Which outcome is desirable for a pediatric patient being treated for head lice? Show Child refrains from sharing personal items with school classmates. Which factors should the nurse consider when developing an individualized care plan for a patient's hygienic and self-care needs? Present capabilities Supportive resources Family involvement Personal care supplies Which activity does the nurse perform when planning for a patient's hygiene and personal care? Prioritizes patient's hygiene-related nursing diagnoses Nursing diagnoses are prioritized during the planning phase, so that top priority hygiene and personal care diagnoses can be addressed first. Sets realistic personal care goals with the patient The nurse does set realistic personal care goals with the patient during the planning phase of the nursing process. Which hygiene and personal care nursing diagnosis is correctly stated? Ineffective Health Maintenance related to impaired ability to understand due to brain injury, as evidenced by poor hygiene and unkempt appearance. This hygiene and personal care diagnosis includes all three parts and is stated correctly. Nursing diagnoses related to hygiene and personal care are selected after which important activity? Assessing patient self-care abilities Nursing diagnoses are selected after data has been collected through assessing the patient's self-care abilities. A patient exhibits matted hair and caked mud and debris under fingernails and toenails. Which nursing diagnosis will the nurse select? Hygiene Self-Care Deficit The data provided supports the selection of hygiene self-care diagnosis for this patient. A patient is unable to perform self-care activities. Following collaboration with the UAP, which activities can be delegated? Personal grooming Personal grooming, such as hair combing, can be delegated to the UAP. Partial bathA partial bath can be delegated to the UAP following initial assessment by the nurse. Any specific problems that are noted during the bath, such as painful movement, should be reported to the nurse immediately. Denture care Denture care can be delegated to the UAP, as it is within the UAP's scope of practice. Hair care Because it is within the UAP's scope of practice, hair care can be delegated to the UAP. Following collaboration about a patient's hygiene needs, which activities can be delegated to the UAP? Applying lotion after bathing the patient Applying lotion after bathing a patient can be delegated to a UAP, as it is within the UAP's scope of practice. Assisting the patient with oral hygiene Assisting the patient with oral hygiene is within the UAP's scope of practice, and can be delegated to a UAP. Helping a patient shave prior to discharge Helping a patient shave can be delegated to a UAP, as it is within the UAP's scope of practice. The nurse delegated several patient tasks to UAPs on a nursing unit. Who is ultimately responsible for delegated tasks? Delegating nurse The nurse can assign and delegate tasks to UAPs based on their skill, knowledge level, and scope of practice, but the delegating nurse remains ultimately responsible for delegated tasks. Why is it important to set measurable hygiene and personal care goals for patients? Provides a means for measuring patient self-care progress. Patient goals must be measurable because goals provide the means by which self-care progress is measured or determined. It they are not measurable, it cannot be determined if goals have been met. Which is a correctly stated hygiene and personal care long-term goal statement? Patient will shower independently by the end of one month. Which questions will the nurse ask when formulating a measurable hygiene and personal care goal? who, what, when What should the nurse do when a patient requests the same gender caregiver for hygiene and personal care, due to cultural preferences? Accommodate the patient's wishes Addressing the patient's wishes, and providing the same gender caregiver for hygiene and personal care facilitates patient care and enhances the patient's comfort. When is it appropriate for family members to be involved in setting hygiene and personal care goals for patients who can communicate their own needs and desires? When the patient requires assistance after discharge When the patient requires assistance after discharge, the family will need to be involved in goal-setting, because they will be responsible for carrying out hygienic and personal care for the patient at home. Which action by the nurse indicates a collaborative approach to improving a patient's ability to perform self-hygiene and personal care? Partnering with the occupational therapist Partnering with the occupational therapist is collaboration, because both healthcare team members work together to plan interventions for the common goal of improving the patient's ability to perform self-hygiene and personal care. A patient is unable to perform self-care activities. Following collaboration with the UAP, which activities can be delegated? Personal grooming Personal grooming, such as hair combing, can be delegated to the UAP. Partial bath A partial bath can be delegated to the UAP following initial assessment by the nurse. Any specific problems that are noted during the bath, such as painful movement, should be reported to the nurse immediately. Denture care Denture care can be delegated to the UAP, as it is within the UAP's scope of practice. Hair care Because it is within the UAP's scope of practice, hair care can be delegated to the UAP.
What are the three parts of the nursing diagnosis? Diagnostic label, related factors, and evidence statement Which hygiene and personal care nursing diagnosis is correctly stated?Which hygiene and personal care nursing diagnosis is correctly stated? Ineffective Health Maintenance related to impaired ability to understand due to brain injury, as evidenced by poor hygiene and unkempt appearance. This hygiene and personal care diagnosis includes all three parts and is stated correctly.
What are the nurses role in personal hygiene?Nurses assess the client's ability to perform their activities such as personal hygiene, mobility, ambulation, toileting, personal care and hygiene, grooming, dressing, and eating. Some clients are wholly compensatory in terms of their self care activities.
What assessments would be conducted during hygiene care?Clothing Assessment
Hygiene is necessary for health, comfort, well-being, and safety. You can assess hygiene by examining a patient's clothing, skin, mouth, hair, and nails. Clothing is the first impression you get of your patients and will give you an idea of how they care for themselves.
How would you assist a client with personal hygiene?Bathing in a Bathroom. Help the patient reach the bathroom.. Check to see if the patient needs to use the restroom before showering.. Keep the bathroom warm.. Run the water. ... . Provide a shower chair, if necessary.. Place all necessary toiletries in an easily accessible spot.. Remain nearby in case the patient needs more help.. |