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Fundamentals of Nursing > Hygiene > Flashcards

Hygiene Flashcards

1
Q

personal hygiene
cleanliness and grooming that promotes ____________ and ______________ well being and enhances the ____________ process

A

physical, psychological, helaing

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2
Q

who is responsible of the patients hygiene

A

the nurse

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3
Q

4 principles of skin function

A

intact skin is the bodys first line of defense
resistance to skin injury varies among people
adequate nutrition and hydration of cells helps to prevent skin injury
adequate circulation is needed to maintain skin cell life

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4
Q

what is the bodys first line of defense

A

intact skin

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5
Q

what is needed to help prevent skin injury and maintain skin cell life

A

nutrition
hydration
circulation

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6
Q

what are the 3 failures that decrease patient outcome

A

failure to recognize, failure to rescue, failure to plan

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7
Q

braden score is for

A

pressure injuries

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8
Q

what are the 6 scores for braden scale

A

sensory preception
moisture
activity
mobility
nutrition
friction and shear

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9
Q

in the braden scale, the lower the score

A

higher the risk

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10
Q

what are some changes in elderly skin

A

thinning on subq and dermal layer
decrease activity of glands (sebaceous)
longer time window for cell renewal;
nail changes (nails get thicker and grow up)
decrease collagen fiber

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11
Q

are elderly at high or low risk for a pressure injury

A

high

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12
Q

what is consisted of in morning care

A

toileting
oral care
bathing and ROM (passive)
back massage (helps assess, relax and circulation)
hair care
denture care
anti embolism stockings
shaving
nail and foot care
eye, ear, nose
perineal care
linens
position for comfort
organize and clean up bedside

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13
Q

how do you shave face

A

down (with hair grain)

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14
Q

when we do perineal care what do we not want to use

A

powder

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15
Q

why do we not want to use powder on perineal care

A

powder can act as a medium for bacterial and fungal growth in an area that is dark and moist

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16
Q

when we do oral care where are we assessing

A

lips
color and surface of gums
teeth
tongue
hard and soft palates
dentures

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17
Q

what is the gold standard of care

A

brushing patients teeth

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18
Q

what might cause you to increase the amount of oral care

A

mouth breathing
on oxygen

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19
Q

why can we not take oral temp on someone receiving oxygen via a mask

A

because the O2 levels might drop during that time to get a temp
oxygen DOES NOT affect the actual temp number

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20
Q

when might we use a mouth swab

A

if the patient has no teeth

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21
Q

CPAP is what type of pressure

A

continue positive air pressure

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22
Q

what does CPAP help with

A

sleep apnea

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23
Q

how does a CPAP and sleep apnea work

A

the patient with sleep apnea never gets into deep sleep because the airway is obstructed a little bit after they sleep and are awoken due to increase CO2 levels

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24
Q

what is another name for standard precaution

A

blood borne precautions

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25
why would we put a wash cloth underneath where we are washing dentures
dentures are porcelain so they could break/chip easily
26
do we wear gloves when brushing teeth
yes we are in contact with bodily fluids
27
when we brush an unconscious patients teeth how would we position their head
on the side so water can flow out
28
what are some medical treatments and/or diseases that create dry oral cavity
oxygen therapy nasogastric tubes medications mouth breathing (occurs with infection) mechanical ventilation
29
asphyxia can be caused by
inspissated oral and nasopharyngeal secretions
30
lack of oral care leads to
VAP
31
lack of oral care can also cause issues with what other body system
renal
32
what are the purposes of bathing
cleansing and conditioning of skin relaxation promotes circulation improvement of self image and emotional well being movement and exercise assessment opportunities strengthens nurse/patient relationship
33
what are the types of baths
showers bathing - complete -partial assist CHG bag
34
what does a CHG bath do
reduces the pathogens on skin doesn't replace a bath and is normally used after the normal bath
35
why are bag baths good for elderly
because they are no rinse and not actual soap so it will not dry out the skin
36
we want to wash the face with a
wash cloth
37
when giving a bed bath we only want what exposed
the working extremity exposed
38
studies show that daily baths with CHG reduce the risk of
MDRO and HAI
39
MDRO
multi drug resistant organisms
40
what are some medial/surgical sites that we make sure to use CHG wipes on
Central IV lines PICC lines Mid lines hemodialysis
41
how do we go through bathing protocol when we have a patient who needs CHG wipes
bathe the patient first (bed bath/shower/bath) and then wipe down with CHG wipes and then use CHG compatible lotions
42
how many packs of CHG wipes will you need for one patient
3 packs 6 wipes
43
what does the yellow light mean on the wipe warmer
cloth is warming, not ready yet
44
what does a solid green light mean on the wipe warmer
cloth is ready to use
45
what does a blinking light green light mean on the wipe warmer
cloth is aging out, use this one first
46
what does a red light mean on the wipe warmer
cloth is expired, do not use, dispose of it
47
what areas do we use one CHG wipe
1. neck, chest, abdomen, groin 2. back and butt 3. left arm 4. right arm 5. left leg 6. right leg
48
where do we not use CHG wipes
face perineal area mucous membranes severly abraded skin
49
how long does a external female catheter last
8-12 hours
50
when we have a female patient with a external female catheter what do we not want to use
barrier cream may impede suction
51
when we clean the penis where do we start
LEAST CONTAMINATED (head) TO MOST CONTAMINATED (shaft)
52
when we apply a condom catheter to a patient that is uncircumcised how do we apply it
clean (retract foreskin to clean) replace foreskin!! place condom catheter
53
foley care
cleaning perineal area cleaning 6 inches down tube tube must be secured to thigh green clip is clamped tubing is off floor and no dependent loops
54
when might we apply a patch/thick bandaid on a patients sacral area
if braden scale is less than 18 history of ulcers any redness CVA (cannot reposition) ICU patient
55
how do we clean eyes
inner to outer
56
what is important to check if our patient is getting O2 via nasal cannula
check behind the ears to make sure the skin is not breaking down due to rubbing of the tubing on the skin
57
what types of ointments do we use for nares
WATER SOLUBLE
58
where do we put vaseline at
lips only
59
benefits of a back massage
acts as a general body conditioner relieves muscle tension and promotes relaxation provides opportunity for nurse to observe skin for signs of breakdown improves circulation may decrease pain, distress, anxiety may improve sleep quality
60
how do we care for diabetics feet
wash with lukewarm water (why? cannot feel bc of neuropathy) dry really good especially in between toes apply lotion but not in-between toes check for cuts/blisters/redness trim toenails across and file edge (file overall is best) change socks daily (preferable cotton socks) never walk barefoot examine shoes daily
61
what do we do for comfort and safety before we leave the room
Position for comfort lighting noise of TV call light in reach bed in low position side rails as appropriate label everything remove trash bedside bag curtains open room stocked check sharps

Fundamentals of Nursing (23 decks)

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