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Exam (elaborations)

NUR 311 Final Exam Study Guide (GRADED A+ 2025)

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How do you properly identify the client prior to assessment or administering care in the inpatient setting? -Correct Answers --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? -Correct Answers --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 -Correct Answers -False When is it appropriate to use soap and water? -Correct Answers -•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? -Correct Answers -When hands are not visibly soiled What is the purpose of bathing? -Correct Answers -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 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? -Correct Answers -Shower & tub bath What is the preferred method of bathing for a client with physical limitations, such as fatigue or limited range of motion? -Correct Answers -Bed Bath What should you encourage or assist the client with prior to bathing to lessen the likelihood that the bath will be interrupted? -Correct Answers -Using the restroom, bed pan, urination, defecation What is considered to be a comfortable working height for providing a bed bath? -Correct Answers -Elbow/ waist height When providing a patient bed bath, what area of the body will you cleanse first and last? Why? -Correct Answers -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? -Correct Answers -- 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? -Correct Answers -prevent bacteria, keep teeth clean What position should you place the patient in prior to providing oral care? -Correct Answers -sitting or side-lying position.

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NUR 311



NUR 311 Final Exam Study Guide
(GRADED A+ 2025)
How do you properly identify the client prior to assessment or administering care
in the inpatient setting? -Correct Answers ✔--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? -Correct Answers ✔--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 -Correct Answers ✔-False

When is it appropriate to use soap and water? -Correct Answers ✔-•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? -Correct Answers ✔-
When hands are not visibly soiled

What is the purpose of bathing? -Correct Answers ✔-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
Cleanse the skin - removing oil, perspiration, dead skin and bacteria
Stimulate circulation

NUR 311

,NUR 311


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? -Correct Answers ✔-Shower & tub bath

What is the preferred method of bathing for a client with physical limitations, such
as fatigue or limited range of motion? -Correct Answers ✔-Bed Bath

What should you encourage or assist the client with prior to bathing to lessen the
likelihood that the bath will be interrupted? -Correct Answers ✔-Using the
restroom, bed pan, urination, defecation

What is considered to be a comfortable working height for providing a bed bath? -
Correct Answers ✔-Elbow/ waist height

When providing a patient bed bath, what area of the body will you cleanse first and
last? Why? -Correct Answers ✔-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? -
Correct Answers ✔-- 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? -Correct Answers ✔-prevent bacteria, keep teeth
clean

What position should you place the patient in prior to providing oral care? -Correct
Answers ✔-sitting or side-lying position.




NUR 311

, NUR 311


What age should a person begin implementing oral hygiene? -Correct Answers ✔-

How do you clean the oral cavity of a client who wears dentures? -Correct
Answers ✔-•Use a soft bristle toothbrush and paste to gently clean gums, mucous
membranes, and tongue.

How do you clean dentures? -Correct Answers ✔-

How should you store cleaned dentures that are not immediately replaced in the
client's mouth? -Correct Answers ✔-In cold water

How do you check the gag reflex in an unresponsive client? -Correct Answers ✔-
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. -
Correct Answers ✔-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? -Correct Answers ✔-It will irritate his/her eyes if kept in for too long.

What is most important to assess prior to shaving a client? -Correct Answers ✔--
h/o bleeding disorder
-Meds
-Platelet count

What shaver is usually recommended when the patient is receiving anticoagulant
therapy? -Correct Answers ✔-Electric Razor




NUR 311

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