NRSE 2350 FINAL Exam Questions With Correct Verified Solutions.
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Course
NRSE 2350
Institution
NRSE 2350
What should the patient's room environment be? - Answer -Maintain Comfort: Temp, Noise, Lighting, Ventilation, Odors
-Ill patient's seem to be more sensitive to noise and lighting commonly found in the HC setting.
-*Side rails should not be used as a restraint*
-Pt's bed should be clean & com...
NRSE 2350 FINAL Exam Questions With
Correct Verified Solutions.
What should the patient's room environment be? - Answer -Maintain Comfort: Temp, Noise, Lighting,
Ventilation, Odors
-Ill patient's seem to be more sensitive to noise and lighting commonly found in the HC setting.
-*Side rails should not be used as a restraint*
-Pt's bed should be clean & comfortable
-Maintain pt's privacy
How is hair & scalp care performed? - Answer -Important for the clients' appearance & sense of well-
being
-*Essential component of personal hygiene*
-Hair should be brushed daily to remove tangles
-Massage scalp to simulate circulation & distribute natural oils along the hair shaft
-Use a *soft-bristled brush* & a *wide toothed* comb or hair pick to comb through tightly curled hair.
-If client cannot shower, but can sit in a chair, shampoo hair in the sink.
-For bed rest pt's use a plastic shampoo trough, dry or no rinse shampoo, or shampoo caps
-Start at the hairline & work toward the neck.
How do you care for dentures? - Answer -*Dentures are very fragile*
-Remove with a gloved hand, pulling *down & out* at the front of the *upper* denture and lifting *up &
out* at the front of the *lower* denture
-Place in a denture cup, emesis basin, or washcloth on sink
-Brush in a horizontal back & forth motion with a soft brush & denture cleaner
-Rinse in *tepid* water
-Store in a denture cup labeled with pt's name
-Place in the cup with water to keep them moist, or help reinsert the dentures
,How & why do we provide oral care? - Answer -Helps to decrease the risk of infection for those in long-
term care, especially the transmission of pathogens that can cause pneumonia
-Check for aspiration risk, impaired swallowing, or decreased gag reflex
-Client's with fragile oral mucosa require gentle brushing & flossing
-Have suction ready to prevent aspiration
-Do not place fingers in an unconscious pt's mouth
-Position the pt on their side with head of bed flat so oral secretions can drain out
-*Xerostomia: Dry Mouth*
What are some bathing guidelines? - Answer -Bathing cleanses the body, stimulates circulation,
provides relaxation, & enhances healing
-This is often delegated to AP, but the nurse is responsible for data collection & client care
-Bathe clients whose health problems have exhausted them or limited their mobility
What are types of bathes? - Answer - Complete bath are for clients who can tolerate it & whose
hygiene needs warrant it
-Partial baths are used for clients who can not tolerate full baths, need particular cleansing of odorous/
uncomfortable areas, or can perform part of the bath independently
-Therapeutic baths are used to promote comfort & provide treatment such as soothe itchy skin
What are common Nursing diagnosis based on hygiene? - Answer -Activity intolerance
-Bathing self-care deficit
-Dressing self-care deficit
-Impaired physical mobility
-Impaired oral mucous membrane
-Ineffective health maintenance
-Risk for infection
What are factors influencing hygiene? - Answer -*Social patterns*: Ethnic, social, and family influences
on hygiene patterns
-*Body image*: A person's subjective concept of his or her body appearance
-*Socioeconomic status*: Influences the type and extent of hygiene practices used
-*Health beliefs and motivation*: Motivation is the key factor in hygiene.
-*Cultural variables*: People from diverse cultures practice different hygiene rituals.
-*Developmental stage*: Affects the patient's ability to perform hygiene care
-*Physical condition*: May lack physical energy and dexterity to perform self-care
What are indications for surgical asepsis? - Answer -During invasive procedures
-When the skin's integrity is broken as a result of trauma, surgical incision or burns
-During procedures that involve insertion of catheters or surgical instruments into the sterile body
cavities
What are principles of surgical asepsis? - Answer 1. A sterile object remains sterile only when touched
by another sterile object.
2. Only sterile objects may be placed on a sterile field.
3. A sterile object or field out of the range of vision or an object held below a person's waist is
contaminated.
4. A sterile object or field becomes contaminated by prolonged exposure to air
5. When a sterile surface comes in contact with a wet, contaminated surface, the sterile object or field
becomes contaminated by capillary action.
6. Fluid flows in the direction of gravity.
7. The edges of a sterile field or container are considered to be contaminated
How is breast self-exam education performed? - Answer -Best time to perform a BSE is day 4-7 of the
menstrual cycle or the first of the month
-Assess palpation technique, correct and encourage a return demonstration
-Benefits of early detection of breast cancer are evidence based.
-BSE is cheap, noninvasive, does not require a visit to the doctor, enhances self-care actions.
-*BSE*
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