Test Three Flashcards

1
Q

Assisting the Person to Brush and Floss Teeth p. 241

A

Brushing Teeth
1. Gather Supplies:Toothbrush, toothpaste, water, towel/bib.
2. Position the Person:Upright and protected.
3. Apply Toothpaste:Small amount on the brush.
4. Brush Teeth:Gently for 2 minutes.
5. Rinse:With water.

Flossing Teeth
1. Gather Supplies:Floss or floss picks.
2. Floss Teeth:Gently between each tooth.
3. Rinse:With water.

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2
Q

Brushing and Flossing the Person’s Teeth p.241-242

A

Brushing Teeth
1. Gather Supplies:Toothbrush, toothpaste, water, towel/bib.
2. Position the Person:Sit them upright, protect clothing with a towel/bib.
3. Apply Toothpaste:Small amount on the brush.
4. Brush Teeth:Gently for 2 minutes.
5. Rinse:With water, using a cup.

Flossing Teeth
1. Gather Supplies:Floss or floss picks.
2. Floss Teeth:Gently slide between each tooth.
3. Rinse:With water.

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3
Q

Providing Mouth Care for the Unconscious Person p. 243-244

A

Mouth Care for the Unconscious Person
1. Gather Supplies: Mouth swabs, towel, water, gloves.
2. Position the Person: Turn them on their side, place a towel under the head.
3. Wear Gloves: For hygiene.
4. Clean the Mouth: Use a swab dipped in water or mouthwash to clean teeth, gums, tongue, and cheeks.
5. Moisten the Mouth: Use a fresh swab dipped in water.
6. Check for Issues: Report any sores or bleeding.

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4
Q

Providing Denture Care p. 245-246

A
  1. Gather Supplies: Denture brush, denture cleaner, denture cup, water, towel, gloves.
  2. Remove Dentures: Gently remove the dentures from the person’s mouth.
  3. Clean Dentures: Brush all surfaces of the dentures with denture cleaner and water.
  4. Rinse: Thoroughly rinse the dentures with water.
  5. Soak: Place dentures in a denture cup filled with water or denture solution.
  6. Clean Mouth: Brush and rinse the person’s gums, tongue, and cheeks.
  7. Reinsert Dentures: If applicable, reinsert the clean dentures into the person’s mouth.
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5
Q

Giving a Complete Bed Bath p.248-251

A
  1. Gather Supplies: Basin of warm water, soap, washcloths, towels, clean clothes, gloves, lotion (optional).
  2. Prepare the Area: Ensure privacy, adjust the room temperature, and place a waterproof pad under the person.
  3. Wash Hands and Wear Gloves: For hygiene and safety.
  4. Start with the Face: Use a clean, damp washcloth without soap to wash the face. Pat dry.
  5. Wash Upper Body: Use a soapy washcloth to clean the neck, arms, chest, and back. Rinse with a clean, damp cloth and pat dry.
  6. Wash Lower Body: Continue with the abdomen, legs, and feet. Rinse and dry thoroughly.
  7. Perineal Care: Wash the genital and anal areas last, using a separate washcloth. Rinse and dry thoroughly.
  8. Apply Lotion (optional): Moisturize the skin if needed.
  9. Dress the Person: Help the person into clean clothes and ensure they are comfortable.
  10. Clean Up: Dispose of used water, washcloths, and gloves. Clean the basin and wash your hands.
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6
Q

Assisting with a Partial Bath p. 251-252

A
  1. Gather Supplies: Basin of warm water, soap, washcloths, towels, clean clothes, gloves, lotion (optional).
  2. Prepare the Area: Ensure privacy and comfort, adjust room temperature, and place a waterproof pad under the person.
  3. Wash Hands and Wear Gloves: For hygiene and safety.
  4. Start with the Upper Body: Use a soapy washcloth to clean the face, neck, arms, and chest. Rinse with a clean, damp cloth and pat dry.
  5. Wash Lower Body: Continue with the abdomen, legs, and feet. Rinse and dry thoroughly.
  6. Perineal Care (if needed): Wash the genital and anal areas using a separate washcloth. Rinse and dry thoroughly.
  7. Apply Lotion (optional): Moisturize the skin if desired.
  8. Dress the Person: Help them into clean clothes.
  9. Clean Up: Dispose of used water, washcloths, and gloves. Clean the basin and wash your hands.
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7
Q

