Chapter 25: Facilitating Hygiene Flashcards
Where can you best see jaundice ?
scelerae of eyes
activities involved involved in maintaining personal cleanliness and groom
hygiene
What are the are 5 types of scheduled hygiene care?
hourly rounding, early morning care, AM (morning) care, PM (afternoon) care, HS (hours of sleep) care.
hourly rounding
When you see patient every hour: offer pain relief, positioning, and toileting.
Early morning care
soon after the patient awakens, prepare breakfast, diagnostic test, totting, washing the face/hands and mouth care.
AM (morning) care
hygiene care AFTER breakfast. Toiling, bathing, skin care, dressing positioning. Nursing assistant will straighten the bed linen.
PM (afternoon) care
prepare them for visitors or afternoon rest. Medication, oral care, hand wash, straighten bed linens.
HS (hours of sleep) care
before patient got to sleep. Back massage, make sure light is easy to reach, turn off TV, and toileting.
Epidermis layer is
thick layer, stratified squamous, with dead cells
Dermis layer is
thinner layer, blood, lymphatic vessels, sweat gland.
Function of skin
protection, sensation, régulation (maintain fluid/ electrolyte) balance, Vitamin D (ultra violet light from the sun).
if a person is dehydrated, the patients skin is most likely…
dry/ crackle
the skin of an infant:
fragile, easy to injure
the skin of adolescence:
sebaceous glands enlarge causing the skin to be oily–> acne
the skin of older adults:
reduce healing, skin is getting weaker, risk factors such as ulcers
pollar of the skin is
pale skin
erythema of the skin is
redness of skin (inflammation)
jaundice
yellow discoloration due to the liver function
cyanosis
bluish coloring on the skin due to the lack of oxygen on the blood
pressure ulcers are?
lesions caused by tissue compression
When a person has maceration of their skin, it means what?
softening of the skin from moister
If a person has a skin problem called abrasion, it means?
shearing force/ rub away
Assist bath
nurse help patient with areas that may be difficult to reach (back, feet, legs)
partial bath
clean only areas that may cause odor or discomfort (axillary/perineum)
complete bath
wash patients ENTIRE body without assistance from patient.
bed bath
patient remain in bed but are able to bathe themselves. Nurse will provide bath supplies.
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.
when do you use towel baths?
for patients with mild moderate impaired skin integrity to activity intolerance, or with dementia (Alzheimers)
bag bath
8 to 10 wash cloths instead of a towels moistened with water
basin/water bath
using disposable basin
when patient refuse to bath and is grossly soiled
showers
make sure you confirm with doctor and watch of patient so that they do not slip
tub bath
helps soak areas that are crusty or soiled
When do you use a tub bath for patient?
if they have pain/stiffness
therapeutic bath is?
has medical ordered substances, specific temperature.
oatmeal bath is used for patients that have
chicken pox
What type of baths do you give older adults?
bag baths
avoid soap
apply lotion!
what is tinea pedis ?
athlete foot (fungal infection)
plantar warts are
virus on foot
patients can get bunions by?
aging and tight fitting shoes
Perineal care is
women: care between the anus and vulva
men: anus and scrotum
true or false: There is NANDA labels to describe nail problems
False
Who specializes in foot care?
Podiatrist
True or False: The nail is part of the integumentary system
True
The front teeth are known as?
incisors
The back teeth is known as?
molars
by the age of 2: how many teeth do they have
20
what age does teeth start to grow?
6 months to 2 years old
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
How does pregnancy cause oral problems?
During pregnancy, vascularity of the gingiva increase causing gums to bleed easily and it becomes puffy/tender
What does your teeth/gum need to stay healthy?
calcium, phosphorus, and vitamin D
what can cause dryness of mouth?
medication and oxygen therapy
true or false: radiation treatment of the head and neck do not damage teeth and jaw structure
False: they do!
another term for “bad breath”
halitosis
The inflammation of the gum tissue surrounding the teeth is know as?
gingivitis
Denture care
clean once a day
if they contain metal..DO NOT SOAK OVER NIGHT
Vellos hair is?
short, fine hair
Darker, longer hair that are found in the scalp, eye brow, alive, and legs are called?
terminal hair
Pediculosis is also know as?
head lice
Hair loss is also known as?
alopecia
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
True or False: NANDA-I has 1 disturbed sensory perception: Visual
True
How do you prevent an unconscious patients eyes from getting dry?
Apply lubricant with saline
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.
When handling artificial eye…
- wear gloves
- raise upper lid and depress the lower lid
- apply pressure just below eye
Wax in the ear is known as?
Cerumen
what are the three types of hearing aid?
postaural, in-the canal aid, and the inner ear made.
True or False: To keep hearing aid clean, place then in water
False
Before you leave the patients room, what do you always ask?
“What else can I do for you?”
Make sure a patients room is…
properly ventilated
proper room temperature
and comfortable
