30 Questions
What is the primary purpose of properly disposing of waste receptacles?
To prevent contamination
What is the purpose of patting the patient's axillary area dry with a tissue paper before checking the temperature?
To remove excess moisture
Why is the urine specimen collected early in the morning before breakfast for the urine test for albumin?
Because bacterial counts are highest in this voiding
What is the purpose of heating the upper portion of the test tube with urine during the urine test for albumin?
To facilitate the reaction
What is the rationale for taking the first temperature of the newborn rectally during home delivery?
To check the patency of the rectum
What is the purpose of rechecking the temperature with a thermometer known to be functioning properly if the initial reading is obviously too high, too low, or inconsistent with the client's condition?
To eliminate any errors in the temperature reading
What is the primary purpose of the bag technique in community health nursing?
To perform nursing procedures with ease and deftness, saving time and effort
Which of the following is NOT typically included in the nursing bag?
Sphygmomanometer
What is the purpose of the linen or disposable paper towels in the nursing bag?
For hand washing during infection control
What is the primary reason for including a newborn weighing scale in the nursing bag?
To assess the growth of newborns
What is the purpose of the Benedict's solution in the nursing bag?
To conduct a Benedict's test
What is the purpose of the cord clamp in the nursing bag?
To assist in newborn care
What is the primary purpose of including pieces of paper in the nursing bag?
To serve as a waste receptacle if needed
What is the main principle of bag technique in relation to infection control?
To prevent the spread of microorganisms
Why should the nurse clean the bag and its contents as often as possible?
To prevent the spread of infection
What is the purpose of asking for water to wash one's hands during the bag technique procedure?
To prevent the spread of microorganisms
What is a key consideration when performing bag technique?
The protection of the bag and its contents from contamination
What is a benefit of using bag technique in nursing care?
It allows the nurse to give care efficiently
What is the primary purpose of the apron in the bag technique procedure?
To protect the nurse who will perform the procedure
What should be placed between the double wrappers after washing hands?
Used wash cloth
Why is it important to clean and disinfect the equipment after use?
To prevent the spread of infection and maintain cleanliness
What should be done with the equipment after cleaning and disinfecting?
Put them on top of the first layer wrapper
What is the final step in the bag technique procedure?
Recording the observation and treatment
Why is the paper lining used in the bag technique?
To hold all the equipment and supplies
What is the purpose of adding acetic acid to the urine sample in the albumin test?
To remove cloudiness caused by albumin
What is the result of the albumin test if cloudiness remains after boiling and adding acetic acid?
The urine is positive for albumin
Why is it important to measure 5 ml of Benedict's solution in the sugar test?
To ensure the accuracy of the result
What is the purpose of heating the solution in the sugar test?
To change the color of the solution to indicate the presence of sugar
What happens to albumin when it is heated?
It coagulates
Why is proper disposal of the dropper important in the albumin test?
To prevent the spread of microorganisms
Study Notes
Bag Technique
- Ensure proper disposal of waste receptacle and its contents before leaving the home to prevent contamination.
- The bag technique is a tool used by nurses during home visits to perform nursing procedures efficiently and effectively.
Nursing Bag Contents
- Articles for infection control: • Soap in a covered soap dish • Linen or disposable paper towels for hand washing • Apron • Bottles of antiseptics • Hand sanitizer
- Articles for assessment of family members: • Body thermometer(s) • Measuring tape • Newborn weighing scale • Portable diagnostic aids (e.g. glucometer) • Items for Benedict's test (e.g. Benedict's solution, medicine dropper, test tube, test tube holder, alcohol lamp)
- Note: Sphygmomanometer and stethoscope are carried separately.
- Articles for nursing care: • Sterile items (e.g. dressings, cotton balls, cotton tip applicators, syringes, surgical gloves, cord clamp, surgical scissors, sterile pack with kidney basin, forceps) • Clean articles (e.g. adhesive tape, bandage scissors) • Pieces of paper (e.g. for lining the soap dish, for lining the bag, folded paper for waste receptacle)
Principles of Bag Technique
- The bag should contain all necessary articles and supplies.
- The bag and its contents should be cleaned and replaced as necessary.
- The bag and its contents should be protected from contact with contaminated items.
- Consider the bag and its contents as clean and/or sterile, while patient's items are considered dirty and contaminated.
Bag Technique Procedure
- Place the bag on a flat surface and line it with a paper.
- Ask for water to wash hands or ask where to wash them.
- Open the bag and take out the double-wrapped soap.
- Wash hands with soap and water, then wipe them dry.
- Place used wash cloth between the double wrappers.
- Put out necessary equipment (e.g. thermometer, apron, dressing, instruments) on the spread towel lining.
- Put on the apron, then place the waste receptacle outside the paper lining.
- Proceed with specific nursing care or treatment.
- Clean and disinfect equipment, then re-wrap the soap dish.
- Wash hands again with soap and water.
- Open the bag, return all equipment to their proper order, and close the bag.
- Record observations, temperature, treatment done, and specific instructions.
Urine Test for Albumin
- Collect urine specimen in the morning, before breakfast, and after external douche.
- Fill a test tube 2/3 or 3/4 full with urine and place it in a kidney basin.
- Light the alcohol lamp and heat the upper portion of the test tube.
- Remove the thermometer and wipe it with a tissue.
- Read the temperature and record it on the worksheet (if needed).
- If the temperature is obviously too high, too low, or inconsistent with the client's condition, recheck it with a thermometer known to be functioning properly.
- If the temperature is rectal, it must be taken to check the patency of the rectum.
Urine Test for Sugar
- Measure 5 ml of Benedict's solution in a medicine glass.
- Put the solution inside the test tube.
- Light the alcohol lamp and heat the solution until it boils.
- Add 8 drops of urine and boil the mixture for 5 minutes, shaking the tube at the same time.
- End of boiling, add 5 drops of acetic acid to confirm the presence of albumin in the urine.
- If cloudiness disappears after boiling, the urine is negative for albumin. If cloudiness remains, it is positive for albumin.
- Place used dropper in the waste receptacle.
- Do after care.
This quiz covers the essential items to include in a nursing bag and the key principles to consider when using it. It's perfect for nursing students or professionals looking to refresh their knowledge on nursing care equipment and emergency preparedness. Test your understanding of the necessary articles and supplies needed for effective patient care.
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