Exam 1:NSG 3100 Exam 1:NSG 3100 Unit 1 & 2: Questions & Answers/ Latest Updated A+ Score Guide

Describe how to wash your hands, including positioning of hands, length of time. a. friction to break up bacteria. b. Wet the wrist and hands with fingers pointed down. c. Spread hands apart and let water run down, pat to dry 20 secs, d. Pg 496, Plain wedding ban can remain on. Remove rings that have settings, bacteria become lodge 2. Describe the purpose of bathing. Skin is the body’s first line of defense a. Assess abilities and function level first b. Removes dead skin, some bacteria, and removes accumulated oils c. Stimulates circulation d. Produces a sense of well being e. Bath and assess head to toe: perineum last, then document 3. How do you provide oral care to an unconscious patient, one wearing dentures? a. If providing oral care to unconscious client, lay them on their side and have suction available. b. Foam swab (toothette) c. The use of lemon glycerin swabs in not recommended d. Pts who receive nothing by mouth (NPO) or receiving oxygen are susceptible to dry of oral mucosa. Oral care every 2hrs e. Put a towel in the sick or cushion it so denture don’t fail and break. Place in a denture cup 4. Describe how to provide perineal care to male and female patients including positioning. Female: Male: Place in supine or dorsal recumbent position Place in a supine position spread the labia with nondominant hand • If uncircumcised, retract the foreskin Use different sections of the washcloth (REPOSITION WHEN DONE) take one stroke with each Wash using a circular motion Always wipe front to back starting with the urinary meatus Be sure you get the scrotum to butt 5. Describe the categories of baths and for which patients each category would be appropriate. a. Complete: pts who are bedridden and depend totally on others b. Partial: Only part of the body is washed by nurse. Pt can wash some parts c. Sink: pts who are ambulatory, wish to stand/sit in front of bath basin or sink d. Shower: pts who are strong enough to shower independently e. Chair shower: long term care: chair is water proof f. Foot & hand care: g. Sitz bath: soaking a pts perineal area: after surgery or childbirth cleanse 6. What concepts must be included when educating on proper foot care?2 a. Pts w/ peripheral neuropathy should not soak their feet due to drying of the tissue/risk of infection. 7. Why is foot care important for patients with diabetes? a. Increased risk for infection due to high sugar in blood b. Many experience neuropathy-poor sensation in their lower extremities c. HIGH risk for low extremity amputations d. File nails straight across, do not cut 8. Describe items that should be at the bedside for patients with a history of seizures. a. supplemental O2 & oral suction at bed side 9. Describe how to care for a patient during a seizure. a. • Remain with client & call for assistance