates venous return.

Washing from the ankle to the thigh will increase venous return and improve circulation.

What are the primary benefits of bathing? Select FOUR that apply.

• Decreases the likelihood of pressure ulcers by 25%

• Increases circulation

• Provides opportunity for skin assessment

• Provides sensory input

• Promotes relaxation and comfort

Which of the following hygiene tasks is MOST appropriate to delegate to the unlicensed assistive personnel (UAP)?

• Foot care on a patient with hypertension and diabetes mellitis type 2

• Shower for an elderly patient with a history of psoriasis

• Bed bath for a 45 year old client with a surgical incision and a pressure ulcer

• Assisting a patient with peripheral vascular disease clip their toenails

Choose the correlating position and purpose for position using the picture shown.

• Sims' position/access to rectum and vagina

• Dorsal recumbent/access to vagina and abdominal assessment

• Lithotomy/access to female genitalia

• Lateral recumbent/

  heart murmur auscultation

Answer explanation

Sims' position provides access to vaginal and rectum anatomy.

An elderly patient who recently suffered a stroke needs assistance with ADLs, which of the following instructions should the nurse give to the UAP who will be assisting her?

• "Do everything for her this first time then we will see what she can do on her own tomorrow."

• "Let her do all the hygiene tasks and anything she is unable to finish we will do tomorrow for her."

• "If one of her children is there go ahead and let them do the ADLs with her."

• "Set all of the supplies out and let her do everything she is able."