Giving a Back-Massage p. 256-257

A
  1. Prepare: Ensure a comfortable environment with the person lying face down.
  2. Warm Up: Rub your hands together to warm them.
  3. Apply Oil or Lotion (optional): Use a small amount for smoothness.
  4. Techniques:
    • Effleurage: Long, smooth strokes from spine to shoulders.
    • Kneading: Use fingers and thumbs to gently knead along the sides of the spine.
    • Circular Motions: Use thumbs in circular motions along back muscles.
    • Palm Pressing: Firmly press with palms along muscles.
  5. Adjust Pressure: Check and adjust pressure based on their preference.
  6. Focus on Tense Areas: Spend more time on tense spots, applying slightly more pressure if needed.
  7. Finish: End with gentle strokes to relax the muscles.
  8. Clean Up: Ensure comfort and tidy up afterward.
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8
Q

Giving a Female Perineal Care p. 258-260

A
  1. Gather Supplies: Basin of warm water, soap, washcloths, towels, gloves.
  2. Prepare the Area: Ensure privacy and comfort, adjust room temperature, and place a waterproof pad under the person.
  3. Wash Hands and Wear Gloves: For hygiene and safety.
  4. Position the Person: Assist her to lie comfortably on her back with knees bent and apart, or in a side-lying position.
  5. Cleanse the Area:
    • Use a clean, damp washcloth with soap to gently cleanse the perineal area from front to back, using separate strokes for each pass.
    • Rinse thoroughly with a clean, damp washcloth, ensuring all soap residue is removed.
  6. Pat Dry: Gently pat the area dry with a clean towel.
  7. Apply Barrier Cream (if needed): Apply a thin layer of barrier cream if the skin is prone to irritation.
  8. Dispose of Supplies: Properly dispose of used materials and clean the basin.
  9. Remove Gloves and Wash Hands: Remove gloves properly and wash hands thoroughly.
  10. Document Care: Record the procedure and any observations as per protocol.
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9
Q

Giving a Male Perineal Care p. 260

A
  1. Gather Supplies: Basin of warm water, soap, washcloths, towels, gloves.
  2. Prepare the Area: Ensure privacy and comfort, adjust room temperature, and place a waterproof pad under the person.
  3. Wash Hands and Wear Gloves: For hygiene and safety.
  4. Position the Person: Assist him to lie comfortably on his back with knees bent, or in a side-lying position.
  5. Cleanse the Area:
    • Use a clean, damp washcloth with soap to gently cleanse the perineal area, including the penis and surrounding area.
    • Rinse thoroughly with a clean, damp washcloth, ensuring all soap residue is removed.
  6. Pat Dry: Gently pat the area dry with a clean towel.
  7. Apply Barrier Cream (if needed): Apply a thin layer of barrier cream if the skin is prone to irritation.
  8. Dispose of Supplies: Properly dispose of used materials and clean the basin.
  9. Remove Gloves and Wash Hands: Remove gloves properly and wash hands thoroughly.
  10. Document Care: Record the procedure and any observations as per protocol.
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10
Q

Hygiene

A

Hygiene is about staying clean, preventing illness, and promoting health through regular practices like washing and keeping things tidy.

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11
Q

Perineal Care

A

Perineal care is the cleaning and hygiene maintenance of the genital and anal areas to prevent infections and promote comfort.

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12
Q

Denture

A

Dentures are removable dental appliances used to replace missing teeth and surrounding tissues.

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13
Q

Aspiration

A

Aspiration refers to the inhalation of fluid or foreign objects into the airways, typically into the lungs, which can lead to respiratory issues or pneumonia.

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14
Q

Am care

A

Includes activities such as bathing, grooming, oral care, dressing, and preparing for the day.

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15
Q

Pm care

A

Involves activities such as bathing, grooming, oral care, changing into night clothes, and preparing for bedtime. This routine helps ensure comfort and hygiene before the person rests for the night.

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16
Q

What factors affect hygiene needs? p.238

A

Factors affecting hygiene needs include physical condition, cognitive function, emotional well-being, environment, support system, and personal preferences.

