Chapter 6 Flashcards

(127 cards)

1
Q

Personal care

A

Tasks concerned with body appearance and hygiene

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2
Q

Hygiene

A

Keep bodies clean and healthy

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3
Q

Grooming

A

Caring for fingernails and hair

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4
Q

Personal care is part of ADLs t/f?

A

True

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5
Q

Am care

A

1.Offering bedpan/urinal
2. Wash face/ hands
3. Hair care, dressing and shaving
4. Mouth care before or after breakfast

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6
Q

Pm care

A

-bed pan or urinal before bed
- wash face/hands
-giving snack
- mouth care
-changing into night clothes
-giving backrub

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7
Q

What should you do if someone needs extra help

A

Try to let them do it, then document

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8
Q

What should you do when resident receives call

A

Leave to give them privacy

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9
Q

How should you treat resident’s private time and belongings

A

With respect

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10
Q

Should you interrupt when a resident is dressing?

A

No

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11
Q

What should you keep in you when providing personal care?

A

Small notepad

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12
Q

What should you write in your small notepad?

A

Patient symptoms and concerns which will be reported and documented to the nurse

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13
Q

What causes pressure points

A

Immobility

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14
Q

Pressure points

A

Areas of the body that bear too much weight

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15
Q

Bony prominences

A

Bone lies too close to skin

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16
Q

Areas at higher risk for skin breakdown

A

Elbows
Shoulder blades
Tailbone
Hips
Knees (in and out)
Ankles
Heels
Toes
Back of head
Ears
Under breasts or scrotum
Folds of buttocks
Or abdomen
Skin between legs
Bottom of pelvis (butt bones)

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17
Q

Lateral position

A

Side supported

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18
Q

Areas of risk in lateral position

A

Side of ear
Ear
Shoulder
Hip
Greater trochanter
Knees
Ankles

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19
Q

Prone position

A

Swimming, on stomach

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20
Q

Pressure danger zones prone position

A

Cheek
Collarbone
Breasts
Abdomen
Genitals
Knees
Toes

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21
Q

Supine position

A

Lying on back palms up

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22
Q

Supine position danger zones

A

Back of head
Shoulder blades
Butt bones
Elbows
Sacrum (base spine)
Between legs
Heels

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23
Q

Pressure sores

A

Skin breakdown

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24
Q

Shearing

A

Rubbing or friction that because skin moves one way and bones move in other or stay the same

