NUR 311 Final Exam Questions and
Answers
1. How do you properly identify the client prior to assessment or administering care in
the inpatient and LTC setting? - Inpatient:
a. Patient name
b. Patient medical record #/ ID #
c. Birth Date
LTC:
a. Patient name
b. Birth Date
c. visual picture if patient is not responsive
When is it appropriate to use soap and water verses alcohol-based hand rub? - Use soap
and water:
a. when hands are visibly dirty
b. when hands are visibly soiled with or in contact with blood or body fluids
c. Before eating and drinking and after using restroom
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d. if exposure to certain organisms like C. Diff, anthrax, is known or suspected
Use alcohol-based hand rub:
a. When hands not visible soiled
What is the purpose of a bath? - - increase circulation
-hygiene
- head to toe assessment
- patient comfort
- establish therapeutic relationship
What is the preferred method of bathing for a client who is ambulatory and tolerates
activity? - shower
tub bath
What is the preferred method of bathing for a client with physical limitations, such as
fatigue or limited range of motion - bed bath
What should you encourage or assist the client with prior to bathing to lessen the
likelihood that the bath will be interrupted? - toileting needs
What is considered to be a comfortable working height for providing a bed bath? -
waist/Elbow height as it prevents back and muscle strain
When providing a patient bed bath, what area of the body will you cleanse first and last?
Why? - First: least contaminated (face)
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to
Last: most contaminated (perineal)
to avoid further contamination
What is the most important concept and techniques regarding perineal care? - a. clean
from least to most contaminated
b. use clean portion of towel for each swipe
c. rinse area with plain water and dry
What is the purpose of oral care? - allows for assessment of teeth and mouth
Prevent dental gingivitis and dental caries, improve patient self-image, and limits
pathogen growth in mouth
- oral hygiene
- decrease cavities/gengivitis
- self-image and confidence
- sitting up
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