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17
Q

What does the nurse aide do if the resident refuses any care(s)?

A

If a resident refuses care, the nurse aide respects their decision, communicates politely, offers alternatives, documents the refusal, informs a supervisor, and monitors the resident.

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18
Q

How often do you do denture care for the resident?

A

Morning and night or when asked

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19
Q

Back massage last how long? p. 256-257

A

3-5 minutes

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20
Q

Rules for Shaving

A
  1. Rules for Shaving: Follow safety guidelines, use clean equipment, and be gentle to prevent cuts or irritation.
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21
Q

Shaving the Person with Electric Razor p. 271-272

A
  1. Shaving with an Electric Razor: Ensure the razor is clean and charged, shave in the direction of hair growth, and avoid pressing too hard on the skin.
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22
Q

Giving Nail and Foot Care p. 273-275

A
  1. Giving Nail and Foot Care: Trim nails straight across, file smooth, and inspect feet for signs of infection or injury. Moisturize if needed.
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23
Q

Dressing and Undressing p. 275-279

A
  1. Dressing and Undressing: Assist the person as needed, respect privacy, and encourage independence where possible.
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24
Q

22.1 Urinary Elimination Problems p. 317

A
  1. Urinary Elimination Problems: Address issues like incontinence or retention by monitoring fluid intake, offering scheduled bathroom breaks, and using protective undergarments or catheters as prescribed.
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25
Q

Giving the Bedpan p. 319-320

A
  1. Giving the Bedpan: Ensure privacy and comfort, assist with positioning, and dispose of waste appropriately.
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26
Q

Giving the Urinal p. 321-322

A
  1. Giving the Urinal: Assist the person in using the urinal, ensuring privacy and comfort, and clean the urinal after each use.
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27
Q

Nursing measures for Persons with Urinary Incontinence p.324

A
  1. Nursing Measures for Persons with Urinary Incontinence: Provide protective undergarments, encourage regular toileting, and monitor fluid intake to manage urinary incontinence.
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28
Q

Helping the Person to the Commode p. 323

A
  1. Helping the Person to the Commode: Assist the person to the commode safely, ensuring it is positioned correctly and providing support as needed.
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29
Q

22.3 Caring for person with Indwelling Catheters p. 327-328

A
  1. Caring for Person with Indwelling Catheters: Ensure catheter hygiene, maintain a sterile technique during care, and monitor for signs of infection or discomfort.
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30
Q

Giving Catheter Care p.329-330

A
  1. Giving Catheter Care: Clean around the catheter insertion site using sterile technique, ensure proper drainage, and monitor for any signs of infection or complications.
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31
Q

Emptying a Urinary Drainage Bag p. 333

A
  1. Emptying a Urinary Drainage Bag: Empty the bag regularly, maintain a sterile technique, measure and record urine output, and ensure the drainage system remains secure and functional.
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32
Q

What type of mattress would not use if the person is incontinent of urine?

A

A mattress with a traditional cloth cover would not be suitable for someone who is incontinent of urine.

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33
Q

Incontinent

A
  1. Incontinent: Refers to the inability to control bowel or bladder function, leading to involuntary loss of urine or feces.
34
Q

Dysuria

A
  1. Dysuria: Pain or discomfort experienced during urination, often indicating a urinary tract infection or other urinary issue.
35
Q

Micturition

A
  1. Micturition: The process of emptying the bladder, commonly known as urination.
36
Q

Hematuria

A
  1. Hematuria: Presence of blood in the urine, which may be a sign of various conditions including infection, kidney stones, or urinary tract injury.
37
Q

Nocturia

A
  1. Nocturia: The need to wake up during the night to urinate, disrupting sleep patterns.
38
Q

Focus on Communication -Observation p. 339

A
  1. Focus on Communication: Emphasizes clear and effective communication with patients and colleagues to ensure understanding, empathy, and proper care delivery.
39
Q

Changing an Ostomy Pouch p/ 349

A
  1. Changing an Ostomy Pouch: Involves removing and replacing the pouch that collects waste from a surgically created opening (stoma) in the abdomen, ensuring cleanliness and proper adhesion to the skin.
40
Q

