FUNDA LAB BATH,ORAL,WOUND (FINAL1)

Question 1

The nurse is primarily responsible in meeting the hygienic needs of then client. Provides an opportunity for the nurse to provide care and meet the psychosocial needs of clients, assess clients and perform health education acitivites

Answer 1

CLEANSING BED BATH

Question 2

• Encourage the patient to be involved as possible in bathing themselves. This helps to maintain their independence, self-esteem and dignity.
• A bed bath is a good time to inspect a patient’s skin for redness and sores. Pay special attention to skin folds and bony areas when checking.
• Keep the patient warm at all times
• Only expose the area of the body being
washed
• Pat the skin dry to reduce the risk of friction damage

Answer 2

GENERAL PRINCIPLE IN BED BATH

Question 3

Removes perspiration, bacteria, which minimizes skin irritation and reduces chance of infection

Answer 3

cleansing the skin

Question 4

warm water and gentle strokes from distal to proximal increase circulation and promote venous return

Answer 4

stimulation of circulation

Question 5

promotes feeling of being refreshed, relaxed

Answer 5

improve self image

Question 6

especially in axillae and pubic areas

Answer 6

reduction of body odors

Question 7

movement of extremities while bathing

Answer 7

promotion of range of motion

Question 8

When do we use the bed bathing to patient?

Answer 8

BED RIDDEN
COMA
MAJOR SURGERY
ORTHPEDIC
MENTALLY ILL
CERTAIN INFECTIONS
AMPUTATION SURGERY

Question 9

Used to clean the patient

Answer 9

cleansing bath

Question 10

nurse baths entire body of dependent patient in bed

Answer 10

complete bed bath

Question 11

patients confined to bed are able to bath themselves with some help

Answer 11

self-help bath

Question 12

parts of the body are washed by the patient and some by the nurse

Answer 12

partial bath

Question 13

• much easier for bathing and rinsing than in bed
• varies in style

Answer 13

tub bath

Question 14

-Used by ambulatory patients who requie only minimal assistance
- can be used with a chair

Answer 14

shower

Question 15

• Bath used for treatment
• Usually requires a doctors order
• medicated solutions may be used in bathing
• range from warm water baths, cool water baths, cornstarch, oatmeal, aveno, alcohol

Answer 15

therapeutic baths

Question 16

is the application of water to the patient’s skin surface to promote dispersal of body heat when the body temperature is 39.5°C and over. The procedure is based on the principles of evaporation and conduction.

Answer 16

tepid sponging

Question 17

• Tepid sponge helps to reduce the temperature between 102 and 102.8 degree F.
• Cold sponge helps reduce the temperature of above 103 degree F.
• To stimulate circulation
• To decrease toxicity
• Nervousness and delirium
• To soothe the nerves and promote sleep
• To provide comfort

Answer 17

purposes of tepid sponge

Question 18

• Is used to reduce temperature in a patent with hyperpyrexia
  -Use long strokes for sponging and avoid circular movements or friction while sponging
  • large areas of the body are sponged at one time, permitting the heat of the body to transfer to the cooler solution on the body surface.
  • The vital signs are checked very frequently to detect the early signs of complications
  • Often wet towels are applied to the neck, axillae, groin and ankles, where the blood circulation is close to the skin surface
  • The physiological effect of the cold applications are vaso-constriction, decreased blood circulation, decreased capillary permeability, decreased metabolism, decreased blood viscosity, etc. • Often wet towels are applied to the neck, axillae, groin and ankles, where the blood circulation is close to the skin surface
  • The physiological effect of the cold applications are vaso-constriction, decreased blood circulation, decreased capillary permeability, decreased metabolism, decreased blood viscosity, etc.

Answer 18

cold sponge

Question 19

HOW TO MAKE TRIANGULAR METHOD BATH MITT?

Answer 19

1. lay your hand on the washcloth
2. fold the side corners over your hand
3. tuck the second corner under the cloth on the palm side to secure the mitt

Question 20

HOW TO MAKE RECTANGULAR METHOD BATH MITT?

Answer 20

1. lay your hand on the washcloth and fold one side over your hand
2. fold the second side over your hand
3. fold the top of the cloth down and tuck it under the folder side against your palm to secure the mitt

Question 21

serves as the final line of defense of the body against diseases

Answer 21

intact mucous

Question 22

pathogen grows well in a warm and moist environment. the greater number of organisms, the greater is the possibility of infecion

Answer 22

true

Question 23

pathogenic organisms may be transferred from the sources to a new host by direct or indirect method

Answer 23

true

Question 24

the skin that is poorly nourished and dry has less ability to protect and is more vulnerable to injury

Answer 24

true

Question 25

H202 acts as anti infective

Answer 25

true

Question 26

• hygienic practices vary between individuals, between people of different economic status and different culture
• any unfamiliar situation produces anxiety

Answer 26

true

Question 27

who needs mouth care

Answer 27

unconscious patient
helpless and serious patient
patient with hyperpyrexia
patient with npo
breathrs
oxygen inhalation
chemotherapy
malno,dehy patient

Question 28

contraindications of mouth care

Answer 28

oral surgery or trauma

Question 29

A _____ is any type of damage or breakage on the surface of the skin. It can be due to accidents like burns, paper cuts, skin tears or surgical, any underlying disease, or some other skin conditions that may develop in the wound, for example, eczema or psoriasis.

Answer 29

wound

Question 30

Wounds can be open or closed. Open wounds are the wounds with exposed underlying tissue/ organs and open to the outside environment, for example, penetrating wounds. On the other hand, closed wounds are the wounds that occur without any exposure to the underlying tissue and organs.

Answer 30

open or close

Question 31

_______ are those that heal without any complications in a predicted amount of time. While _____ wounds, on the other hand, are those that take a relatively long time to heal with some complications.

Answer 31

acute or chronic

Question 32

______ are those that do not have any foreign material or debris inside whereas _______ wounds or infected wounds are those that might have some dirt, bacteria, or other foreign markets. Pressure wounds can be used as an example of an open or closed wound depending on its current stage.

Answer 32

clean or contaminated

Question 33

____ can be due to impaired circulation, nervous system functions, neuropathy or medical illness, or decreased supply of blood, oxygen, or other nutrients while the _____ wounds can be due to an outside force or trauma caused by penetrating objects or non- penetrating trauma.

Answer 33

internal or external

Question 34

These wounds are the result of blunt trauma or friction with other surfaces. Ex; abrasions, lacerations, bruises, concussions

Answer 34

non-penetrating wounds

Question 35

They are the result of trauma and break through the full thickness of the skin. Ex: stab wounds, cuts, surgical wounds etc.

Answer 35

penetrating wounds

Question 36

• cut with jagged, irregular edges
• tearing away or skin tissue

Answer 36

laceration

Question 37

smooth edges

Answer 37

incisiom

Question 38

• deep narrow
• high risk of infection

Answer 38

puncture

Question 39

flap skin torn loose

Answer 39

avulsion

Question 40

cutting or tearing off of body body part

Answer 40

amputation