Basic Care Flashcards

A practical nurse performs a head-to-toe assessment on a newly admitted client. Which finding requires immediate follow-up?

Answer: Oxygen saturation of 88% on room air

SpO2 of 88% is below normal (95-100%) and indicates hypoxemia requiring immediate intervention.

When providing perineal care for a female client, what is the correct technique?

Answer: Wipe from front to back using a clean cloth section for each stroke

Front to back wiping prevents fecal bacteria from reaching the urethra, reducing UTI risk.

At what angle is semi-Fowlers position maintained?

Answer: 30-45 degrees

Semi-Fowlers is 30-45 degrees, used for respiratory issues, tube feedings, and post-cardiac procedures.

During a bed bath, which area should be washed last?

Answer: Perineal area and buttocks

The perineum is washed last as it has the highest microbial load, preventing cross-contamination.

When providing oral hygiene to an unconscious client, which action has the highest priority?

Answer: Position in lateral position with head turned to the side

Lateral positioning with head turned to the side prevents aspiration of fluids during oral care.

What is the primary purpose of using a draw sheet when repositioning a client in bed?

Answer: Reducing friction and shear forces on the skin

A draw sheet reduces friction and shear that cause skin breakdown and pressure injuries.