NUR 311 FINAL EXAM QUESTIONS
WITH COMPLETE ANSWERS
1. zxHow zxdo zxyou zxproperly zxidentify zxthe zxclient zxprior zxto zxassessment zxor
zxadministering zxcare zxin zxthe zxinpatient zxand zxLTC zxsetting? zx- zxANSWER:
zxInpatient:
a. zxPatient zxname
b. zxPatient zxmedical zxrecord zx#/ zxID zx#
c. zxBirth zxDate
LTC:
a. zxPatient zxname
b. zxBirth zxDate
c. zxvisual zxpicture zxif zxpatient zxis zxnot zxresponsive
When zxis zxit zxappropriate zxto zxuse zxsoap zxand zxwater zxverses zxalcohol-based zxhand
zxrub? zx- zxANSWER: zxUse zxsoap zxand zxwater:
a. zxwhen zxhands zxare zxvisibly zxdirty
b. zxwhen zxhands zxare zxvisibly zxsoiled zxwith zxor zxin zxcontact zxwith zxblood zxor zxbody
zxfluids
c. zxBefore zxeating zxand zxdrinking zxand zxafter zxusing zxrestroom
d. zxif zxexposure zxto zxcertain zxorganisms zxlike zxC. zxDiff, zxanthrax, zxis zxknown zxor
zxsuspected
Use zxalcohol-based zxhand zxrub:
a. zxWhen zxhands zxnot zxvisible zxsoiled
What zxis zxthe zxpurpose zxof zxa zxbath? zx- zxANSWER: zx- zxincrease zxcirculation zx
-hygiene
zx- zxhead zxto zxtoe zxassessment
,zx- zxpatient zxcomfort zx
- zxestablish zxtherapeutic zxrelationship
What zxis zxthe zxpreferred zxmethod zxof zxbathing zxfor zxa zxclient zxwho zxis zxambulatory
zxand zxtolerates zxactivity? zx- zxANSWER: zxshower
tub zxbath
What zxis zxthe zxpreferred zxmethod zxof zxbathing zxfor zxa zxclient zxwith zxphysical
zxlimitations, zxsuch zxas zxfatigue zxor zxlimited zxrange zxof zxmotion zx- zxANSWER: zxbed
zxbath
What zxshould zxyou zxencourage zxor zxassist zxthe zxclient zxwith zxprior zxto zxbathing zxto
zxlessen zxthe zxlikelihood zxthat zxthe zxbath zxwill zxbe zxinterrupted? zx- zxANSWER:
zxtoileting zxneeds
What zxis zxconsidered zxto zxbe zxa zxcomfortable zxworking zxheight zxfor zxproviding zxa
zxbed zxbath? zx- zxANSWER: zxwaist/Elbow zxheight zxas zxit zxprevents zxback zxand
zxmuscle zxstrain
When zxproviding zxa zxpatient zxbed zxbath, zxwhat zxarea zxof zxthe zxbody zxwill zxyou
zxcleanse zxfirst zxand zxlast? zxWhy? zx- zxANSWER: zxFirst: zxleast zxcontaminated zx(face)
to
Last: zxmost zxcontaminated zx(perineal)
to zxavoid zxfurther zxcontamination
What zxis zxthe zxmost zximportant zxconcept zxand zxtechniques zxregarding zxperineal
zxcare? zx- zxANSWER: zxa. zxclean zxfrom zxleast zxto zxmost zxcontaminated
b. zxuse zxclean zxportion zxof zxtowel zxfor zxeach zxswipe
c. zxrinse zxarea zxwith zxplain zxwater zxand zxdry
What zxis zxthe zxpurpose zxof zxoral zxcare? zx- zxANSWER: zxallows zxfor zxassessment zxof
zxteeth zxand zxmouth
Prevent zxdental zxgingivitis zxand zxdental zxcaries, zximprove zxpatient zxself-image, zxand
zxlimits zxpathogen zxgrowth zxin zxmouth
- zxoral zxhygiene
- zxdecrease zxcavities/gengivitis
- zxself-image zxand zxconfidence
, - zxsitting zxup
What zxposition zxshould zxyou zxplace zxthe zxpatient zxin zxprior zxto zxproviding zxoral
zxcare? zx- zxANSWER: zxSitting zxor zxside zxlying zxposition zx(if zxunconscious)
What zxage zxshould zxa zxperson zxbegin zximplementing zxoral zxhygiene? zx- zxANSWER:
zxas zxsoon zxas zxthey zxget zxthe zxfirst zxtooth
How zxdo zxyou zxclean zxthe zxoral zxcavity zxof zxa zxclient zxwho zxwears zxdentures? zxHow
