A student nurse is caring for four patients in her senior ...

[savannahhooper]

A student nurse is caring for four patients in her senior clinical rotation. The patients are scheduled for baths that include washing their hair.
 
  Which of the patients will the student nurse need a health care provider's order to shampoo the hair? a. A 56-year-old man with diabetic ketoacidosis
  b. A 45-year-old woman with a neck injury
  c. A 34-year-old man with facial laceration
  d. A 67-year-old woman with pneumonia

Question 2

A student nurse is bathing a patient with right lower lobe pneumonia. The student nurse is concerned with maintaining the patient's dignity, warmth, and safety. Which of the actions will prevent the spread of microorganisms?
 
  a. Use superfatted soap.
  b. Wash from the cleanest to the contaminated body part.
  c. Use gloves when washing the patient's face.
  d. Moving the call light out of reach of the patient to prevent it from becoming wet.

[ciecieme]

Answer to Question 1

B
You will need a health care provider's order to shampoo the hair of patients with neck injuries. In situations in which bending is limited, teach the patient and family caregivers the degree of bending allowed. Assessment of the patient's activity tolerance and balance should be assessed before washing the hair to determine the best mode to complete the activity. There is no need for a specific order in patients who are a diabetic, have pneumonia, or have facial lacerations.

Answer to Question 2

B
Always perform hygiene measures moving from the cleanest to less clean or dirty areas. This often requires you to change gloves and perform hand hygiene during care activities. Use of superfatted soap will prevent skin breakdown. Use of gloves when washing the patient's face decreases the patient's dignity. For safety, the patient should have access to the call light at all times.