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ATI Personal Hygiene Questions and
Answers Already Passed
You enter your patient's room and prepare to perform a more thorough skin assessment while bathing him. He seems reluctant to allow you to proceed with this process. You respond appropriately by ✔✔explaining that you understand his reluctance but must check his skin for injuries. Your best approach is a therapeutic response that helps to validate the patient's feelings while explaining the procedure, including what you will do and why. Assure him that you will minimize any discomfort or embarrassment he might feel, while also performing an important assessment of his skin.
You prepare your patient for bathing. You place your supplies within reach, and then you ✔✔replace the linens with a bath blanket, then begin the procedure.
You begin the bathing process, promoting the patient's comfort by ✔✔encouraging the patient to assist as much as possible.
While washing the patient's face, you note the presence of cerumen in his left ear canal. You ✔✔use a damp cloth or gentle irrigation to loosen debris from the canal.
You notice that your patient has mild edema of the lower extremities. You encourage venous return by ✔✔washing his legs using long, gentle, distal-to-proximal strokes.
While washing the patient's ankles and feet, you note the absence of hair and that the skin has a glossy appearance. The most likely explanation for these findings is ✔✔a lack of blood flow to these tissues.
To reduce the risk of aspiration during the bath, you ✔✔Have another staff member assist you.
You are now going to provide oral care to this patient. In preparation, you place the patient in ✔✔Side lying position
For an unconscious patient, you know that eye care ✔✔It should be provided frequently
While washing the patient's lower back, you note an area near the sacrum that is erythematous and showing signs of further breakdown. You ✔✔Gently wash with soap and water. You have selected the correct response. This will minimize the risk of further loss of skin integrity, as gentle pressure will not macerate the epithelium.
chemotherapeutic drugs, radiation therapy to the head and neck, oral surgery or trauma, immunosuppression, diabetes mellitus, or some over-the-counter medications that contain large amounts of sugar, such as some cough drops and antacids. Be sure to asses all your patients daily for any oral cavity compromise.
Why shouldn't cotton tipped applicators be used to clean ears? ✔✔Cotton-tipped applicators can push cerumen (earwax) further into the canal and cause impaction. This can increase the risk of infection and of potential rupture of the tympanic membrane. Gentle cleansing externally with a wet washcloth is preferable. If cerumen buildup worsens, consider requesting an order for irrigating the canal.
What is effleurage and how does it help other patients? ✔✔Cotton-tipped applicators can push cerumen (earwax) further into the canal and cause impaction. This can increase the risk of infection and of potential rupture of the tympanic membrane. Gentle cleansing externally with a wet washcloth is preferable. If cerumen buildup worsens, consider requesting an order for irrigating the canal.
