Fundamentall Conceptsl &l Skillsl forl
Nursingl Practicel Il Guide|l Galenl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Perineall carel forl al female
Answer:l
Stepl 1:l Preparel suppliesl onl bedsidel table.l Raisel thel bedl tol workingl height,l andl lowerl
thel topl sidel rail.l Lowerl thel headl ofl thel bedl ifl toleratedl byl thel patient.l
Stepl 2:l Putl onl nonl sterilel gloves.l Placel thel patientl inl thel supinel orl dorsall recumbentl
position.l Foldl downl thel bathl blanketl orl bedl sheets;l raisel thel patient'sl gown,l andl coverl
thel remainderl ofl thel bodyl withl al bathl blanketl orl towel.l Placel onl thel bedl closel tol
buttocks.l
Stepl 3:l Wash,l rinse,l andl dryl thel upperl thighs.l Usingl yourl non-dominantl hand,l gentlyl
separatel thel labia.l Cleanl thel pubicl areal byl usingl downwardl strokesl towardl thel anus.l
Usel al differentl partl ofl thel washclothl forl eachl stroke.l Repeatl untill thel areal isl clean.l
Rinsel andl dryl thel area.l Continuel tol cleanl thoroughlyl aroundl thel labial minora,l clitoris,l
urinaryl meatus,l andl vaginall orifice,l thenl rinsel byl pouringl warml waterl froml al peri-
bottlel overl thel perineall area.l Thenl dryl thel areal thoroughly,l againl workingl froml frontl
tol back.l
Stepl 4:l Ifl performingl al bedl bathl dol so;l ifl not,l coverl thel patientl withl herl gownl andl
blanket,l discardl thel water,l andl cleanl thel bedsidel table.l
Q:l Perineall carel forl al male
Answer:l
,Stepl 1:l Ifl performingl al bedl bath,l skipl tol stepl 2;l ifl not,l preparel suppliesl onl thel
bedsidel suppliesl onl thel bedsidel table.l Raisel thel bedl tol workingl height,l andl lowerl thel
topl sidel rail.l Lowerl thel headl ofl thel bedl ifl toleratedl byl thel patient.l
Stepl 2:l Putl onl non-sterilel gloves.l Thel patientl shouldl bel inl thel supinel position.l Foldl
downl thel bathl blanketl orl bedl sheets,l raisel thel patient'sl gown,l andl coverl thel remainderl
ofl thel bodyl withl al bathl blanketl orl towel.l Placel al towell onl thel bedl closel tol thel
buttocks.l
Stepl 3:l Wash,l rinse,l andl dryl thel patient'sl thighs.l Gentlyl holdl thel shaftl ofl thel penis;l ifl
thel patientl isl uncircumcised,l retractl thel foreskinl byl gentlyl pushingl itl towardl thel body.l
Startingl atl thel urinaryl meatus,l washl thel tipl ofl thel penisl withl soap,l usingl al circularl
motion;l washl thel shaftl ofl thel penisl usingl downwardl strokes.l
Stepl 4:l Rinsel andl dryl thel penis.l Repositionl thel foreskinl inl uncircumcisedl patientsl byl
gentlyl pushingl thel skinl towardl thel tipl ofl thel penis.l
Stepl 5:l Usingl al cleanl areal ofl thel washcloth,l was,l rinse,l andl dryl froml thel scrotall areal
tol thel buttocks,l includingl alll skinl folds.l
Stepl 6:l Ifl performingl al bedl bath,l dol so;l ifl not,l coverl thel patientl withl hisl gownl andl
blanket,l discardl thel water,l andl cleanl thel bedsidel table.l
Q:l Footl care
Answer:l
-Keepl feetl froml gettingl dryl (dryl =l riskl forl breakdown)l butl avoidl puttingl lotionl
betweenl thel toesl (breedingl groundl forl bacteria)
-Inspectl feetl carefully,l usel al mirrorl ifl necessaryl (lookl forl redness,l swelling,l orl areasl ofl
breakdown)
-Changel socksl daily
-Wearl comfortably,l well-fittingl shoesl thatl dol notl rub.l
-Dol notl walkl barefootl atl all!
-Exercisel feetl dailyl tol improvel circulation
-Avoidl constrictionl (tightl pants,l crossingl thel legs,l etc.l )
-Don'tl letl feetl getl tool coldl (causesl vasoconstrictionl andl poorl perfusion)
-Havel familyl cutl orl filel nailsl straightl across-mayl needl al referrall tol podiatrist
Q:l Diabeticl footl care
, Answer:l
-Diabeticsl arel atl anl increasedl riskl forl infectionl becausel ofl thel highl sugarl contentl inl
theirl bloodl (bacterial thrivel inl thatl environment).l
-Inl addition,l manyl diabeticsl experiencel neuropathy,l meaningl theyl havel poorl sensationl inl
theirl lowerl extremitiesl (manyl timesl theyl havel poorl feelingl inl theirl feet).l Asl al result,l
theyl needl tol havel routinel inspectionl andl footl care.l Ifl theyl getl minorl scrapesl orl cuts,l
theyl mayl notl noticel them,l whichl predisposesl theml tol infection.l
-Diabeticsl arel atl highl riskl forl lowerl extremityl amputations.l
-Tryl tol filel diabetic'sl nailsl insteadl ofl cut.l Thinkl aboutl consultingl al podiatristl tol cutl
theirl nails.l
Q:l Stepsl forl footl care
Answer:l
Stepl 1:l Ifl performingl al bedl bath,l precedel tol stepl 2;l ifl not,l preparel suppliesl onl thel
bedsidel table.l Raisel thel bedl tol workingl height,l andl lowerl thel topl sidel rail.l
Stepl 2:l Placel al towell orl waterproofl padl onl thel bed;l placel al basinl ofl warml waterl onl
thel towell orl pad,l andl padl thel edgel ofl thel basinl withl al towel.l Soakl thel handl orl footl
forl aboutl 10l minutes.l Ifl thel patientl isl unablel tol sitl inl al chairl andl footl carel isl beingl
performedl inl bed,l supportl thel patient'sl kneesl withl pillowsl asl needed.l
Stepl 3:l Removel thel handl orl footl froml thel water.l Washl withl soap,l rinse,l andl dry,l
workingl especiallyl betweenl thel fingersl orl toes.l
Stepl 4:l Inspectl thel fingernailsl orl toenails.l Filel orl triml thel nailsl atl thel levell ofl thel
fingerl orl toel (straightl across)l ifl withinl facilityl policy.l Whenl finished,l usel al newl
disposablel emeryl boardl tol roundl ofl thel sharpl corners.l
Stepl 5:l Gentlyl cleanl debrisl froml beneathl thel patient'sl nailsl withl thel cuticlel stickl ifl
doingl sol isl notl contraindicated.l
Stepl 6:l Applyl lotionl ifl desiredl byl thel patient.l
Stepl 7Repeatl stepsl 2l throughl 6l asl neededl forl eachl handl orl foot.l
Stepl 8:l Discardl thel water,l andl cleanl thel bedsidel table.l
Q:l Providingl orall carel tol anl unconsciousl patient