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25
Stage 1 pressure injury
Redness doesn't go away after removing pressure. Different skin tone in darker people
26
Stage 2 pressure injury
Partial skin loss, injury is pink or red and moist. Could look like blister
27
Stage 3 pressure sore
Fat or muscle visible in injury slough and eschar
28
Slough
Yellow, tan, green or gray moist skin
29
Eschar
Dead tissue Can be hard or soft Black, brown, tan, Can look like scab Down to muscle but not through muscle
30
Stage 4 pressure sore
Full thickness skin loss Down to bone Like crater
31
Unstageable pressure injury
Full thickness skin and tissue loss but it's covered in slough and eschar
32
Deep tissue pressure injury
Deep red, purple or maroon Appears as blood filled blister Painful area that may be warmer or cooler Discoloration may be different
33
How often should position be changed when lying down?
Every 2 hrs
34
Can you massage pressure sores?
No
35
Fowlers position
Bed front raised 45-60º
36
Keep bed free from
Wrinkles and crumbs
37
How do you keep buttocks free from moisture
Use bed pad
38
How do you relieve pressure from bony prominences
Use pillows and other assistive devices
39
When in wheelchair Try to_____ to prevent pressure sores and improve circulation
Lift up hips
40
What must the bottom of a resident's bed be kept free from
Wrinkles and crumbs
41
Cloth covered items that keep hand or fingers in a normal, natural position
Handrolls
42
May be caused by pulling a resident across the sheet transferring him
Shearing
43
Skin should be kept clean and
Dry
44
Keeps covers from resting on the legs and feet
Bed cradle
45
One type of material tat prevents air from circulating, causing skin to sweat
Plastic
46
At minimum, number of hours to reposition immobile resident
2
47
Skin this color should not be massaged
Red
48
In overweight residents you should pay extra attention to
Skin between folds
49
Key for keeping skin healthy
Proper nutrition
50
Draw sheets
Help move residents preventing shearing. Half a bed sheet
51
Where should draw sheet be positioned
Between shoulders and butt
52
Foot board
Padded boards placed against feet for proper alignment
53
Foot drop
Weakness of foot muscles
54
Orthotic device
Helps support and align limb and improve it's functioning. Splints are a type
55
Trochanter rolls
Rolled towels or blankets used to keep resident's hips and legs from turning outward
56
Abduction pillows/wedges/splints
Pillows between legs from knees to ankles. Helps with proper positioning
57
Splints should be ___ so skin doesn't stick
Lined
58
Partial bath includes
Hand, face, underarm, perineum, (feet)
59
What should be washed every day
Hands, face, perineum, underarms
60
Can you leave resident while bathing?
No, make sure you get everything first
61
Change your gloves before giving ____ during bath
Peri-care
62
Start with the ___ eye
Opposite
63
What is your chest?
Shoulders to pubis
64
Always make sure you pull skin back down on penis after washing t/f
True
65
Before applying cream on resident
Warm it up
66
Use ____ strokes for back rubs
Long upward
67
Clean tub after ___ uses
Every
68
Nail care should be given when
Nails are dirty, have jagged edges or assigned
69
When can an NA cut toe nails?
Never, unless specially trained
70
Best time to put cream on is after
Bath
71
Pediculosis
Infestation of lice
72
Safety razor
Sharp blade with special casing to prevent cuts
73
Disposable razor
Requires shaving cream or soap, biohazard
74
Electric razor
Safest and easiest. No soap or shaving cream
75
Hold the skin ___ when shaving
Taut
76
Shave in direction of
Hair growth
77
Dress with
Weak
78
Undress with
Strong
79
Affected/ involved side
Side with problems
80
Ted hose
Promote circulation by squeezing legs
81
Should you rub an embolism?
No
82
Embolism
Obstruction of blood vessel, usually because of clot
83
Signs of poor oral care
1. Irritation 2.Raise areas 3. Coated or swollen tongue 4. Ulcers 5. Dry cracked bleeding lips 6. Decayed teeth 7. Bad breath
84
Oral care should be done
At least 2 times After breakfast and after last meal + When requested
85
How often oral care if unconscious
Every hour
86
Why should unconscious patients get oral care every hour
Lack of fluid makes it dry
87
Only swabs with ___ amounts of fluid should be used to clean mouth of unconscious patients
Tiny
88
Position for oral care for unconscious patients
Side
89
Dentures should never be cleaned with __ water
Hot
90
Dentures cannot
Dry out
91
Dentures should be in ___ cup when not worn
Denture cup
92
Line sink with ___ before starting denture care
Towels
93
When removing dentures take
Bottom out first
94
When inserting dentures put ___ in first
Top
95
Fracture pan
Pan for people with broken hips who can't raise pelvis
96
How often should urinals and bedpans be rinsed?
Every time
97
Pour bedpans and urinals out in
Toilet not sink
98
Fracture pan positioned with handle towards
Foot of bed
99
Align bedpan with
Tailbone
100
Portable commode
Used by ambulatory when bathroom is too far
101
Semi fowlers
30-45
102
High fowlers
60-90º
103
Positioning
Helping residents into positions that promote comfort and health
104
How many people to move resident up in bed
2
105
Problems from not moving
Muscle contractures Pressure sores
106
Muscle contracture
Muscle gets short
107
Logrolling
Moving resident as a unit without disturbing alignment
108
When is logrolling necessary?
Neck, back or spinal cord injury
109
Dangle
Sit up with legs hanging over bed Regain balance Stabilize BP Prevent fainting
110
Take orthostatic BP
Pulse+BP Lie, sit, stand/dangle (2 min between)
111
When is orthostatic BP taken
Patient is dizzy or faints
112
When is patient orthostatic
BP drops Pulse goes up
113
How to place hands for dangling
Under thighs and shoulder blades
114
Ergonomics
Making things safer to suit worker abilities
115
Most places have
Lift free policies
116
Transfer belt should be positioned
Over clothing, to the side of navel
117
Transfer belt helps residents who are
Unsteady, weak or uncoordinated
118
Transfer belts can't be used if
Resident has fragile bones or fractures
119
Slide board
Helps with transfer patients who can't bear weight
120
If resident starts to fall
Bend knees and guide to floor
121
Wheelchair should be placed on
Unaffected side
122
Who can help with lifts
Anyone except housekeeping
123
Can you operate lift alone?
No
124
How to prevent spread of lice
Tell nurses as soon as you see them or signs Don't share head stuff
125
Partial bath includes washing
Genitals
126
Former name for pressure sores
Decubitus ulcers
127
Aspiration
Foreign objects getting into lungs..water, spit, food. Can cause pneumonia