zxdo zxyou zxclean zxdentures? zx- zxANSWER: zxOral zxcavity=
zxuse zxa zxsoft zxbristle zxtoothbrush zxand zxpaste zxto zxgently zxclean zxgums, zxmucous
zxmembrane, zxand zxtongue zx
Dentures=
use zxgauze zxto zxremove; zxlook zxat zxgums zxfor zxredness zxand zxsores; zxclean zxgums
zxand zxbrush zxtongues; zxclean zxdentures zxin zxa zxsink zxlined zxwith zxa zxtowel
zx(toothbrush, zxtoothpaste, zxor zxdenture zxcleaner), zxstore zxin zxa zxcup zxwith zxcold
zxwater zxand zxlabel zx(if zxdentures zxhave zxmetal, zxstore zxin zxsolution zxwith zxno
zxchlorine)
How zxshould zxyou zxstore zxcleaned zxdentures zxthat zxare zxnot zximmediately zxreplaced
zxin zxthe zxclient's zxmouth? zx- zxANSWER: zxcup zxw/ zxcold zxwater zxw/ zxa zxlabel
in zxcontainer
How zxdo zxyou zxcheck zxthe zxgag zxreflex zxin zxan zxunresponsive zxclient? zx- zxANSWER:
zxPlace zxa zxtongue zxdepressor zxor zxblade zxplaced zxtowards zxthe zxback zxof zxtongue
zx(use zxsuction zxif zxno zxgag zxreflex)
Why zxis zxit zximportant zxto zxassess zxwhether zxthe zxunconscious zxpatient zxwears
zxcontact zxlenses? zx- zxANSWER: zxadditional zxeye zxinjury
Can zxlead zxto zxinfection zxor zxpermanent zxeye zxdamage zxif zxcontacts zxare zxleft zxin
What zxis zxmost zximportant zxto zxassess zxprior zxto zxshaving zxa zxclient? zx- zxANSWER:
zxhistory zxof zxbleeding
Meds zx(is zxpatient zxon zxany zxanticoagulants zxor zxreceived zxany zxantithrombolytic
zxagent)
platelet zxcount
What zxshaver zxis zxusually zxrecommended zxwhen zxthe zxpatient zxis zxreceiving
zxanticoagulant zxtherapy? zx- zxANSWER: zxelectric zxshaver
WITH COMPLETE ANSWERS
1. zxHow zxdo zxyou zxproperly zxidentify zxthe zxclient zxprior zxto zxassessment zxor
zxadministering zxcare zxin zxthe zxinpatient zxand zxLTC zxsetting? zx- zxANSWER:
zxInpatient:
a. zxPatient zxname
b. zxPatient zxmedical zxrecord zx#/ zxID zx#
c. zxBirth zxDate
LTC:
a. zxPatient zxname
b. zxBirth zxDate
c. zxvisual zxpicture zxif zxpatient zxis zxnot zxresponsive
When zxis zxit zxappropriate zxto zxuse zxsoap zxand zxwater zxverses zxalcohol-based zxhand
zxrub? zx- zxANSWER: zxUse zxsoap zxand zxwater:
a. zxwhen zxhands zxare zxvisibly zxdirty
b. zxwhen zxhands zxare zxvisibly zxsoiled zxwith zxor zxin zxcontact zxwith zxblood zxor zxbody
zxfluids
c. zxBefore zxeating zxand zxdrinking zxand zxafter zxusing zxrestroom
d. zxif zxexposure zxto zxcertain zxorganisms zxlike zxC. zxDiff, zxanthrax, zxis zxknown zxor
zxsuspected
Use zxalcohol-based zxhand zxrub:
a. zxWhen zxhands zxnot zxvisible zxsoiled
What zxis zxthe zxpurpose zxof zxa zxbath? zx- zxANSWER: zx- zxincrease zxcirculation zx
-hygiene
zx- zxhead zxto zxtoe zxassessment
,zx- zxpatient zxcomfort zx
- zxestablish zxtherapeutic zxrelationship
What zxis zxthe zxpreferred zxmethod zxof zxbathing zxfor zxa zxclient zxwho zxis zxambulatory
zxand zxtolerates zxactivity? zx- zxANSWER: zxshower
tub zxbath
What zxis zxthe zxpreferred zxmethod zxof zxbathing zxfor zxa zxclient zxwith zxphysical
zxlimitations, zxsuch zxas zxfatigue zxor zxlimited zxrange zxof zxmotion zx- zxANSWER: zxbed
zxbath
What zxshould zxyou zxencourage zxor zxassist zxthe zxclient zxwith zxprior zxto zxbathing zxto
