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Fundamentals of Nursing > Chapter 25: Facilitating Hygiene > Flashcards

Chapter 25: Facilitating Hygiene Flashcards

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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
Q

complete bath

A

wash patients ENTIRE body without assistance from patient.

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26
Q

bed bath

A

patient remain in bed but are able to bathe themselves. Nurse will provide bath supplies.

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27
Q

towel bath

A

it is a type of bed bath: place large towel and bath blanket in plastic bag that is saturated and warmed up for use.

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28
Q

when do you use towel baths?

A

for patients with mild moderate impaired skin integrity to activity intolerance, or with dementia (Alzheimers)

29
Q

bag bath

A

8 to 10 wash cloths instead of a towels moistened with water

30
Q

basin/water bath

A

using disposable basin

when patient refuse to bath and is grossly soiled

31
Q

showers

A

make sure you confirm with doctor and watch of patient so that they do not slip

32
Q

tub bath

A

helps soak areas that are crusty or soiled

33
Q

When do you use a tub bath for patient?

A

if they have pain/stiffness

34
Q

therapeutic bath is?

A

has medical ordered substances, specific temperature.

35
Q

oatmeal bath is used for patients that have

A

chicken pox

36
Q

What type of baths do you give older adults?

A

bag baths
avoid soap
apply lotion!

37
Q

what is tinea pedis ?

A

athlete foot (fungal infection)

38
Q

plantar warts are

A

virus on foot

39
Q

patients can get bunions by?

A

aging and tight fitting shoes

40
Q

Perineal care is

A

women: care between the anus and vulva
men: anus and scrotum

41
Q

true or false: There is NANDA labels to describe nail problems

A

False

42
Q

Who specializes in foot care?

A

Podiatrist

43
Q

True or False: The nail is part of the integumentary system

A

True

44
Q

The front teeth are known as?

A

incisors

45
Q

The back teeth is known as?

A

molars

46
Q

by the age of 2: how many teeth do they have

A

20

47
Q

what age does teeth start to grow?

A

6 months to 2 years old

48
Q

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?

A

partial bath

49
Q

How does pregnancy cause oral problems?

A

During pregnancy, vascularity of the gingiva increase causing gums to bleed easily and it becomes puffy/tender

50
Q

What does your teeth/gum need to stay healthy?

A

calcium, phosphorus, and vitamin D

51
Q

what can cause dryness of mouth?

A

medication and oxygen therapy

52
Q

true or false: radiation treatment of the head and neck do not damage teeth and jaw structure

A

False: they do!

53
Q

another term for “bad breath”

A

halitosis

54
Q

The inflammation of the gum tissue surrounding the teeth is know as?

A

gingivitis

55
Q

Denture care

A

clean once a day

if they contain metal..DO NOT SOAK OVER NIGHT

56
Q

Vellos hair is?

A

short, fine hair

57
Q

Darker, longer hair that are found in the scalp, eye brow, alive, and legs are called?

A

terminal hair

58
Q

Pediculosis is also know as?

A

head lice

59
Q

Hair loss is also known as?

A

alopecia

60
Q

Can a Nurse shave a patients beard and mustache?

A

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
Q

True or False: NANDA-I has 1 disturbed sensory perception: Visual

A

True

62
Q

How do you prevent an unconscious patients eyes from getting dry?

A

Apply lubricant with saline

63
Q

As a nurse, where should you place a patients personal belonging (glasses/contact/ hearing aid)?

A

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
Q

When handling artificial eye…

A
  1. wear gloves
  2. raise upper lid and depress the lower lid
  3. apply pressure just below eye
65
Q

Wax in the ear is known as?

A

Cerumen

66
Q

what are the three types of hearing aid?

A

postaural, in-the canal aid, and the inner ear made.

67
Q

True or False: To keep hearing aid clean, place then in water

A

False

68
Q

Before you leave the patients room, what do you always ask?

A

“What else can I do for you?”

69
Q

Make sure a patients room is…

A

properly ventilated
proper room temperature
and comfortable

Fundamentals of Nursing (5 decks)

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