Ch 39: Hygiene

Question 1

3 primary layers of skin

Answer 1

Epidermis: outer layer. normal flora, protects against water loss and microorganism entry
Dermis: Collagen and fibers, nerve fibers, glands, follicles
Subcutaneous: Blood vessels, nerve, lympth, connective tissue, fat cells

Question 2

Peripheral neuropathy

Answer 2

muscle wasting; no tendon reflexes, foot deform, infection, abnormal gait, no vibratory sensation

Question 3

Vascular insufficiency

Answer 3

decreased hair growth on legs, decreased pulses, foot infection, poor wound heal, thick nails, shiny appearance, blanch skin on elevation

Question 4

Fowlers position

Answer 4

45 semi-sit: eating tube insert, promote lung expansion, eases difficult breathing

Question 5

Semi fowlers

Answer 5

30: ventilator, promote lung expansion, gastric feedings

Question 6

trendelenburgs

Answer 6

Bed angled with head down, feet up: postural drainage, facilitate venous return.

Question 7

Reverse trendelenburg

Answer 7

Bed angled with head up, feet down; esophageal reflux

Question 8

Flat

Answer 8

Parallel to floor: vetebral injury, hypotensive, sleep

Question 9

Sims

Answer 9

Left side semiprone; flexion of hip and knee: rectum and vagina procedures

Question 10

Lithotomy

Answer 10

stirrups; gyn exam

Question 11

dorsal recumbent

Answer 11

knees up; perineal care

Question 12

Lateral Recumbent (sims)

Answer 12

Lying on side weight on hip and shoulder; aids in detecting murmurs.