Proper body mechanics for bathing -Bend at the knees w/ legs apart -Don't use lower back, lift with knees -Have bed in comfortable working height
Perineal care for female -Wipe from FRONT TO BACK
Eye drop administration -Place drops in conjunctival sac
Nasal drops for different sinuses -Posterio...
NUR 336 Midterm Exam Questions and
Answers
Proper body mechanics for bathing ✅-Bend at the knees w/ legs apart
-Don't use lower back, lift with knees
-Have bed in comfortable working height
Perineal care for female ✅-Wipe from FRONT TO BACK
Eye drop administration ✅-Place drops in conjunctival sac
Nasal drops for different sinuses ✅-Posterior pharynx: tilt head back
-Ethmoid/sphenoid sinus: tilt head back over bed
-Frontal/maxillary: tilt head over bed w/ head turned to affected side
Metered dose inhaler administration (MDI) ✅-Insert mouthpiece 2-4 cm into mouth
-Decompress inhaler while inhaling
What are spacers used for in inhalers? ✅-Pts who have trouble pressing down +
inhaling at the same time
Otic medication administration ✅-Remove cerumen, make sure med is @ room temp
(prevent dizziness/balance loss)
-Adults: pull pinna up and out
-Kids under 3: pull pinna back and down
Topical medication administration ✅-Cleanse area
-Check for skin irritation + breakdown
-Remove old patches/ointment
-Always wear gloves
-Document placement of new patch/ointment
Rectal medication administration ✅-Allow pt to place themselves
-Have pt lay laterally + spread cheeks
-Lubricate end of suppository, insert past internal anal sphincter + against rectal mucosa
-Lay in same position for 5 mins for absorption
-Kids: hold cheeks together for 5-10 mins
Glucometer testing ✅-Hand hygiene
-Prepare test strip + turn on glucometer
-Clean pt's finger for 30 secs
-Prick side of finger w/ lancet
-Wipe 1st drop
, -Use 2nd drop for testing
-Assess results
Respiratory Assessment ✅-Rate + rhythm
-O2 sat
-Chest configuration + work of breathing
-Palpate + percuss
-Auscultate lung sounds (10 spots front + back)
Cardiovascular Assessment ✅-Review vitals
-Look for signs of CV problems
-Inspect + palpate neck for carotid pulses
-Auscultate neck for bruits
-Inspect + palpate precordium for pulses
-Auscultate over precordium @ 5 auscultatory sites
Abdominal Assessment ✅-Inspect skin, contour, umbillicus, pulsations, + hair
distribution
-Auscultate bowel sounds + bruits (4 quadrants)
-Percuss over costovertebral angles
-Palpate for rigidity, massess, + tenderness
Musculoskeletal Assessment ✅-Perform functional assessment
-Inspect posture, movement, + body symmetry
-Inspect limbs for skin changes + symmetry
-Palpate limbs for muscle mass, tone, strength, joint ROM + crepitus
-Assess gait
-Romberg test
Neurological Assessment ✅-Assess mental status
-Evaluate motor function, balance, + coordination
-Test cranial nerve function
-Assess sensory function
-Test reflexes
-Romberg test
Skin Assessment ✅-Inspect from head to toe for color, variation, hair distribution,
lesions
-Palpate + inspect temp, texture, moisture, turgor, edema
-Assess skin integrity, surface characteristics, tenderness
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