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prov. opt. clnt. sup. per. care > Week 12 Chapter 22 > Flashcards

Week 12 Chapter 22 Flashcards

1
Q

Common causes of skin breakdown

A

Dryness
Decreased mobility
General thinning of the skin
Poor nutrition and hydration

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2
Q

A Psw should keep skin

A

Clean, dry, and moistures

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3
Q

Skin protects the body

A

From microbes that cause infection

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4
Q

Prevent skin breakdown by

A

Preventing skin injury and give good skin care

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5
Q

A wound

A

Is a break in the skin or mucous membrane

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6
Q

Wound care involves

A

Preventing infection
Preventing further injury
Preventing blood loss
Preventing pain

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7
Q

Intentional wound

A

Created for treatment

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8
Q

Unintentional wound

A

Results from trauma

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9
Q

Open wound

A

A break in the skin or mucous membrane

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10
Q

Closed wound

A

Injury to tissue without breaking the skin

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11
Q

Clean wound

A

Not infected

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12
Q

Clean-contaminated wound

A

Results from sugical entry

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13
Q

Contaminated wound

A

Unintentional wound, high risk of infection

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14
Q

Infected wound

A

Wound containing a large amount of bacteria, shows signs of infection

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15
Q

Chronic wound

A

One that does not heal easily in a timely manner

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16
Q

Abrasion

A

Scrapping away or rubbing of the skin

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17
Q

Contusion

A

Blow to the body (bruise)

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18
Q

Incision

A

Clean, intentionally cut into the skin

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19
Q

Laceration

A

Torn, jagged edges

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20
Q

Penetrating wound

A

Skin and underlying tissue pierced

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21
Q

Puncture wound

A

Open wound caused by sharp object

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22
Q

Partial-thickness wound

A

The dermis and epidermis of skin is broken

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23
Q

Full thickness wound

A

The dermis, epidermis and subcutaneous tissue are penetrated; muscle and bone may be involved

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24
Q

Skin tear

A

A break or rip in the skin
Painful
Report

25
Q

Preventing skin tears

A

Use turning sheet
Gently transfer or position of client

26
Q

Pressure ulcer

A

Is an injury caused by unrelieved pressure to the skin and or underlying tissue

27
Q

Causes of pressure ulcers

A

Pressure, shearing, and friction

28
Q

Signs of pressure ulcers

A

Pale or grey skin, warmed an reddened area
Complaints of pain, burning, itching, or tingling

29
Q

Stage 1 of pressure ulcer

A

The skin is intact
Coloured

30
Q

Stage 2 of pressure ulcer

A

Partial thickness of skin loss

31
Q

Stage 3 of pressure ulcer

A

Full thickness of skin loss
May be drainage

32
Q

Stage 4 of pressure ulcer

A

Full thickness of tissue loss
Muscle, tendon, bone exposure

33
Q

Stage 5 of pressure ulcer

A

Pressure ulcer cannot be staged due to necrosis
Blackened tissue

34
Q

Protective devices used to prevent and treat pressure ulcers

A

Special beds
Bad cradles
Pillows

35
Q

Some diseases that affect blood flow to and from the legs and feet

A

Edema
Gangrene

36
Q

Circulatory ulcers (vascular ulcers)

A

Are open sores on the lower legs or feet

37
Q

Venous ulcers

A

Are open sores on lower legs or feet caused by poor blood flow through the veins

38
Q

Arterial ulcers

A

Are open wounds on the lower legs or feet caused by poor arterial blood flow

39
Q

Appearance of arterial ulcer

A

May feel cool
Appears grey or blue or shiny
Painful during rest

40
Q

First phase of wound healing

A

Inflammatory phase
3 days

41
Q

Second phase of wound healing

A

Proliferation phase
3 to 21 days

42
Q

Third phase of wound healing

A

Maturation phase
21 to 1-2 years

43
Q

Hemorrhage

A

Excessive loss of blood in short period of time

44
Q

Hematoma

A

Collection of blood under the skin

45
Q

Shock results from

A

When there is not enough blood supply to organs and tissues

46
Q

Wound drainage- serous

A

Clear and watery

47
Q

Wound drainage - sanguineous

A

Bloody drainage

48
Q

Wound drainage- serosanguineous

A

Thin water drainage that is blood tinged

49
Q

Wound drainage - purulent

A

Thick drainage that is green, yellow, or brown

50
Q

Clients with infected and draining wounds will require more of which two nutrients

A

Protein and vitamin C

51
Q

Common causes of skin breakdown and pressure ignuries

A

Pressure, friction, shearing

52
Q

Risk factors for developing of arterial ulcers

A

Aging
Smoking
Diabetes
High blood pressure

53
Q

How long should you wait to perform procedures after pain medication are given

A

30 minutes

54
Q

Gangrene

A

Is a condition in which tissue dies and then decays

55
Q

Primary intention

A

Used on closed wounds

56
Q

Secondary intention

A

Is used in contaminated and infected wounds

57
Q

Tertiary intention

A

Involves leaving a wound open for a time before closing it

58
Q

Evisceration

A

Is the separation of the wound

59
Q

Tape cannot

A

Encircle the entire body part, impair circulation

prov. opt. clnt. sup. per. care (17 decks)

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