NUR 120 Study Guide - Comprehensive Final Exam Guide - Towel, Bedpan, Rectum
68 views138 pages
NUR 120
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
find more resources at oneclass.com
find more resources at oneclass.com
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
find more resources at oneclass.com
find more resources at oneclass.com