zxlessen zxthe zxlikelihood zxthat zxthe zxbath zxwill zxbe zxinterrupted? zx- zxANSWER:
zxtoileting zxneeds
What zxis zxconsidered zxto zxbe zxa zxcomfortable zxworking zxheight zxfor zxproviding zxa
zxbed zxbath? zx- zxANSWER: zxwaist/Elbow zxheight zxas zxit zxprevents zxback zxand
zxmuscle zxstrain
When zxproviding zxa zxpatient zxbed zxbath, zxwhat zxarea zxof zxthe zxbody zxwill zxyou
zxcleanse zxfirst zxand zxlast? zxWhy? zx- zxANSWER: zxFirst: zxleast zxcontaminated zx(face)
to
Last: zxmost zxcontaminated zx(perineal)
to zxavoid zxfurther zxcontamination
What zxis zxthe zxmost zximportant zxconcept zxand zxtechniques zxregarding zxperineal
zxcare? zx- zxANSWER: zxa. zxclean zxfrom zxleast zxto zxmost zxcontaminated
b. zxuse zxclean zxportion zxof zxtowel zxfor zxeach zxswipe
c. zxrinse zxarea zxwith zxplain zxwater zxand zxdry
What zxis zxthe zxpurpose zxof zxoral zxcare? zx- zxANSWER: zxallows zxfor zxassessment zxof
zxteeth zxand zxmouth
Prevent zxdental zxgingivitis zxand zxdental zxcaries, zximprove zxpatient zxself-image, zxand
zxlimits zxpathogen zxgrowth zxin zxmouth
- zxoral zxhygiene
- zxdecrease zxcavities/gengivitis
- zxself-image zxand zxconfidence
, - zxsitting zxup
What zxposition zxshould zxyou zxplace zxthe zxpatient zxin zxprior zxto zxproviding zxoral
zxcare? zx- zxANSWER: zxSitting zxor zxside zxlying zxposition zx(if zxunconscious)
What zxage zxshould zxa zxperson zxbegin zximplementing zxoral zxhygiene? zx- zxANSWER:
zxas zxsoon zxas zxthey zxget zxthe zxfirst zxtooth
How zxdo zxyou zxclean zxthe zxoral zxcavity zxof zxa zxclient zxwho zxwears zxdentures? zxHow
zxdo zxyou zxclean zxdentures? zx- zxANSWER: zxOral zxcavity=
zxuse zxa zxsoft zxbristle zxtoothbrush zxand zxpaste zxto zxgently zxclean zxgums, zxmucous
zxmembrane, zxand zxtongue zx
Dentures=
use zxgauze zxto zxremove; zxlook zxat zxgums zxfor zxredness zxand zxsores; zxclean zxgums
zxand zxbrush zxtongues; zxclean zxdentures zxin zxa zxsink zxlined zxwith zxa zxtowel
zx(toothbrush, zxtoothpaste, zxor zxdenture zxcleaner), zxstore zxin zxa zxcup zxwith zxcold
zxwater zxand zxlabel zx(if zxdentures zxhave zxmetal, zxstore zxin zxsolution zxwith zxno
zxchlorine)
How zxshould zxyou zxstore zxcleaned zxdentures zxthat zxare zxnot zximmediately zxreplaced
zxin zxthe zxclient's zxmouth? zx- zxANSWER: zxcup zxw/ zxcold zxwater zxw/ zxa zxlabel
in zxcontainer
How zxdo zxyou zxcheck zxthe zxgag zxreflex zxin zxan zxunresponsive zxclient? zx- zxANSWER:
zxPlace zxa zxtongue zxdepressor zxor zxblade zxplaced zxtowards zxthe zxback zxof zxtongue
zx(use zxsuction zxif zxno zxgag zxreflex)
Why zxis zxit zximportant zxto zxassess zxwhether zxthe zxunconscious zxpatient zxwears
zxcontact zxlenses? zx- zxANSWER: zxadditional zxeye zxinjury
Can zxlead zxto zxinfection zxor zxpermanent zxeye zxdamage zxif zxcontacts zxare zxleft zxin
What zxis zxmost zximportant zxto zxassess zxprior zxto zxshaving zxa zxclient? zx- zxANSWER:
zxhistory zxof zxbleeding
Meds zx(is zxpatient zxon zxany zxanticoagulants zxor zxreceived zxany zxantithrombolytic
zxagent)
platelet zxcount
What zxshaver zxis zxusually zxrecommended zxwhen zxthe zxpatient zxis zxreceiving
zxanticoagulant zxtherapy? zx- zxANSWER: zxelectric zxshaver
