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Fundamentals of Nursing > Chapter 25: Facilitating Hygiene > Flashcards

Chapter 25: Facilitating Hygiene Flashcards

(69 cards)

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1
Q

Where can you best see jaundice ?

A

scelerae of eyes

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2
Q

activities involved involved in maintaining personal cleanliness and groom

A

hygiene

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3
Q

What are the are 5 types of scheduled hygiene care?

A

hourly rounding, early morning care, AM (morning) care, PM (afternoon) care, HS (hours of sleep) care.

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4
Q

hourly rounding

A

When you see patient every hour: offer pain relief, positioning, and toileting.

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5
Q

Early morning care

A

soon after the patient awakens, prepare breakfast, diagnostic test, totting, washing the face/hands and mouth care.

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6
Q

AM (morning) care

A

hygiene care AFTER breakfast. Toiling, bathing, skin care, dressing positioning. Nursing assistant will straighten the bed linen.

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7
Q

PM (afternoon) care

A

prepare them for visitors or afternoon rest. Medication, oral care, hand wash, straighten bed linens.

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8
Q

HS (hours of sleep) care

A

before patient got to sleep. Back massage, make sure light is easy to reach, turn off TV, and toileting.

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9
Q

Epidermis layer is

A

thick layer, stratified squamous, with dead cells

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10
Q

Dermis layer is

A

thinner layer, blood, lymphatic vessels, sweat gland.

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11
Q

Function of skin

A

protection, sensation, régulation (maintain fluid/ electrolyte) balance, Vitamin D (ultra violet light from the sun).

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12
Q

if a person is dehydrated, the patients skin is most likely…

A

dry/ crackle

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13
Q

the skin of an infant:

A

fragile, easy to injure

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14
Q

the skin of adolescence:

A

sebaceous glands enlarge causing the skin to be oily–> acne

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15
Q

the skin of older adults:

A

reduce healing, skin is getting weaker, risk factors such as ulcers

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16
Q

pollar of the skin is

A

pale skin

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17
Q

erythema of the skin is

A

redness of skin (inflammation)

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18
Q

jaundice

A

yellow discoloration due to the liver function

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19
Q

cyanosis

A

bluish coloring on the skin due to the lack of oxygen on the blood

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20
Q

pressure ulcers are?

A

lesions caused by tissue compression

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21
Q

When a person has maceration of their skin, it means what?

A

softening of the skin from moister

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22
Q

If a person has a skin problem called abrasion, it means?

A

shearing force/ rub away

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23
Q

Assist bath

A

nurse help patient with areas that may be difficult to reach (back, feet, legs)

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24
Q

partial bath

A

clean only areas that may cause odor or discomfort (axillary/perineum)

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25
complete bath
wash patients ENTIRE body without assistance from patient.
26
bed bath
patient remain in bed but are able to bathe themselves. Nurse will provide bath supplies.
27
towel bath
it is a type of bed bath: place large towel and bath blanket in plastic bag that is saturated and warmed up for use.
28
when do you use towel baths?
for patients with mild moderate impaired skin integrity to activity intolerance, or with dementia (Alzheimers)
29
bag bath
8 to 10 wash cloths instead of a towels moistened with water
30
basin/water bath
using disposable basin | when patient refuse to bath and is grossly soiled
31
showers
make sure you confirm with doctor and watch of patient so that they do not slip
32
tub bath
helps soak areas that are crusty or soiled
33
When do you use a tub bath for patient?
if they have pain/stiffness
34
therapeutic bath is?
has medical ordered substances, specific temperature.
35
oatmeal bath is used for patients that have
chicken pox
36
What type of baths do you give older adults?
bag baths avoid soap apply lotion!
37
what is tinea pedis ?
athlete foot (fungal infection)
38
plantar warts are
virus on foot
39
patients can get bunions by?
aging and tight fitting shoes
40
Perineal care is
women: care between the anus and vulva men: anus and scrotum
41
true or false: There is NANDA labels to describe nail problems
False
42
Who specializes in foot care?
Podiatrist
43
True or False: The nail is part of the integumentary system
True
44
The front teeth are known as?
incisors
45
The back teeth is known as?
molars
46
by the age of 2: how many teeth do they have
20
47
what age does teeth start to grow?
6 months to 2 years old
48
The confused patient becomes distressed and agitated when the NAP attempts to give a morning bath. The nurse should instruct what kind of bath for the patient?
partial bath
49
How does pregnancy cause oral problems?
During pregnancy, vascularity of the gingiva increase causing gums to bleed easily and it becomes puffy/tender
50
What does your teeth/gum need to stay healthy?
calcium, phosphorus, and vitamin D
51
what can cause dryness of mouth?
medication and oxygen therapy
52
true or false: radiation treatment of the head and neck do not damage teeth and jaw structure
False: they do!
53
another term for "bad breath"
halitosis
54
The inflammation of the gum tissue surrounding the teeth is know as?
gingivitis
55
Denture care
clean once a day | if they contain metal..DO NOT SOAK OVER NIGHT
56
Vellos hair is?
short, fine hair
57
Darker, longer hair that are found in the scalp, eye brow, alive, and legs are called?
terminal hair
58
Pediculosis is also know as?
head lice
59
Hair loss is also known as?
alopecia
60
Can a Nurse shave a patients beard and mustache?
Yes, BUT they need permission from both the patient and Doctor. It is suggested not to do that because if you cut him/her it will cause infection
61
True or False: NANDA-I has 1 disturbed sensory perception: Visual
True
62
How do you prevent an unconscious patients eyes from getting dry?
Apply lubricant with saline
63
As a nurse, where should you place a patients personal belonging (glasses/contact/ hearing aid)?
Put it into plastic bag/container and place it on the side table next to patients bed side. Also let them know so that they can see you have done so.
64
When handling artificial eye...
1. wear gloves 2. raise upper lid and depress the lower lid 3. apply pressure just below eye
65
Wax in the ear is known as?
Cerumen
66
what are the three types of hearing aid?
postaural, in-the canal aid, and the inner ear made.
67
True or False: To keep hearing aid clean, place then in water
False
68
Before you leave the patients room, what do you always ask?
"What else can I do for you?"
69
Make sure a patients room is...
properly ventilated proper room temperature and comfortable

Fundamentals of Nursing (5 decks)

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