Fecal Impaction

A
  1. Fecal Impaction: A severe form of constipation where stool becomes hard and stuck in the rectum, preventing normal bowel movements.
41
Q

Constipation

A
  1. Constipation: Difficulty in passing stools or infrequent bowel movements, often resulting in hard and dry feces.
42
Q

Feces

A
  1. Feces: Solid waste matter discharged from the bowels after digestion.
43
Q

Flatus

A
  1. Flatus: Gas generated in the stomach or intestines, expelled through the rectum.
44
Q

Colostomy

A
  1. Colostomy: A surgical procedure creating an opening (stoma) in the abdominal wall for the colon to bypass the anus, allowing stool to exit into an ostomy pouch.
45
Q

Defecation

A
  1. Defecation: The act of expelling feces from the rectum through the anus.
46
Q

32.1 Skin Breakdown: Common Causes p. 472

A

Common causes of skin breakdown:

  1. Pressure
  2. Friction
  3. Shear
  4. Moisture
  5. Poor nutrition
  6. Dehydration
  7. Immobility
  8. Medical conditions
47
Q

32.2 Pressure Injury Stages p. 473

A

Pressure Injury Stages:**
1. Stage 1: Reddened skin that doesn’t blanch.
2. Stage 2: Partial-thickness skin loss, blister, or shallow open sore.
3. Stage 3: Full-thickness skin loss, visible fat, but no bone, tendon, or muscle exposure.
4. Stage 4: Full-thickness skin loss with exposed bone, tendon, or muscle.

48
Q

32.3 Measures to Prevent Pressure Injuries

A

Measures to Prevent Pressure Injuries:
- Reposition regularly
- Use pressure-relieving devices
- Keep skin clean and dry
- Ensure proper nutrition and hydration
- Check skin daily for signs of breakdown

49
Q

Pressure Injury

A

Pressure Injury: Damage to the skin and underlying tissue due to prolonged pressure, often over bony areas.

50
Q

Friction

A

Friction: Rubbing of the skin against a surface, causing damage.

51
Q

Shear

A

Shear: When the skin moves in one direction and the underlying tissues move in another, causing internal damage.

52
Q

What is the best way to wash an unconscious patient?

A

Bed bath

53
Q

What should I clean the stoma with?

A

Watered rag

54
Q

What to do if a patient gets aggressive during a whirlpool bath?

A

Calm, call light, turn off

55
Q

What to do if a patient gets aggressive during a whirlpool bath?

A

Calm, call light, turn off

56
Q

Dysuria

A

Dysuria: Painful or difficult urination.

57
Q

Dysuria

A

Dysuria: Painful or difficult urination.

58
Q

Constipation

A

Unable to make bowel movements

59
Q

Two ways to provide privacy

A

Knock, close the door and a privacy blanket

60
Q

Can you cut the nails of the diabetic patient?

A

No

61
Q

Can you cut the nails of the diabetic patient?

A

No

62
Q

What is the biggest safety hazard during a bath?

A

Slipping and falling

63
Q

What to do during nail care

A
64
Q

Bed cradle

A
65
Q

Ways to prevent pressure sores?

A

Rotation and cleaning avoid wrinkles in sheets

66
Q

Where to hold a catheter bag with a patient?

A

Below the bladder

67
Q

Oral care to unconscious patient

A

Announce your presence use a swab do it every two hours

68
Q

Stress incontinence

A
69
Q

Do you remove their clothes first on their side or their strong side?

A

Strong side

70
Q

Two things to do someone is incontinent of urine

A

Check often clean bedding, good skin care if it’s a new issue report it

71
Q

Two things about a back rub

A

Up and circular motions

72
Q

What four body parts are included in partial bath

A
73
Q

Incontinent

A

Unable to control bowel and bladder

74
Q

What area to wash during perineal wash

A

Genitals and rectum

75
Q

Defacation

A

Action of pooping

76
Q

Egg crate bed

A

Prevent pressure points
Can’t use it incontinence

77
Q

Temp of bathwater

A
78
Q

Halitosis

A
79
Q

Moturation

A

Act of urination

80
Q

Moturation

A

Act of urination

81
Q

Commode

A

Toilet without septic system
Placed by bed