TF unit 2

Question 1

early morning care

Answer 1

oral hygiene, restroom, bath, dress for the day

Question 2

ADL

Answer 2

activities of daily living

Question 3

hygiene

Answer 3

keep oneself clean

Question 4

benefits of bathing

Answer 4

cleans skin, circulation, sensation, and comfort, improves self esteem, nurse-patient relationship

Question 5

maceration

Answer 5

softening of the skin

Question 6

excoriation

Answer 6

rash on the top layer of skin, diaper rash

Question 7

mottling

Answer 7

poor circulation, signs of no blood flow, purple skin

Question 8

factors to consider during bath and ADL

Answer 8

patient abilities, concerns, culture,sex, timing decline, request,

Question 9

when is it not delegated to bathing a patient?

Answer 9

when the patient unstable

Question 10

back massage helps

Answer 10

circulation helps relax if the tumor or bump doesn’t

Question 11

open bed

Answer 11

covers are halfway a few minutes before a new patient arrives

Question 12

closed bed

Answer 12

all the way up waiting for the current patient

Question 13

surgical bed

Answer 13

fan held to the side linen on the side

Question 14

removing hearing aid

Answer 14

turn off, clean, store, moist free area

Question 15

oral care assess

Answer 15

mouth white spots, aspiration, flat on side/head, suction

Question 16

dentures

Answer 16

cool water, towel,

Question 17

managing environment

Answer 17

furniture, noise, odors , clutter, equipment

Question 18

nail care

Answer 18

assess, diabetic file only never clip, push

Question 19

piercings

Answer 19

check for infection, can have sliver and titanium for testing purposes

Question 20

fowler

Answer 20

head of bed 45 or greater, knees slightly bent

Question 21

high fowler

Answer 21

head of bed 90 or greater

Question 22

semi fowler

Answer 22

head of bed 30 knees slightly bent

Question 23

Trendelenburg

Answer 23

head of bed down lower than flat, feet up, knees straight

Question 24

reverse trendelenburg

Answer 24

the bed remains flat, head elevated up and feet down without bending at the waist or knees