NUR 311 Final Exam Study Guide 157
verified and approved solutions.
NUR 311 Final Exam Study Guide 157
verified and approved solutions.
How do you properly identify the client prior to assessment or administering care in the inpatient
setting? - ANSWER -Patient Name
-Patient Medical Record #/ Identification #;
-Birth date, when possible;
How do you properly identify the client prior to assessment or administering care in the LTC (long-term
care) setting? - ANSWER -Patient Name;
-Birth date;
-A visual picture of patient may be used if patient is unresponsive, confused, etc.
True or False: It is not necessary to perform hand hygiene prior to performing a procedure using clean
technique - ANSWER False
When is it appropriate to use soap and water? - ANSWER •When hands are visibly dirty
•When hands are visibly soiled with or in contact with blood or other body fluids
•Before eating and after using the restroom
•If exposure to certain organisms, such as those causing anthrax or C. diff
When is it appropriate to use an alcohol-based hand rub? - ANSWER When hands are not visibly soiled
What is the purpose of bathing? - ANSWER Bathing the patient gives the nurse the opportunity to:
Assess psychological needs
Assess learning needs
Assess orientation to time, place and person
Perform a head to toe assessment
,NUR 311 Final Exam Study Guide 157
verified and approved solutions.
Cleanse the skin - removing oil, perspiration, dead skin and bacteria
Stimulate circulation
Produce a sense of well-being
Refresh and relax the patient
Improve morale and self-esteem
What is the preferred method of bathing for a client who is ambulatory and tolerates activity? -
ANSWER Shower & tub bath
What is the preferred method of bathing for a client with physical limitations, such as fatigue or limited
range of motion? - ANSWER Bed Bath
What should you encourage or assist the client with prior to bathing to lessen the likelihood that the
bath will be interrupted? - ANSWER Using the restroom, bed pan, urination, defecation
What is considered to be a comfortable working height for providing a bed bath? - ANSWER Elbow/
waist height
When providing a patient bed bath, what area of the body will you cleanse first and last? Why? -
ANSWER 1st: eyes- can not use soap (only warm water)
Last: perineal area- most contaminated
What is the most important concept and techniques regarding perineal care? - ANSWER - least to most
contaminated
- use different clean washcloth and water
- use different section of washcloth for each wipe
-rinse and dry completely
What is the purpose of oral care? - ANSWER prevent bacteria, keep teeth clean
, NUR 311 Final Exam Study Guide 157
verified and approved solutions.
What position should you place the patient in prior to providing oral care? - ANSWER sitting or side-lying
position.
What age should a person begin implementing oral hygiene? - ANSWER
How do you clean the oral cavity of a client who wears dentures? - ANSWER •Use a soft bristle
toothbrush and paste to gently clean gums, mucous membranes, and tongue.
How do you clean dentures? - ANSWER
How should you store cleaned dentures that are not immediately replaced in the client's mouth? -
ANSWER In cold water
How do you check the gag reflex in an unresponsive client? - ANSWER stick tool in mid to back tongue
and check for reflex. No reflex could lead to aspiration
True or False: If a patient is wearing contact lenses and an eye injury is present, the nurse should
remove the contact lenses and notify the physician about the injury. - ANSWER False; you would not
remove the contacts due to risk for additional eye injury
Why is it important to assess whether the unconscious patient wears contact lenses? - ANSWER It will
irritate his/her eyes if kept in for too long.
What is most important to assess prior to shaving a client? - ANSWER - h/o bleeding disorder
-Meds
-Platelet count
What shaver is usually recommended when the patient is receiving anticoagulant therapy? - ANSWER
Electric Razor
verified and approved solutions.
NUR 311 Final Exam Study Guide 157
verified and approved solutions.
How do you properly identify the client prior to assessment or administering care in the inpatient
setting? - ANSWER -Patient Name
-Patient Medical Record #/ Identification #;
-Birth date, when possible;
How do you properly identify the client prior to assessment or administering care in the LTC (long-term
care) setting? - ANSWER -Patient Name;
-Birth date;
-A visual picture of patient may be used if patient is unresponsive, confused, etc.
True or False: It is not necessary to perform hand hygiene prior to performing a procedure using clean
technique - ANSWER False
When is it appropriate to use soap and water? - ANSWER •When hands are visibly dirty
•When hands are visibly soiled with or in contact with blood or other body fluids
•Before eating and after using the restroom
•If exposure to certain organisms, such as those causing anthrax or C. diff
When is it appropriate to use an alcohol-based hand rub? - ANSWER When hands are not visibly soiled
What is the purpose of bathing? - ANSWER Bathing the patient gives the nurse the opportunity to:
Assess psychological needs
Assess learning needs
Assess orientation to time, place and person
Perform a head to toe assessment
,NUR 311 Final Exam Study Guide 157
verified and approved solutions.
Cleanse the skin - removing oil, perspiration, dead skin and bacteria
Stimulate circulation
Produce a sense of well-being
Refresh and relax the patient
Improve morale and self-esteem
What is the preferred method of bathing for a client who is ambulatory and tolerates activity? -
ANSWER Shower & tub bath
What is the preferred method of bathing for a client with physical limitations, such as fatigue or limited
range of motion? - ANSWER Bed Bath
What should you encourage or assist the client with prior to bathing to lessen the likelihood that the
bath will be interrupted? - ANSWER Using the restroom, bed pan, urination, defecation
What is considered to be a comfortable working height for providing a bed bath? - ANSWER Elbow/
waist height
When providing a patient bed bath, what area of the body will you cleanse first and last? Why? -
ANSWER 1st: eyes- can not use soap (only warm water)
Last: perineal area- most contaminated
What is the most important concept and techniques regarding perineal care? - ANSWER - least to most
contaminated
- use different clean washcloth and water
- use different section of washcloth for each wipe
-rinse and dry completely
What is the purpose of oral care? - ANSWER prevent bacteria, keep teeth clean
, NUR 311 Final Exam Study Guide 157
verified and approved solutions.
What position should you place the patient in prior to providing oral care? - ANSWER sitting or side-lying
position.
What age should a person begin implementing oral hygiene? - ANSWER
How do you clean the oral cavity of a client who wears dentures? - ANSWER •Use a soft bristle
toothbrush and paste to gently clean gums, mucous membranes, and tongue.
How do you clean dentures? - ANSWER
How should you store cleaned dentures that are not immediately replaced in the client's mouth? -
ANSWER In cold water
How do you check the gag reflex in an unresponsive client? - ANSWER stick tool in mid to back tongue
and check for reflex. No reflex could lead to aspiration
True or False: If a patient is wearing contact lenses and an eye injury is present, the nurse should
remove the contact lenses and notify the physician about the injury. - ANSWER False; you would not
remove the contacts due to risk for additional eye injury
Why is it important to assess whether the unconscious patient wears contact lenses? - ANSWER It will
irritate his/her eyes if kept in for too long.
What is most important to assess prior to shaving a client? - ANSWER - h/o bleeding disorder
-Meds
-Platelet count
What shaver is usually recommended when the patient is receiving anticoagulant therapy? - ANSWER
Electric Razor
