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Flashcards in Week One Deck (59)
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1

what is the process of hygiene

assessment
plan
implementation
evaluation
document

2

what is in assessment

data collection, subjective and objective data

3

what is in planning

nursing diagnoses

4

what is in implementation

action

5

what are the 5 functions of the skin

protection, secretion, excretion, temp regulation and sensation

6

what are the primary layers of the skin

epidermis
dermis
subcutaneous tissue

7

shields underlying tissue

epidermis

8

contains bundles of collagen, nerve fibers, blood vessels, sweat glands, sebaceous glands and hair follicles

dermis

9

lies just beneath the skin; contains blood vessels, nerves, lymph, and loose connective tissue filled with fat cells

subcutaneous

10

what helps heat or cool you

subcutaneous

11

what requires special attention to prevent infection, odor, and injury

feet hands and nails

12

the condition of a patients hands and feet influences his or her abilities to

perform hygiene care

13

who do you NOT cut nails on

diabetic patients

14

what do you do if your patients toe nails are yellow and thick

get orders to refer patient to a podiatrist

15

what is the oral cavity lined with

mucous membranes

16

what does normal mucosa look like

light pink, soft, moist, smooth, and without lesions

17

what impairs salivary secretion

medications, exposure to radiation and mouth breathing

18

xerostomia

dry mouth

19

gingivitis

inflammation of gums

20

dental caries

tooth decay

21

why is oral care important

helps with digestion and nutrition (if sores in mouth it is difficult to eat)

22

what do you always need to secure in storage cup

dentures, artificial eye, hearing aid

23

what indicates general health status of hair

growth, distribution

24

what affect hair characteristics

hormonal changes, aging, infection and other illnesses

25

what causes changes in hair color or condition

hormonal and nutrient deficiencies

26

scaling of scalp

dandruff

27

how do you check patient for head lice

glove, section hair with tongue blade and if lice is present notify head nurse

28

what requires the most careful attention in hygiene

eyes, ears and nose

29

no soap on

eyes- face (ask patient if they would like face wash or something)

30

talking to patient means getting to know your patient=

therapeutic communication

31

during hygiene what do you assess

emotional status
health promotion practices
health care education needs

32

what factors influence the way a patient handles hygiene

religion and mobility

33

why should you ALWAYS raise side rails

for patients safety

34

what they can and cannot do for themselves

developmental stage

35

able to afford products for hygiene

socioeconomic status

36

let patient be apart of whatever it is that you are doing

autonomy (participation)

37

during assessment of hygiene what should you ask

what kind of hygiene/grooming do they prefer

38

what are common nursing diagnosis with hygiene

activity intolerance
bathing self deficit
dressing self care deficit
impaired physical mobility

39

when assessing always check where blood is coming _____

from

40

in the nursing process of Planning what are 2 goals and outcomes

partner with patients family
and
measurable, achievable, individualized care

41

have to decide what assistance is required based on patient

physical ability

42

what is important when figuring out when to give patient hygiene

timing

43

what should you teach a patient

signs and symptoms of infection and when they should call

44

always ask patient to verbalize back what you just _______ them

educated

45

what happens if patient refuses hygiene

ultimately it is patients choose BUT if their condition warrants a certain hygiene skill, educate them about why it needs to be done

46

who is responsible for hygiene of patients

RN and CNA

47

what are the key points of implementation

make instruction so they understand
find out preferences and health benefits
include safety risks
determine that patient understands by repeating

48

what are the bath guidlines

provide privacy
maintain safety
maintain warmth
promote independence
anticipate needs

49

what are the patients with special needs of hygiene

diabetes, artificial airways, unconscious, chemotherapy

50

when dentures are in container always have

luke warm water and lid

51

what prevents tangles in hair

brushing and braiding hair

52

what permission should you obtain when doing hair hygiene

before cutting or braiding

53

why should you always wear gloves when shaving patient

bleeding could occur

54

during hygiene always ask patient what they

prefer

55

if patient is using oxygen what should you check while preforming hygiene

ears for redness and nose as well

56

steps of bed bath before touching patient

collect equipment
privacy
explain procedure
offer bed pan or urinal
hand hygiene
gloves
lock wheels raise bed
place bath blanket on pt
obtain water (pt check water)

57

what is the process of washing the patients body in bed bath

wash eyes from inner to outer (dif side of towel) then dry
face then dry
upper body to lower body long strokes then dry
keep cleaned areas covered
when getting to perineal care change water and gloves and towel then dry

58

when done with hygiene always ask the patient if they feel

clean and comfortable

59

what are 6 important guidelines for nursing skills in hygiene

-identify patient with two identifiers
-move from cleanest to less clean area
-use clean gloves for contact with non-intact skin, secretions,blood
-test temp of water or solutions
-use body mech to take car of your back
-give proper direction to NAP when delegating