Basic Patient Care

Question 1

PCTs do tasks assigned by the___.

Answer 1

Nurse

Question 2

What is the goal of being a PCT?

Answer 2

Foster independence while keeping the patient safe.

Question 3

Assist patients with ADLs such as…

Answer 3

Bathing, eating, restroom, and oral care.

Question 4

What does ADL mean?

Answer 4

Activities of Daily Living.

Question 5

PCT will measure ____, transfer patients from a ___ to a ______, assist with devices and report condition to nurse.

Answer 5

Vital signs

Bed

Wheelchair

Question 6

Before assisting a patient you must…

Answer 6

Identify patient, introduce yourself, explain what you are doing, and that patients can verbalize their understanding.

Question 7

What supplies do you need for the bath?

Answer 7

Bath towel, washcloth, skin cleanser, gown, body lotion, powder, and deodorant.

Question 8

What supplies are needed for a bed bath?

Answer 8

Bath blanket, wash basin, clean bed linen, and a laundry bag.

Question 9

Water temperature for the bath should be…

Answer 9

37 to 46 C

98.6 to 115 F

Routine baths are 40.5 to 43.3 C (105 to 110 F)

Question 10

Bathing privacy means you should…

Answer 10

Close the door or curtains and try to keep patient covered with a bath blanket.

Question 11

Bathing safety means to…

Answer 11

Assist patient in and out bath, never leave patient alone, call light close.

Bed bath keep opposite side of bed rail up so they don’t fall off.

Protect IV sites and surgical incisions from moisture because they can get infected.

Question 12

Bathing technique means to…

Answer 12

Wash cleanest to dirtiest areas prevent contamination by using long firm strokes in circulation.

Rinse skin because residual cleanser can cause irritation.

Do not rub skin vigorously with towel!!

Gently pat with towel.

Adjust height of bed to not strain your back.

Question 13

A partial bath means to clean the patients…

Answer 13

Face, neck, hands, back, armpits, buttlocks, and perineal area.

Question 14

Never raise the drainage bag higher than the patients ___.

Answer 14

Bladder because it can lead to an infection.

Question 15

When cleaning perineal area with a catheter you…

Answer 15

Cleanse area with soap and water or prescribed microbicidal ointment.

Patients receive catheter care 2 daily.

Question 16

Sitz bath is another cleansing technique where you…

Answer 16

Fill appliance with warm water placed on toilet so patient sits in it for 20-30 mins.

The warm water will soothe the perineal and anal areas.

Used for after childbirth, vaginal or rectal surgery, and hemorrhoids.

Question 17

If you find rashes, bleeding, swollen, red areas, unusual odors, excessive drainage or disorientation, burning, pain or itching you….

Answer 17

Report it to the nurse.

Question 18

Offer oral care to patients when…

Answer 18

They wake up, after food, and before bedtime.

Some conditions like NPO Status or medications can dry out the math so give more frequent care.

Question 19

Ask nurse before giving oral care because…

Answer 19

Some patients have difficulty swallowing.

Question 20

Patients with ____ require different oral care.

Answer 20

Dentures

Question 21

Gently cleanse each tooth in a ___ motion at a 45 angle to the gums from the back of the mouth to the front.

Answer 21

Circular

Question 22

Supplies needed for oral care:

Answer 22

Tooth brush, toothpaste, water, emesis basin, dental floss, washcloth, and towel.

Question 23

If you help a patient with dentures you should…

Answer 23

Place it in lukewarm water.

Wear gloves, use thumb and forefinger to break upper denture suction.

Lift up and twist sideways to remove lower denture.

Use denture cleaner.

Place washcloth in sink, denture in one hand, gently brush the surfaces then rinse.

Question 24

When dentures are not being worn place them in a…

Answer 24

Denture cup labeled with patients name and room number.

Denture cup full of lukewarm water or denture solution.

Question 25

Oral care for an unconscious patient:

Answer 25

Position them on their side facing you so they do not aspirate fluids,

Place towel under head and emesis basin under chin.

Still explain procedure even if unconscious.

Question 26

Having a clean bed is an important part of ________, _______, and ____ control.

Answer 26

Comfort

Healing

Infection

Question 27

The necessary equipment for bed making:

Answer 27

Fitted sheet, mattress pad, flat sheet, pillowcases, life (draw) sheet, absorbent pads, blankets, and linen bag.

Least number of layers under patient, linen compatible with bed.

Question 28

Always follow proper hand ___ and personal protective ___.

Answer 28

Hygiene

Equipment

Question 29

Raise the bed to a comfortable height, lower head of bed so it is___.

Answer 29

Flat

Question 30

Changing linens has _ steps.

Answer 30

7

Question 31

1. Roll patient to one side of bed
2. Tuck sheets to be removed under the patient
3. Replace sheets on the free side.
4. Fresh sheets under patient.
5. Roll patient to fresh side.
6. Remove old linens.
7. Change to new linens.

Answer 31

Bed rails are up and locked so patient does not fall.

(Explain to patient before and during the changing)

Question 32

Patients who wear their own clothes are ___.

Answer 32

comfortable

(most prefer to choose their own clothing)

Question 33

Allow patients to have a sense of ___ and _____, for self esteem.

Answer 33

Control

Independence

Question 34

When a patient has a weak side, you dress what side first?

Answer 34

The weak side first.

Question 35

When undressing a patient, work with what side first?

Answer 35

The strong side so patient wont use weak side a lot.

Question 36

Patient with IV line and IV bag, take out unused arm out the gown first, then gently move gown over iv site and tubes then?

Answer 36

Tread tubes and bad through the sleeve.

Question 37

To put gown on, put iv bag and tubes through arm sleeve then hang iv bag on?

Answer 37

The IV pole, assist IV arm through sleeve, gown is tied at neck and waist.

RN must disconnect patient from infusion pump.

Question 38

Shower, bath, sink, or bed to wash patient hair, some places have no rinse shampoo shower caps.

Answer 38

Shampoo tray or trough for patient to rest head.

Pillows and towels to comfort and dry patient.

Question 39

Water to groom hair is 40.5 and 43.3C which is 105 and 110F.

Answer 39

Comb hair before washing, style hair to patient pref.

Question 40

You are taking gown off patient with IV in right arm, which arm do you take out gown first?

Answer 40

Left arm.

Question 41

Equipment to help patient in restroom:

Answer 41

Bedpan, urinal, or bedside commode.

Patient going to restroom must have call light near and never leave unstable patient alone.

Question 42

Patients unable to move for toileting need a ___ or ___.

Answer 42

Bedpan

Urinal

Question 43

Bedpans can be uncomfortable so, run one under warm water and place baby ____ on seat area after drying it.

Answer 43

Powder

(Can improve comfort slightly)

Question 44

Measure I&O then empty pan.

Answer 44

Report to nurse if, diarrhea, constipation, blood, mucus, burning, pain, cloudy/bloody pee, frequent pee, difficulty, or incontinence.

Question 45

Weakness, physical, or neurological deficits can affect patients ____.

Answer 45

Eating

Question 46

Ask nurse about patients ____ restrictions or precautions, like NPO status or clear ___ diet.

Answer 46

Dietary

Liquid

Question 47

Check if patient has ___ or difficulty swallowing.

Answer 47

Diabetes

(Nurse might administer insulin, puree, or thicken food)

Question 48

What position should the bed be in during meal time?

Answer 48

Head of bed is raised or sit in a chair to prevent choking.