NUR518 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
Proper Body Mechanics - ANSWER-o Complete bed bath - Supine
position, head of bed 30 - 45 Degrees
o Oral care - high fowlers (dependent - side) (unconscious - side lying
position and head of bed lowered)
o Bed making - supine position at comfortable height, move to side
away from you, switch.
Perineal care for a client with a vagina - ANSWER-o Drape abdomen
and perineal area with bath blanket
o Lower linens
o Ask client to bend knees and spread legs apart
o Expose client
o Place waterproof towel under clients hips
o Wash upper thighs
o Wash labia from front to back
o Was new wash cloth or new area for each side
o Rinse
o Separate labia with one hand while washing urethral openings
,o Rinse
o Dry
o Apply skin barrier if incontinent
o Have client roll on side
o Expose buttock
o Place towel under buttock outer to inner
o Rinse and thoroughly dry from out to in
o Remove and dispose of towels
o Assist into clean gown
o Document
§ Date and time
§ Level of participation
§ Condition of perineum and abnormalities
§ Odor or discharge (color, consistency, amount)
§ Response
§ Teaching
Client positioning for medication administration - ANSWER-o Oral -
swallow
o Buccal - next to cheek
o Sublingual - under tongue, until completely dissolved.
, o Enteral tube - mix with warm water
§ Fowlers position, verify tube placement
Nasal Administration - ANSWER-§ Supine position, with correct head
position
· Posterior pharynx, tilt head back
· Ethmoid or sphenoid sinus, tilt head backward over the edge of the
bed or over a small pillow
· Frontal and maxillary sinuses, tilt head over the edge of the bed or
pillow with the head turned to the affected side
§ Keep dropper away from nares
§ Nasal spray - sit upright with head slightly hyperextended and inhale
through nose while spraying
Opthalmic Administration - ANSWER-§ Place drops , ointments, and
intraocular disks in the conjunctival sac
§ Pull eyelid down
Otic Administration - ANSWER-§ Pull pinna up and outward for adult
and children older than 3 years
§ Children younger than 3 - pull pinna down and back
§ Keep child in supine position with head turned to the side for short
period of time
SOLUTIONS
Proper Body Mechanics - ANSWER-o Complete bed bath - Supine
position, head of bed 30 - 45 Degrees
o Oral care - high fowlers (dependent - side) (unconscious - side lying
position and head of bed lowered)
o Bed making - supine position at comfortable height, move to side
away from you, switch.
Perineal care for a client with a vagina - ANSWER-o Drape abdomen
and perineal area with bath blanket
o Lower linens
o Ask client to bend knees and spread legs apart
o Expose client
o Place waterproof towel under clients hips
o Wash upper thighs
o Wash labia from front to back
o Was new wash cloth or new area for each side
o Rinse
o Separate labia with one hand while washing urethral openings
,o Rinse
o Dry
o Apply skin barrier if incontinent
o Have client roll on side
o Expose buttock
o Place towel under buttock outer to inner
o Rinse and thoroughly dry from out to in
o Remove and dispose of towels
o Assist into clean gown
o Document
§ Date and time
§ Level of participation
§ Condition of perineum and abnormalities
§ Odor or discharge (color, consistency, amount)
§ Response
§ Teaching
Client positioning for medication administration - ANSWER-o Oral -
swallow
o Buccal - next to cheek
o Sublingual - under tongue, until completely dissolved.
, o Enteral tube - mix with warm water
§ Fowlers position, verify tube placement
Nasal Administration - ANSWER-§ Supine position, with correct head
position
· Posterior pharynx, tilt head back
· Ethmoid or sphenoid sinus, tilt head backward over the edge of the
bed or over a small pillow
· Frontal and maxillary sinuses, tilt head over the edge of the bed or
pillow with the head turned to the affected side
§ Keep dropper away from nares
§ Nasal spray - sit upright with head slightly hyperextended and inhale
through nose while spraying
Opthalmic Administration - ANSWER-§ Place drops , ointments, and
intraocular disks in the conjunctival sac
§ Pull eyelid down
Otic Administration - ANSWER-§ Pull pinna up and outward for adult
and children older than 3 years
§ Children younger than 3 - pull pinna down and back
§ Keep child in supine position with head turned to the side for short
period of time
