Module 8: Patient Care Skills

A partial bath would include bathing the following body areas:

Face, hands, underarms, back, buttocks and perenial area
Face, neck, chest, and arms
Face, feet and legs
Hands, feet, chest and back

A complete bed bath would be given to a patient/resident who:

Has difficulty using his right hand
Cannot step into a bath tub
Is paralyzed on one side
Is unconscious

A Nurse Assistant is bathing a patient/resident. Which of the following observations should be reported immediately to the nurse?

Dry skin on the patient’s/resident’s legs
A vein that curves and stands out
An old bruise is turning yellow
A bleeding skin tear

When bathing a patient/resident, the Nurse Assistant sees a swelling around the knee that is tender to touch. The Nurse
Assistant should:

Avoid washing the sensitive area during the bath
Apply a warm wet washcloth to the knee
Report this observation to the nurse
Remind the patient/resident not to ambulate without assistance

In preparing the bath for the dependent patient/resident, the Nurse Assistant should:

Fill the tub with no more than two inches of water
Make sure that the water temperature is at least 120 F.
Adjust the water temperature to 105 F.
Position the patient/resident in the tub before adding water

When bathing a dependent patient/resident, the Nurse Assistant should:

Leave the room at intervals to encourage the patient/resident to bathe on his own
Rinse off all soap completely and dry the skin thoroughly
Rub the skin vigorously to stimulate circulation
Apply soap to all areas before rinsing with fresh water

When washing the face of a dependent patient/resident, the Nurse Assistant should:

Use a separate washcloth for washing each eye
Wipe the eyes from the outer edge to the center
Use different corners of the washcloth when washing each eye
Rinse the eyes by pouring a small amount of water on the forehead

In a complete bed bath, the water is changed:

At the completion of the bath
After each body area is washed
After the front surfaces of the body are washed
Whenever the water becomes soapy or cool

To assist Mrs. B a patient/resident, into a bathtub, the Nurse Assistant should:

Stand at the side of the tub and have the patient/resident hold on to your shoulder as she steps into the tub
Place a chair next to the tub and have the patient/resident hold on to the chair as she steps into the tub
Have the patient/resident hold on to the grab bar in the tub enclosure as she steps into the tub
Have the patient/resident sit on the side of the tub, pick up both legs and pivot them over the side and into the tub

Oral hygiene should be done:

After each meal and at bedtime
After breakfast and after last meal or snack of the day
Before and after each meal
Before and after meals or snacks

In what position should an unconscious patient/resident be placed when performing oral care?

Lateral (side-lying, head to side) position
Prone (on the stomach) position
Supine (on the back) position
Standing position

In assisting a patient/resident with oral hygiene:

Offer a cup of mouthwash to the patient/resident before the toothbrush
Warm the mouthwash in a basin of warm water before it is used
Hold the emesis basin under the patient’s/resident’s chin when he/she needs to spit
Let the patient/resident rinse his/her mouth with orange juice after brushing teeth

When the patient/resident takes his/her dentures out for the evening, the Nurse Assistant should:

Send the dentures home with the family
Store them in a labeled container filled with cool water inside the bedside table drawer
Dry them and store in a plastic bag under the patient’s/resident’s pillow
Store them in a clean container in the clean utility room

When cleaning dentures, the Nurse Assistant should:

Use dental floss to clean between the teeth
Soak the dentures in Lysol type disinfectant solution
Brush only the teeth portion of the dentures
Brush all surfaces of the dentures

When giving oral hygiene to an unconscious patient/resident, it is important for the Nurse Assistant to:

Prevent the patient/resident from aspirating (breathing in) any fluid
Hold the patient’s/resident’s mouth open with your fingers
Use large amounts of mouthwash for rinsing the patient’s/resident’s mouth
Wait at least 5 hours between each cleaning

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