NUR 120 Study Guide - Comprehensive Final Exam Guide - Towel, Bedpan, Rectum

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20 Nov 2018
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NUR 120
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I. Change Bed Linen While the Resident Remains in Bed: the candidate
is asked to change the top and bottom sheets, and pillowcase on the
bed while the resident stays in the bed. The role of the resident is
plated by a person.
A. Greet resident, address by name and introduce self IC
B. Provide explanations to resident about care before beginning
and during care IC
C. Keep resident positioned at a safe distance from the edge of the
bed at all times
D. Remove and replace bottom sheet on one side of the bed,
before turning resident to remove and replace sheet on the
other side of the bed
E. Keep resident positioned on a bottom sheet throughout
procedure
F. Secure bottom sheet to mattress e.g., for fitted sheet secure
over all four corners of the mattress; for flat sheet, tuck at head
of bed and on sides and extend toward bottom of mattress so
that resident’s heels are not against any exposed mattress
G. Leave bottom sheet free of creases or wrinkles
H. Turn or position resident to remove or replace sheet without
pulling sheets in a manner that creates friction and risk of skin
shearing
I. Replace the top sheet over resident with a clean sheet
J. Tuck top sheet under foot of mattress leaving sheet placed
loosely, avoiding pressure against toes and allowing for foot
movement
K. Leave top sheet placed on top of resident to cover body up to
shoulder level, without tucking in along sides
L. Keep pillow positioned under resident’s head throughout and at
the end of the procedure, except when removed briefly to
replace pillowcase
M.Complete procedure with resident positioned between the top
and bottom sheet
N. Complete skill placing soiled linens in hamper and disposing of
trash
O. Ask resident about preferences during care IC
P. Use standard precautions and infection control measures when
providing care IC
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Q. Ask resident about comfort or needs during care or before care
completed IC
R. Promote residents rights during care IC
S. Promote residents safety during care
II. Change Resident’s position to a Supported Side-Lying Position: the
candidate is asked to change the position of a resident who is lying on
his/her back, to a side-lying position. The resident requires support to
remain positioned on the side. The role of the resident is played by a
person
A. Greet resident, address by name, and introduce self IC
B. Provide explanations to reside about care before beginning and
during care IC
C. Assist resident with turning onto side before placing positioning
devices
D. Keep resident positioned a safe distance from the edge of the
bed at all times
E. Use positioning device, padding or pillow under or against
residents back that maintained side-lying position
F. Leave resident positioned on side with upper knee bent in front
of lower leg
G. Support residents top leg by placing devices/padding or pillows
between legs
H. Position devices/padding or pillows placed between legs so that
bony prominences of the knees and ankles are seperated
I. Leave the resident positioned on side without lying on the
shoulder, arm, and hand
J. Leave pillow placed under head positioned to also support the
residents neck and shin
K. Place device/padding or pillow positioned to support the
residents upper arm, supporting both shoulder and arm
L. Ask resident about preferences during care IC
M.Use Standard Precautions and Infection Control measures when
providing care IC
N. Ask resident about comfort or needs during care or before care
completed IC
O. Promote residents rights during care IC
P. Promote resident’s safety during care IC
III. Dress a Resident who has a weak arm: the candidate is asked to put a
long-sleeved button-front shirt, pants, and socks on a resident who is
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