Self Care

Question 1

ways immobility causes lung changes

Answer 1

lower lung expansion
lower tidal volume
adelecticus
collapse of alveoli
pneumonia risk
pulmonary embolism d/t DVT

Question 2

Psychosocial benefits of bathing

Answer 2

• Promotes comfort
• Promotes well-being
• Promotes relaxation
• Rapport with nurse

Question 3

purpose of sitz bath

Answer 3

cleanse, soothe, reduce inflammation of perineal or vaginal area

Question 4

when to use sitz bath

Answer 4

post childbirth, vaginal or rectal surgery,

Question 5

factors affecting self-care

Answer 5

environment
motivation, mental health, cognitive ability
energy
acute illness, surgery
pain
neuromuscular function and sensory deficits

Question 6

purpose of hot water bath

Answer 6

relieve muscle spasms and soreness by total immersion

Question 7

warm water bath

Answer 7

typical bath

Question 8

cool water bath

Answer 8

relieve muscle tension or decrease body temperature in febrile patients

Question 9

soaks

Answer 9

soften and loosen secretions during dressing changes or reduce pan/swelling/itching of inflamed or irritated skin

Question 10

what might indicate a problem with self care

Answer 10

• dry, scaly, excoriated skin
• oily, unwashed hair
• dirty or broken nails
• clothes that are inappropriate for weather (esp. bundled in summer)

Question 11

self care level 0

Answer 11

independent

Question 12

** self care level 0

Answer 12

independent

✘ equipment or devices
✘ person to assist

Question 13

** self care level 1

Answer 13

uses equipment or devices but is independent

✔︎ equipment or devices
✘ person to assist

Question 14

** self care level 2

Answer 14

assistance or supervision but no devices

✘ equipment or devices
✔︎ person to assist

Question 15

** self care level 3

Answer 15

assistance from a person and devices

✔︎ equipment or devices
✔︎ person to assist

Question 16

** self care level 4

Answer 16

completely dependent on another person

✔︎✔︎✔︎ person needed for all self care

Question 17

it hurts too much to bathe/walk/do this dressing change

Answer 17

premedicate!!!!!!!!!!

Question 18

t/f a bath decreases circulation

Answer 18

false, it increases circulation

Question 19

t/f a bath maintains muscle tone

Answer 19

true

Question 20

cold and dusky feet indicate

Answer 20

poor circulation: decreased healing and increased risk of infection

Question 21

*** elements of foot care (5)

Answer 21

inspect daily
clean with warm water and soap
dry carefully between the toes
toenails cut straight across
no lotion between toes

Question 22

flattened thickening of epidermis, often on bottom or side of foot over a bony prominence

Answer 22

calluses

Question 23

cone shaped lesion (thickening of the epidermis) usually on the 4th or 5th toe over toe joint

Answer 23

corns

Question 24

round or irregular, flattened by pressure, surrounded by cornified epithelium; often painful

Answer 24

plantar warts

Question 25

inflammation and thickening of bursa of the great toe joint; enlargement of the joint and displacement of the toe

Answer 25

bunions (hallax valgus)

Question 26

redness, scaling, and cracking of the skin especially between toes

Answer 26

tinea pedis (athlete’s foot)

Question 27

inflammation, swelling, and tissue pain at the edge of the nail

Answer 27

ingrown nails

Question 28

excessive foul odor of the feet

Answer 28

foot odor

Question 29

lice hair treatment

Answer 29

pyrethrin or permethrin once and then again 9-10 days later

Question 30

lice clothing treatment

Answer 30

temperature extremes for at least 5 minutes, hot water and hot air cycles

Question 31

contraindications for shaving

Answer 31

bleeding disorder, thrombocytopenia, anticoagulants

Question 32

considerations for dentures

Answer 32

proper cup for dentures labelled

Question 33

avoid using these for ears

Answer 33

q tips
toothpicks
bobby pins

Question 34

when to use a separate washcloth to clean each eye

Answer 34

eye infection

Question 35

yankauer

Answer 35

oral suction device

Question 36

does an intubated pt need oral care more or less frequently?

Answer 36

more frequently

Question 37

considerations for feeding

Answer 37

• ordered diet
• is fasting required
• is it the right tray for the right pt
• promote optimal environment (raise head of bed, turn on lights)

Question 38

check pt needs before feeding

Answer 38

• determine what assistance they need
• assess pain
• assess fatigue

Question 39

what to do when a pt has trouble chewing and swallowing

Answer 39

• NPO
• get order for a swallow eval
• speech therapist performs swallow eval and determine problems/recommendations

Question 40

3 ways to toilet (fecal)

Answer 40

• bathroom
• bedside commode (privacy)
• bedpan (assistance)

Question 41

other discipline: motor function and strength

Answer 41

physical therapist

Question 42

other discipline: activities of daily living assistance

Answer 42

occupational therapist

Question 43

other discipline: ensures patient can swallow without danger of choking

Answer 43

speech therapist

Question 44

other discipline: finds placement outside of home, finds resources for those at home

Answer 44

social worker

Question 45

other discipline: assesses home environment for self care

Answer 45

home health nurse

Question 46

other discipline: directs medical care and rehab in a program

Answer 46

rehabilitation physician

Question 47

directs medical care and rehab in a program

Answer 47

rehabilitation physician