ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 15 : Personal Care Questions
Question 1 of 5
While you are assisting a patient with a bed bath, you notice a purplish blotching on the skin of the lower legs and feet. This is an indication of
Correct Answer: D
Rationale: Purplish blotching on the lower legs and feet is often a sign of poor blood flow, indicating decreased circulation. This can be associated with conditions like peripheral vascular disease. It is not typically a reaction to medications, increased heat, or infection unless accompanied by other specific symptoms.
Question 2 of 5
Your patient is slightly confused. He has activity orders to be up in the chair three times per day. He is unstable on his feet when he walks or stands for more than a few minutes. What type of bath will you plan to give this patient?
Correct Answer: B
Rationale: Given the patient's confusion and instability when standing for extended periods, an assisted or help bath is appropriate. This allows the nurse to provide support while the patient participates in bathing, accommodating their activity orders while ensuring safety. A bed bath is too restrictive, and a tub bath or shower poses a fall risk.
Question 3 of 5
It is important to stay with a patient during the first bath or shower after surgery because the patient may
Correct Answer: A,D
Rationale: Post-surgical patients may be weak or unsteady due to anesthesia effects or reduced mobility, increasing the risk of falls. Vasodilation from warm water can also cause dizziness or fainting, especially in a weakened state. While pain may increase with movement, it is not the primary concern for supervision, and incisions are unlikely to open from bathing alone.
Question 4 of 5
When you provide oral care to an unconscious patient, you will
Correct Answer: A,C,E
Rationale: For an unconscious patient, positioning on the side with the bed flat prevents aspiration during oral care. Assessing the mouth for lesions ensures proper care and identifies issues. A suction device is essential to remove fluids and prevent choking. Lemon glycerin swabs can dry the mucosa, and rinsing with water is avoided to prevent aspiration.
Question 5 of 5
You are caring for a patient with a nasogastric tube who is unable to take food or fluids by mouth. How often will you perform oral care for this patient?
Correct Answer: B
Rationale: Patients with nasogastric tubes are at risk for dry mouth and oral infections due to lack of oral intake and tube irritation. Oral care every 2 hours helps maintain oral hygiene, prevent infections, and ensure patient comfort.