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? - ANSWER-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? -
ANSWER-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
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? - ANSWER-- 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? - ANSWER-shower
tub bath
What is the preferred method of bathing for a client with physical limitations, such as
fatigue or limited range of motion - ANSWER-bed bath
What should you encourage or assist the client with prior to bathing to lessen the
likelihood that the bath will be interrupted? - ANSWER-toileting needs
, What is considered to be a comfortable working height for providing a bed bath? -
ANSWER-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? - ANSWER-First: least contaminated (face)
to
Last: most contaminated (perineal)
to avoid further contamination
What is the most important concept and techniques regarding perineal care? -
ANSWER-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? - ANSWER-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
What position should you place the patient in prior to providing oral care? -
ANSWER-Sitting or side lying position (if unconscious)
What age should a person begin implementing oral hygiene? - ANSWER-as soon as
they get the first tooth
How do you clean the oral cavity of a client who wears dentures? How do you clean
dentures? - ANSWER-Oral cavity=
use a soft bristle toothbrush and paste to gently clean gums, mucous membrane,
and tongue
Dentures=
use gauze to remove; look at gums for redness and sores; clean gums and brush
tongues; clean dentures in a sink lined with a towel (toothbrush, toothpaste, or
AND ANSWERS
1. How do you properly identify the client prior to assessment or administering care
in the inpatient and LTC setting? - ANSWER-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? -
ANSWER-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
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? - ANSWER-- 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? - ANSWER-shower
tub bath
What is the preferred method of bathing for a client with physical limitations, such as
fatigue or limited range of motion - ANSWER-bed bath
What should you encourage or assist the client with prior to bathing to lessen the
likelihood that the bath will be interrupted? - ANSWER-toileting needs
, What is considered to be a comfortable working height for providing a bed bath? -
ANSWER-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? - ANSWER-First: least contaminated (face)
to
Last: most contaminated (perineal)
to avoid further contamination
What is the most important concept and techniques regarding perineal care? -
ANSWER-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? - ANSWER-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
What position should you place the patient in prior to providing oral care? -
ANSWER-Sitting or side lying position (if unconscious)
What age should a person begin implementing oral hygiene? - ANSWER-as soon as
they get the first tooth
How do you clean the oral cavity of a client who wears dentures? How do you clean
dentures? - ANSWER-Oral cavity=
use a soft bristle toothbrush and paste to gently clean gums, mucous membrane,
and tongue
Dentures=
use gauze to remove; look at gums for redness and sores; clean gums and brush
tongues; clean dentures in a sink lined with a towel (toothbrush, toothpaste, or
